100k runs of the query in a ten minute interval? yeowch. Yeah, this should be optimised if possible. The primary wait type was CPU – indicating that the data was all in RAM, but the CPU was having to schlep through the entire table to find what it needed. Or to find that it didn’t need anything. Or something.
The interesting story buried in here is that none of the tooling Thomas used indicated that things could be improved with a better index, and yet there was a tremendous opportunity here based on the graphics at the end.