| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
838 |
568 |
$250K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
334 |
233 |
$88K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
98 |
59 |
$75K |
| 70450 |
Computed tomography, head or brain; without contrast material |
340 |
219 |
$48K |
| 78816 |
|
69 |
50 |
$38K |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
354 |
166 |
$16K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
300 |
161 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
55 |
32 |
$12K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,730 |
1,065 |
$9K |
| 76830 |
Ultrasound, transvaginal |
112 |
62 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
144 |
72 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
22 |
13 |
$1K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
26 |
12 |
$1K |
| 76775 |
|
26 |
13 |
$950.82 |