| Code | Description | Claims | Beneficiaries | Total Paid |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
98 |
97 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
309 |
292 |
$28K |
| 93015 |
|
220 |
213 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
45 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
12 |
$3K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
54 |
54 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$680.15 |
| 93000 |
|
12 |
12 |
$260.39 |