| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
Positron emission tomography (PET) for limited area imaging |
802 |
698 |
$607K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
786 |
695 |
$250K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
613 |
530 |
$160K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
136 |
89 |
$56K |
| 73221 |
|
125 |
108 |
$27K |
| A9596 |
Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie |
13 |
12 |
$26K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
89 |
54 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
72 |
69 |
$1K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
94 |
67 |
$784.08 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
17 |
14 |
$650.32 |
| S9999 |
Sales tax |
44 |
40 |
$0.00 |