| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
789 |
788 |
$118K |
| 76641 |
|
605 |
601 |
$101K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
325 |
325 |
$19K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
30 |
30 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
107 |
105 |
$2K |
| 76536 |
|
15 |
14 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
37 |
37 |
$1K |
| G9638 |
Final reports without 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) |
16 |
13 |
$0.00 |