| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,378 |
1,133 |
$23K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
260 |
214 |
$16K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
150 |
115 |
$13K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
150 |
115 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
171 |
148 |
$8K |
| 93015 |
|
212 |
167 |
$5K |
| 93000 |
|
691 |
602 |
$4K |
| J2785 |
Injection, regadenoson, 0.1 mg |
19 |
13 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
28 |
$551.44 |
| J1245 |
Injection, dipyridamole, per 10 mg |
96 |
74 |
$469.58 |
| 99457 |
|
157 |
115 |
$409.26 |
| J0280 |
Injection, aminophyllin, up to 250 mg |
96 |
74 |
$242.46 |
| 99458 |
|
47 |
40 |
$113.28 |
| 99454 |
|
44 |
25 |
$75.66 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
29 |
27 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
29 |
27 |
$0.00 |