| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
53 |
50 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
56 |
55 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
300 |
270 |
$3K |
| 71010 |
|
74 |
72 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
29 |
27 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
16 |
15 |
$495.56 |
| 71020 |
|
20 |
17 |
$230.00 |
| 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) |
89 |
78 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
24 |
23 |
$0.00 |