| Code | Description | Claims | Beneficiaries | Total Paid |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
131 |
127 |
$57K |
| G6015 |
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session |
314 |
25 |
$39K |
| 77014 |
|
1,056 |
95 |
$38K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
299 |
290 |
$24K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
154 |
149 |
$21K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
309 |
305 |
$13K |
| 77427 |
|
168 |
67 |
$10K |
| 77336 |
|
279 |
123 |
$7K |
| 77280 |
|
88 |
51 |
$6K |
| 77290 |
|
31 |
29 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
511 |
495 |
$3K |
| 77334 |
|
38 |
31 |
$3K |
| 77300 |
|
48 |
40 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
39 |
$1K |
| G6002 |
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy |
14 |
12 |
$320.81 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
15 |
14 |
$16.23 |