| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,690 |
892 |
$1.70M |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
1,003 |
986 |
$311K |
| 74178 |
|
908 |
898 |
$241K |
| 71270 |
|
1,057 |
1,046 |
$210K |
| 78816 |
|
48 |
29 |
$41K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,199 |
1,181 |
$13K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
74 |
44 |
$11K |
| A9580 |
Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries |
18 |
18 |
$6K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
225 |
200 |
$5K |
| 71250 |
|
29 |
29 |
$2K |