Schedule 1 — Relevant services

<table cellspacing="0" cellpadding="0" style="width:447.5pt; border-collapse:collapse"><thead><tr><td colspan="3" style="width:436.8pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="line-height:normal; font-size:9.5pt"><span style="font-family:'Helvetica Neue', serif; font-weight:bold">Group I4 – Nuclear Medicine Imaging</span></p></td></tr><tr><td style="width:58.95pt; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="line-height:normal; font-size:9.5pt"><span style="font-family:'Helvetica Neue', serif; font-weight:bold">Column 1</span></p><p style="margin-top:3pt; line-height:normal; font-size:9.5pt"><span style="font-family:'Helvetica Neue', serif; font-weight:bold">Item</span></p></td><td style="width:283.4pt; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="line-height:normal; font-size:9.5pt"><span style="font-family:'Helvetica Neue', serif; font-weight:bold">Column 2</span></p><p style="margin-top:3pt; line-height:normal; font-size:9.5pt"><span style="font-family:'Helvetica Neue', serif; font-weight:bold">Description</span></p></td><td style="width:73.05pt; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="text-align:center; line-height:normal; font-size:9.5pt"><span style="font-family:'Helvetica Neue', serif; font-weight:bold">Column 3</span></p><p style="margin-top:3pt; text-align:center; line-height:normal; font-size:9.5pt"><span style="font-family:'Helvetica Neue', serif; font-weight:bold">Fee ($)</span></p></td></tr><tr><td colspan="3" style="width:436.8pt; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="line-height:normal; font-size:9.5pt"><span style="font-family:'Helvetica Neue', serif; font-weight:bold">Subgroup 2– PET</span></p></td></tr></thead><tbody><tr style="height:52.35pt"><td style="width:58.95pt; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p><span style="font-family:'Helvetica Neue', serif; font-size:9.5pt">61333</span></p></td><td style="width:283.4pt; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p class="Tabletext0"><span>Lung ventilation study using Galligas and lung perfusion study using gallium</span><span>‑</span><span>68 macro aggregated albumin (68Ga</span><span>‑</span><span>MAA), with PET, </span><a id="_Hlk110001761"><span>if the service is performed because the service to which item 61348 applies cannot be performed due to unavailability of technetium</span><span>‑</span><span>99m</span></a><span> (R)</span></p></td><td style="width:73.05pt; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="text-align:center"><span style="font-family:'Helvetica Neue', serif; font-size:9.5pt">443.35</span></p></td></tr><tr style="height:42.45pt"><td style="width:58.95pt; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p><span style="font-family:'Helvetica Neue', serif; font-size:9.5pt">61336</span></p></td><td style="width:283.4pt; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p class="Tabletext0"><span>Cerebral study, with PET, </span><a id="_Hlk110001785"></a><a id="_Hlk110347163"><span>if the service is performed because the service to which item 61402 applies cannot be performed due to unavailability of technetium</span><span>‑</span><span>99m </span></a><span>(R)</span></p></td><td style="width:73.05pt; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="text-align:center"><span style="font-family:'Helvetica Neue', serif; font-size:9.5pt">605.05</span></p></td></tr><tr style="height:52.35pt"><td style="width:58.95pt; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p><a id="_Hlk110347181"><span style="font-family:'Helvetica Neue', serif; font-size:9.5pt">61341</span></a></p></td><td style="width:283.4pt; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p class="Tabletext0"><span>Bone study – whole body with PET, with delayed imaging when undertaken, </span><a id="_Hlk110347207"><span>if the service is performed because the services to which item 61421 or 61425 apply cannot be performed due to unavailability of technetium</span><span>‑</span><span>99m</span></a><span> (R)</span></p></td><td style="width:73.05pt; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="text-align:center"><span style="font-family:'Helvetica Neue', serif; font-size:9.5pt">600.70</span></p></td></tr></tbody></table>