| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
840 |
840 |
$258K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
816 |
816 |
$151K |
| 93015 |
|
1,221 |
1,215 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,091 |
1,086 |
$48K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
83 |
83 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
89 |
$3K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
231 |
231 |
$493.33 |
| J1245 |
Injection, dipyridamole, per 10 mg |
27 |
26 |
$212.93 |
| J0280 |
Injection, aminophyllin, up to 250 mg |
13 |
12 |
$58.92 |