Computed tomography (CT) coronary artery calcium score (CAC) is a simple, inexpensive, and is endorsed by clinical practice guidelines to facilitate personalized risk assessment beyond currently used risk equations . CAC is not widely utilized due to lack of universal reimbursement. We initiated a no-charge CAC program for community benefit for patients with at least 1 cardiovascular risk factor. This resulted in significant increase in test utilization and higher test uptake by women, minorities, and socioeconomically disadvantaged individuals , increase in statin utilization without significant increase in unnecessary invasive testing. A small percentage of individuals underwent percutaneous coronary intervention (PCI) after CAC. We aimed to investigate the characteristics and outcomes of all patients who underwent PCI within 1 year of CAC.