| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
9,570 |
9,130 |
$85K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
843 |
825 |
$58K |
| 70450 |
Computed tomography, head or brain; without contrast material |
881 |
844 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
3,893 |
3,503 |
$24K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
146 |
145 |
$10K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
282 |
279 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
244 |
243 |
$6K |
| 73630 |
|
191 |
162 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
27 |
$765.22 |
| 76642 |
|
14 |
12 |
$347.93 |