| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,762 |
4,609 |
$328K |
| 93000 |
|
1,574 |
1,489 |
$46K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
266 |
266 |
$42K |
| 99215 |
Prolong outpt/office vis |
489 |
474 |
$36K |
| 99454 |
|
1,238 |
1,238 |
$10K |
| 99457 |
|
1,238 |
1,238 |
$7K |
| 99458 |
|
1,235 |
1,235 |
$6K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$3K |
| 93015 |
|
26 |
25 |
$2K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
12 |
12 |
$876.24 |
| J0153 |
Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) |
12 |
12 |
$708.24 |
| 90688 |
|
13 |
13 |
$289.90 |
| 90686 |
|
12 |
12 |
$288.48 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
18 |
$281.52 |
| 85610 |
|
59 |
50 |
$218.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$143.75 |
| 99453 |
|
51 |
51 |
$17.31 |
| 93793 |
|
13 |
12 |
$0.00 |