| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
Positron emission tomography (PET) for limited area imaging |
132 |
110 |
$124K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
399 |
381 |
$42K |
| 71046 |
Radiologic examination, chest; 2 views |
1,375 |
1,364 |
$11K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
200 |
181 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,249 |
1,201 |
$8K |
| 71250 |
|
26 |
26 |
$1K |
| 73630 |
|
53 |
52 |
$379.14 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
126 |
121 |
$111.20 |