| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,517 |
5,785 |
$170K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,258 |
4,960 |
$153K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,749 |
1,795 |
$109K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,482 |
1,419 |
$79K |
| 99233 |
Prolong inpt eval add15 m |
3,447 |
1,041 |
$69K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
306 |
283 |
$58K |
| 93000 |
|
4,987 |
4,790 |
$28K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,158 |
2,310 |
$9K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
129 |
108 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
289 |
264 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
94 |
90 |
$6K |
| 93922 |
|
263 |
246 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
173 |
154 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
352 |
323 |
$4K |
| 99442 |
|
183 |
147 |
$4K |
| 99401 |
|
167 |
159 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
41 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
342 |
131 |
$2K |
| 93042 |
|
1,375 |
436 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
312 |
106 |
$2K |
| 94060 |
|
68 |
68 |
$2K |
| 93015 |
|
71 |
66 |
$2K |
| 90688 |
|
126 |
117 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
12 |
$435.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$338.99 |
| 99496 |
|
18 |
14 |
$311.62 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$259.57 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
50 |
49 |
$91.31 |
| 93040 |
|
288 |
285 |
$67.31 |
| 3078F |
|
120 |
101 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
21 |
16 |
$0.00 |
| 3074F |
|
122 |
103 |
$0.00 |