| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
409 |
386 |
$103K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
110 |
105 |
$103K |
| 72141 |
|
253 |
249 |
$51K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
460 |
451 |
$48K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
322 |
308 |
$41K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
315 |
309 |
$28K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
135 |
128 |
$26K |
| 70450 |
Computed tomography, head or brain; without contrast material |
458 |
448 |
$20K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
448 |
350 |
$9K |
| 72156 |
|
29 |
29 |
$8K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
34 |
34 |
$8K |
| 70544 |
|
98 |
90 |
$7K |
| 74178 |
|
12 |
12 |
$4K |
| 72158 |
|
14 |
14 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
30 |
30 |
$3K |
| 72146 |
|
13 |
13 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$974.77 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
23 |
23 |
$216.00 |
| 71045 |
Radiologic examination, chest; single view |
25 |
16 |
$150.84 |