| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,688 |
1,506 |
$1.11M |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
1,323 |
1,319 |
$105K |
| 71270 |
|
1,649 |
1,639 |
$102K |
| 74178 |
|
1,835 |
1,826 |
$95K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
400 |
309 |
$47K |
| 78816 |
|
49 |
45 |
$32K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
513 |
513 |
$20K |
| 71250 |
|
708 |
704 |
$16K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,429 |
2,404 |
$11K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
1,104 |
1,018 |
$10K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
107 |
85 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
27 |
15 |
$3K |
| 73221 |
|
22 |
14 |
$2K |