| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
1,827 |
1,792 |
$30K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
501 |
489 |
$29K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
363 |
353 |
$21K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
502 |
489 |
$12K |
| 72100 |
|
182 |
182 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$934.44 |
| 76641 |
|
12 |
12 |
$818.72 |
| 72050 |
|
12 |
12 |
$340.28 |