| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,442 |
5,564 |
$318K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
187 |
151 |
$71K |
| 99199 |
Unlisted special service, procedure or report |
10,671 |
6,766 |
$66K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
661 |
557 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
926 |
682 |
$28K |
| 93880 |
|
379 |
300 |
$20K |
| 95811 |
|
48 |
41 |
$20K |
| 93925 |
|
206 |
165 |
$11K |
| 93922 |
|
311 |
250 |
$7K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
53 |
42 |
$7K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
71 |
55 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
523 |
344 |
$4K |
| 83970 |
|
89 |
83 |
$4K |
| 99215 |
Prolong outpt/office vis |
37 |
35 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
46 |
38 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
90 |
84 |
$3K |
| 99406 |
|
518 |
370 |
$3K |
| 93015 |
|
69 |
54 |
$3K |
| 93970 |
|
29 |
25 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,456 |
1,152 |
$2K |
| 80061 |
Lipid panel |
84 |
78 |
$1K |
| 80053 |
Comprehensive metabolic panel |
125 |
112 |
$1K |
| 84480 |
|
65 |
60 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
125 |
113 |
$1K |
| 82607 |
|
60 |
56 |
$1K |
| 82746 |
|
60 |
56 |
$993.32 |
| 82728 |
|
61 |
56 |
$937.28 |
| 93000 |
|
110 |
88 |
$895.45 |
| 81025 |
|
116 |
94 |
$696.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
68 |
63 |
$673.59 |
| 84439 |
|
65 |
60 |
$670.14 |
| 83550 |
|
62 |
56 |
$612.20 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
13 |
$514.04 |
| J0153 |
Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) |
18 |
14 |
$510.96 |
| 94375 |
|
28 |
24 |
$442.64 |
| 82962 |
|
151 |
120 |
$158.26 |
| 83540 |
|
14 |
12 |
$93.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
26 |
$9.80 |
| 3008F |
|
534 |
434 |
$0.00 |
| 3074F |
|
60 |
51 |
$0.00 |
| 3048F |
|
84 |
75 |
$0.00 |
| 1125F |
|
36 |
30 |
$0.00 |
| 3049F |
|
18 |
16 |
$0.00 |
| 3044F |
|
17 |
13 |
$0.00 |
| 3078F |
|
56 |
50 |
$0.00 |
| 3077F |
|
14 |
14 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
16 |
12 |
$0.00 |