| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
24,162 |
20,859 |
$93K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,214 |
972 |
$69K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,574 |
2,208 |
$62K |
| 71046 |
Radiologic examination, chest; 2 views |
3,497 |
3,250 |
$17K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
149 |
107 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
384 |
355 |
$3K |
| 74018 |
|
275 |
228 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
52 |
49 |
$1K |
| 99152 |
|
92 |
88 |
$588.30 |
| 72131 |
|
29 |
12 |
$578.11 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
12 |
$346.30 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
47 |
39 |
$291.91 |
| 73630 |
|
27 |
24 |
$290.75 |
| 73130 |
|
22 |
12 |
$125.00 |