| Code | Description | Total Paid |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
$130K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
$116K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
$82K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
$68K |
| 73221 |
|
$41K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
$39K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
$26K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
$19K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
$18K |