| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71275 |
Computed tomographic angiography, chest, with contrast material |
2,937 |
2,763 |
$297K |
| 71250 |
|
3,440 |
3,205 |
$104K |
| 71045 |
Radiologic examination, chest; single view |
19,451 |
14,610 |
$75K |
| 71046 |
Radiologic examination, chest; 2 views |
6,672 |
6,191 |
$33K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
745 |
674 |
$32K |
| 74018 |
|
1,004 |
734 |
$5K |
| 71271 |
|
65 |
58 |
$2K |
| 73630 |
|
29 |
27 |
$300.69 |
| 73562 |
|
26 |
26 |
$216.14 |
| 73030 |
|
17 |
16 |
$181.87 |
| 73130 |
|
15 |
15 |
$143.86 |
| 73502 |
|
12 |
12 |
$48.09 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
25 |
25 |
$15.36 |