| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,132 |
926 |
$65K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
144 |
143 |
$26K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
149 |
149 |
$22K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
154 |
153 |
$17K |
| 93000 |
|
901 |
792 |
$8K |
| 93880 |
|
50 |
50 |
$5K |
| 93015 |
|
147 |
146 |
$4K |
| 99443 |
|
25 |
19 |
$427.44 |
| J0280 |
Injection, aminophyllin, up to 250 mg |
24 |
24 |
$92.87 |
| J1245 |
Injection, dipyridamole, per 10 mg |
39 |
29 |
$89.66 |
| 3008F |
|
1,218 |
923 |
$0.00 |