| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
Positron emission tomography (PET) for limited area imaging |
779 |
752 |
$39K |
| 71046 |
Radiologic examination, chest; 2 views |
2,079 |
1,945 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
1,787 |
1,592 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
74 |
64 |
$5K |
| 78454 |
|
144 |
144 |
$3K |
| 73630 |
|
148 |
116 |
$2K |
| 74018 |
|
359 |
316 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
42 |
42 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
14 |
$2K |
| 73030 |
|
131 |
122 |
$2K |
| 73130 |
|
128 |
111 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
32 |
31 |
$1K |
| 72100 |
|
90 |
88 |
$1K |
| 73610 |
|
43 |
39 |
$697.80 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$510.46 |
| 73562 |
|
29 |
24 |
$330.49 |
| 73110 |
|
16 |
14 |
$222.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
45 |
40 |
$0.00 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
46 |
40 |
$0.00 |