| Code | Description | Total Paid |
| 78431 |
|
$835K |
| A9555 |
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries |
$599K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
$70K |
| 78434 |
|
$54K |
| G0235 |
Pet imaging, any site, not otherwise specified |
$51K |
| 93015 |
|
$31K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
$25K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
$15K |
| J2785 |
Injection, regadenoson, 0.1 mg |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
$4K |