| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,625 |
1,574 |
$12K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
823 |
822 |
$6K |
| 93000 |
|
2,127 |
2,065 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89 |
88 |
$355.06 |
| 93880 |
|
256 |
254 |
$277.11 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
13 |
13 |
$150.24 |
| 93015 |
|
13 |
13 |
$133.25 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
13 |
13 |
$0.00 |