| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
Positron emission tomography (PET) for limited area imaging |
171 |
156 |
$130K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
500 |
434 |
$116K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
512 |
482 |
$82K |
| 73221 |
|
264 |
249 |
$41K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
280 |
264 |
$39K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
921 |
791 |
$19K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
145 |
132 |
$18K |
| 74183 |
|
14 |
13 |
$4K |