| Code | Description | Claims | Beneficiaries | Total Paid |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,430 |
1,223 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
85 |
$12K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
13 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
13 |
$1K |
| 90674 |
|
12 |
12 |
$350.88 |
| 96127 |
|
44 |
42 |
$262.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$112.74 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$36.00 |
| 99000 |
|
14 |
13 |
$0.00 |