| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 33975 |
|
37 |
37 |
$30K |
| 99233 |
Prolong inpt eval add15 m |
469 |
114 |
$17K |
| 93451 |
|
38 |
38 |
$14K |
| 33977 |
|
12 |
12 |
$10K |
| 36481 |
|
43 |
43 |
$8K |
| 99255 |
|
67 |
27 |
$5K |
| 93312 |
|
52 |
52 |
$5K |
| A9555 |
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries |
24 |
24 |
$5K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
13 |
13 |
$4K |
| 93320 |
|
40 |
40 |
$2K |
| 93042 |
|
84 |
27 |
$693.61 |
| 93000 |
|
19 |
12 |
$539.79 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
26 |
25 |
$89.52 |
| 93229 |
|
12 |
12 |
$0.00 |