| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
63 |
62 |
$32K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
178 |
176 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
237 |
231 |
$25K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
63 |
62 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$9K |
| 93015 |
|
110 |
108 |
$7K |
| 93000 |
|
121 |
118 |
$2K |
| 93224 |
|
14 |
14 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
129 |
76 |
$605.90 |