| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,858 |
5,711 |
$327K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,856 |
5,766 |
$321K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,455 |
2,884 |
$273K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,462 |
1,449 |
$243K |
| 99223 |
Prolong inpt eval add15 m |
2,061 |
1,975 |
$202K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
1,332 |
1,319 |
$195K |
| J2785 |
Injection, regadenoson, 0.1 mg |
998 |
991 |
$120K |
| 93229 |
|
253 |
253 |
$114K |
| 99233 |
Prolong inpt eval add15 m |
1,948 |
1,145 |
$105K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,640 |
1,569 |
$97K |
| 93298 |
|
4,768 |
4,710 |
$92K |
| 93299 |
|
1,461 |
1,421 |
$85K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
874 |
868 |
$73K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,023 |
969 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,631 |
1,603 |
$62K |
| 99443 |
|
1,187 |
1,174 |
$59K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
4,178 |
4,153 |
$53K |
| 93015 |
|
1,662 |
1,643 |
$45K |
| 93000 |
|
4,768 |
4,691 |
$35K |
| 93458 |
|
235 |
229 |
$33K |
| 93297 |
|
2,231 |
2,212 |
$30K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,731 |
4,690 |
$23K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
125 |
125 |
$20K |
| 93296 |
|
1,385 |
1,378 |
$15K |
| 93295 |
|
831 |
825 |
$15K |
| 99442 |
|
348 |
347 |
$15K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
153 |
151 |
$11K |
| 99215 |
Prolong outpt/office vis |
93 |
91 |
$10K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
228 |
203 |
$9K |
| 93016 |
|
708 |
689 |
$7K |
| 93018 |
|
706 |
687 |
$5K |
| 99152 |
|
729 |
704 |
$5K |
| 93228 |
|
264 |
264 |
$4K |
| 99406 |
|
396 |
389 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$783.94 |
| 93272 |
|
58 |
58 |
$747.10 |
| 75710 |
|
14 |
12 |
$488.21 |
| 93294 |
|
12 |
12 |
$140.49 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
29 |
29 |
$56.67 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
14 |
$0.00 |
| 99072 |
|
62 |
61 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
12 |
12 |
$0.00 |
| 4040F |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |