| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
658 |
423 |
$238K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
798 |
523 |
$113K |
| 93015 |
|
716 |
461 |
$69K |
| 78227 |
|
178 |
133 |
$60K |
| 78306 |
|
341 |
206 |
$49K |
| A9503 |
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries |
464 |
304 |
$13K |
| J1245 |
Injection, dipyridamole, per 10 mg |
182 |
121 |
$12K |
| A9537 |
Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries |
177 |
132 |
$7K |
| J2805 |
Injection, sincalide, 5 micrograms |
50 |
38 |
$5K |