| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
181 |
179 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
271 |
267 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
373 |
361 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
141 |
141 |
$687.17 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$276.89 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
236 |
153 |
$0.00 |