A key lookup is an operation that occurs when a query has used a nonclustered index on a given table, but needs to access more columns to complete the query. It may need to check columns not in that index for additional filters, or it may just need to return that column as part of its result set.
In the simple query above, we’re retrieving 100 rows from the seek against a nonclustered index, then performing a key lookup against the clustered index. There is a nested loops operator between the two and understanding how that operates is important; for each row we receive from the first table, we perform the second operation once. So, in this query we are seeking 100 rows from the nonclustered index, then performing the key lookup 100 times. We go through the index once for each row we return, and you can see the cost of the key lookup operator is 99% of the query.
Read on for more information, including how to eliminate key lookups.