| Code | Description | Claims | Bene. Records | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,607 |
1,502 |
$43K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,467 |
1,383 |
$26K |
| 70450 |
Computed tomography, head or brain; without contrast material |
274 |
247 |
$17K |
| 76642 |
|
650 |
484 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
151 |
138 |
$6K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
207 |
198 |
$3K |
| 77065 |
Tomosynthesis, mammo |
126 |
96 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
598 |
501 |
$2K |
| 77066 |
Tomosynthesis, mammo |
69 |
53 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
170 |
158 |
$792.40 |