| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
3,815 |
2,180 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
546 |
390 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
147 |
109 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
121 |
93 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
184 |
167 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
764 |
615 |
$2K |
| 73610 |
|
62 |
24 |
$74.84 |
| 74018 |
|
12 |
12 |
$70.47 |
| 73630 |
|
18 |
13 |
$50.68 |