| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,934 |
4,685 |
$102K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,143 |
1,802 |
$77K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,006 |
751 |
$72K |
| J2785 |
Injection, regadenoson, 0.1 mg |
761 |
569 |
$48K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
745 |
562 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,175 |
2,894 |
$30K |
| 93015 |
|
824 |
622 |
$18K |
| 93000 |
|
3,238 |
2,653 |
$16K |
| 99205 |
Prolong outpt/office vis |
137 |
122 |
$11K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,506 |
601 |
$11K |
| 99221 |
|
433 |
361 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
449 |
214 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
43 |
$3K |
| 93970 |
|
58 |
50 |
$2K |
| 93922 |
|
91 |
80 |
$2K |
| 93244 |
|
35 |
28 |
$329.53 |
| 90686 |
|
54 |
51 |
$291.38 |
| 93242 |
|
19 |
14 |
$81.23 |
| 90756 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
43 |
43 |
$0.00 |