| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,244 |
1,170 |
$82K |
| 71045 |
Radiologic examination, chest; single view |
4,371 |
3,779 |
$20K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
350 |
340 |
$15K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
567 |
510 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,543 |
1,438 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
161 |
155 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
170 |
121 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
139 |
130 |
$3K |
| 74018 |
|
315 |
293 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
38 |
37 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
39 |
39 |
$1K |
| 93971 |
|
25 |
24 |
$319.84 |
| 73630 |
|
14 |
12 |
$161.25 |