| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,721 |
5,083 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
624 |
623 |
$4K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
48 |
48 |
$2K |
| 93015 |
|
92 |
92 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
772 |
716 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
513 |
512 |
$638.40 |
| 93000 |
|
25 |
25 |
$163.41 |
| 93880 |
|
309 |
309 |
$141.23 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
92 |
92 |
$73.86 |
| J7050 |
Infusion, normal saline solution, 250 cc |
48 |
48 |
$11.28 |
| 93970 |
|
42 |
41 |
$0.00 |
| 93975 |
|
12 |
12 |
$0.00 |
| 93925 |
|
12 |
12 |
$0.00 |