| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,683 |
5,551 |
$703K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,028 |
8,317 |
$697K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,980 |
5,502 |
$406K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,446 |
4,368 |
$331K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,154 |
3,022 |
$326K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,519 |
1,474 |
$202K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,259 |
1,225 |
$100K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
480 |
438 |
$87K |
| 93000 |
|
6,414 |
6,120 |
$64K |
| 93015 |
|
1,014 |
954 |
$49K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
466 |
420 |
$33K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
734 |
726 |
$29K |
| J2785 |
Injection, regadenoson, 0.1 mg |
279 |
251 |
$29K |
| 20610 |
|
503 |
466 |
$24K |
| 93970 |
|
152 |
146 |
$21K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
238 |
221 |
$20K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
103 |
99 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
171 |
170 |
$17K |
| 99223 |
Prolong inpt eval add15 m |
86 |
86 |
$14K |
| 99233 |
Prolong inpt eval add15 m |
120 |
53 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
86 |
82 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
189 |
173 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
899 |
865 |
$6K |
| 73562 |
|
232 |
184 |
$5K |
| 99215 |
Prolong outpt/office vis |
29 |
28 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
447 |
402 |
$3K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$3K |
| 81025 |
|
209 |
199 |
$2K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
15 |
13 |
$2K |
| 99243 |
|
13 |
13 |
$2K |
| 20550 |
|
24 |
19 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 73564 |
|
40 |
25 |
$838.73 |
| 93270 |
|
77 |
77 |
$623.98 |
| 20552 |
|
34 |
16 |
$567.83 |
| 73030 |
|
14 |
12 |
$490.84 |
| 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) |
28 |
28 |
$436.00 |
| 73502 |
|
14 |
13 |
$171.61 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
12 |
$103.82 |
| 81003 |
|
15 |
14 |
$21.88 |