| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93000 |
|
584 |
567 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
654 |
635 |
$12K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
24 |
24 |
$6K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
24 |
24 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$3K |
| 93015 |
|
24 |
24 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
37 |
37 |
$1K |
| 93224 |
|
14 |
14 |
$1K |
| 3077F |
|
287 |
284 |
$150.30 |
| 3008F |
|
547 |
534 |
$97.60 |
| 3049F |
|
318 |
313 |
$52.70 |
| J7050 |
Infusion, normal saline solution, 250 cc |
13 |
13 |
$50.81 |