| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71250 |
|
2,352 |
1,863 |
$58K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
543 |
427 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
2,243 |
1,750 |
$14K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
24 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
171 |
122 |
$423.42 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
83 |
83 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
141 |
97 |
$0.00 |