| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
602 |
602 |
$35K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
425 |
424 |
$31K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
386 |
385 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
450 |
437 |
$12K |
| 93880 |
|
325 |
324 |
$11K |
| 99454 |
|
598 |
598 |
$6K |
| 93015 |
|
442 |
440 |
$6K |
| 99457 |
|
544 |
544 |
$5K |
| 93000 |
|
696 |
677 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
48 |
$845.08 |
| 99442 |
|
41 |
38 |
$465.47 |
| 94010 |
|
41 |
41 |
$424.14 |
| 93925 |
|
12 |
12 |
$378.95 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
78 |
78 |
$270.61 |
| 99458 |
|
12 |
12 |
$187.70 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
14 |
14 |
$0.00 |