| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
780 |
653 |
$21K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
780 |
653 |
$17K |
| 70450 |
Computed tomography, head or brain; without contrast material |
184 |
181 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
206 |
193 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
886 |
809 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
371 |
360 |
$2K |
| 76642 |
|
13 |
12 |
$280.94 |
| G9637 |
Final reports with 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) |
46 |
40 |
$0.00 |