| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
Positron emission tomography (PET) for limited area imaging |
812 |
715 |
$73K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
613 |
538 |
$48K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
156 |
146 |
$18K |
| 78306 |
|
177 |
162 |
$10K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
87 |
76 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
45 |
44 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
247 |
211 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
316 |
240 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
15 |
$676.27 |
| 77080 |
|
78 |
77 |
$455.94 |