| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
817 |
760 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
63 |
63 |
$2K |
| 93000 |
|
782 |
770 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
53 |
$688.88 |
| 99215 |
Prolong outpt/office vis |
77 |
76 |
$578.09 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$343.55 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
12 |
12 |
$111.82 |
| J2785 |
Injection, regadenoson, 0.1 mg |
14 |
14 |
$22.64 |