| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
975 |
870 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
78 |
78 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
276 |
274 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
55 |
55 |
$706.32 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
13 |
$362.07 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
197 |
182 |
$0.00 |