| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
4,754 |
3,676 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,854 |
1,844 |
$9K |
| 71250 |
|
647 |
644 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
65 |
65 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
54 |
54 |
$867.41 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
28 |
27 |
$0.00 |