| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
901 |
879 |
$29K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
186 |
175 |
$16K |
| 93000 |
|
1,663 |
1,634 |
$9K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
234 |
212 |
$5K |
| 93015 |
|
248 |
239 |
$4K |
| J2785 |
Injection, regadenoson, 0.1 mg |
110 |
106 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
63 |
$2K |
| J0280 |
Injection, aminophyllin, up to 250 mg |
102 |
100 |
$162.53 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$128.89 |