| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
Positron emission tomography (PET) for limited area imaging |
312 |
304 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
909 |
872 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
787 |
699 |
$3K |
| 78454 |
|
107 |
106 |
$2K |
| 78264 |
|
13 |
13 |
$2K |
| 73630 |
|
84 |
67 |
$1K |
| 73130 |
|
83 |
55 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
28 |
28 |
$1K |
| 73560 |
|
40 |
19 |
$635.70 |
| 73110 |
|
45 |
43 |
$615.19 |
| 74018 |
|
98 |
89 |
$586.81 |
| 72100 |
|
28 |
26 |
$366.60 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
12 |
12 |
$308.65 |
| 73610 |
|
15 |
14 |
$255.94 |
| 74230 |
|
13 |
12 |
$63.50 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
19 |
18 |
$0.00 |