| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,118 |
777 |
$717K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,966 |
1,607 |
$225K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
2,554 |
2,123 |
$220K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
1,136 |
795 |
$86K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,004 |
2,497 |
$18K |
| 71250 |
|
48 |
39 |
$2K |