| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71275 |
Computed tomographic angiography, chest, with contrast material |
2,882 |
2,728 |
$283K |
| 71250 |
|
3,573 |
3,285 |
$104K |
| 71045 |
Radiologic examination, chest; single view |
19,641 |
15,009 |
$78K |
| 71046 |
Radiologic examination, chest; 2 views |
7,540 |
7,014 |
$36K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
710 |
659 |
$29K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
143 |
137 |
$6K |
| 74018 |
|
615 |
495 |
$3K |
| 71271 |
|
69 |
68 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
52 |
51 |
$2K |
| 73562 |
|
28 |
28 |
$298.37 |
| 93970 |
|
15 |
13 |
$264.42 |
| 73130 |
|
27 |
27 |
$262.71 |
| 73610 |
|
12 |
12 |
$173.36 |
| 73630 |
|
14 |
13 |
$132.27 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
40 |
37 |
$65.65 |