| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
Positron emission tomography (PET) for limited area imaging |
289 |
179 |
$291K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
289 |
154 |
$28K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
39 |
27 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
22 |
12 |
$4K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
426 |
225 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
48 |
26 |
$660.53 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
93 |
52 |
$484.18 |