| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
142 |
129 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
38 |
38 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
241 |
228 |
$1K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
12 |
12 |
$732.48 |
| 71271 |
|
19 |
15 |
$592.41 |
| 71046 |
Radiologic examination, chest; 2 views |
95 |
86 |
$545.50 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$439.49 |