| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,559 |
2,126 |
$229K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,271 |
6,329 |
$225K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
647 |
555 |
$194K |
| 93925 |
|
498 |
385 |
$115K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
255 |
199 |
$75K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
948 |
825 |
$68K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,032 |
910 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,591 |
1,346 |
$37K |
| 93880 |
|
685 |
601 |
$29K |
| 93970 |
|
800 |
648 |
$26K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
288 |
263 |
$14K |
| 93229 |
|
71 |
54 |
$13K |
| 93015 |
|
930 |
763 |
$11K |
| 93000 |
|
5,085 |
4,151 |
$8K |
| 93924 |
|
492 |
378 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
95 |
77 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
381 |
68 |
$5K |
| 93224 |
|
188 |
170 |
$4K |
| 99306 |
Prolong nursin fac eval 15m |
203 |
157 |
$3K |
| 99310 |
Prolong nursin fac eval 15m |
226 |
136 |
$2K |
| 93978 |
|
102 |
74 |
$1K |
| 93228 |
|
152 |
126 |
$962.55 |
| A9505 |
Thallium tl-201 thallous chloride, diagnostic, per millicurie |
26 |
26 |
$622.14 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
44 |
16 |
$418.89 |
| 99401 |
|
39 |
37 |
$318.12 |
| J1245 |
Injection, dipyridamole, per 10 mg |
167 |
150 |
$109.77 |
| 99454 |
|
84 |
61 |
$98.94 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
60 |
44 |
$84.30 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
147 |
62 |
$72.95 |
| 99490 |
Ccm add 20min |
62 |
45 |
$54.13 |
| 76937 |
|
17 |
13 |
$24.14 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
212 |
123 |
$0.00 |
| 99304 |
|
26 |
18 |
$0.00 |