| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,218 |
1,045 |
$26K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
35 |
34 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
16 |
16 |
$4K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
16 |
16 |
$2K |
| 93000 |
|
300 |
268 |
$2K |
| 93015 |
|
39 |
36 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$2K |
| J2785 |
Injection, regadenoson, 0.1 mg |
16 |
16 |
$425.82 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
16 |
16 |
$143.25 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16 |
16 |
$59.74 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
13 |
$0.00 |