| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71250 |
|
4,303 |
2,948 |
$86K |
| 71046 |
Radiologic examination, chest; 2 views |
3,666 |
2,632 |
$19K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
680 |
471 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
2,045 |
1,686 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
13 |
$609.07 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
701 |
433 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
225 |
223 |
$0.00 |