| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
87 |
83 |
$14K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
184 |
94 |
$13K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
26 |
25 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
307 |
284 |
$5K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
240 |
122 |
$4K |
| 72141 |
|
12 |
12 |
$2K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
48 |
43 |
$0.00 |