| Code | Description | Claims | Beneficiaries | Total Paid |
| 71250 |
|
1,899 |
1,299 |
$37K |
| 71046 |
Radiologic examination, chest; 2 views |
2,255 |
1,611 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,593 |
2,125 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
172 |
127 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
15 |
$282.45 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
209 |
121 |
$0.00 |