| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
Positron emission tomography (PET) for limited area imaging |
2,752 |
2,695 |
$528K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
2,939 |
2,898 |
$145K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
51 |
51 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
64 |
62 |
$1K |
| 70460 |
|
25 |
25 |
$396.48 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
566 |
560 |
$7.53 |