| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78492 |
|
120 |
120 |
$59K |
| A9555 |
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries |
118 |
118 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
153 |
153 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
515 |
496 |
$3K |
| J1245 |
Injection, dipyridamole, per 10 mg |
85 |
85 |
$891.86 |
| 78434 |
|
96 |
96 |
$768.63 |
| 99439 |
|
120 |
120 |
$521.35 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
263 |
207 |
$456.10 |
| 99490 |
Ccm add 20min |
351 |
351 |
$427.70 |
| 99484 |
|
315 |
314 |
$185.46 |
| Q3014 |
Telehealth originating site facility fee |
868 |
707 |
$91.23 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
188 |
185 |
$41.91 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$0.00 |
| 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) |
301 |
286 |
$0.00 |