| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
472 |
324 |
$13K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
468 |
323 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
129 |
98 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
436 |
340 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
233 |
222 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
21 |
17 |
$813.66 |
| 73630 |
|
42 |
31 |
$526.60 |