| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
Positron emission tomography (PET) for limited area imaging |
127 |
118 |
$116K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
162 |
152 |
$30K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
202 |
195 |
$20K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
215 |
210 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
921 |
700 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
86 |
85 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
139 |
133 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
514 |
418 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
28 |
28 |
$248.75 |