| Code | Description | Claims | Beneficiaries | Total Paid |
| 36475 |
|
128 |
82 |
$250K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,091 |
1,075 |
$163K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,253 |
2,206 |
$110K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
178 |
131 |
$50K |
| 93970 |
|
299 |
299 |
$45K |
| 99233 |
Prolong inpt eval add15 m |
846 |
282 |
$40K |
| 99223 |
Prolong inpt eval add15 m |
342 |
324 |
$30K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
121 |
92 |
$17K |
| 93000 |
|
694 |
685 |
$17K |
| 93015 |
|
141 |
140 |
$12K |
| 93971 |
|
75 |
58 |
$6K |
| 99255 |
|
56 |
53 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
88 |
88 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$2K |
| 94760 |
|
599 |
593 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
39 |
13 |
$2K |
| 76970 |
|
14 |
14 |
$665.81 |