| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
10,007 |
7,946 |
$365K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,024 |
12,475 |
$258K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,533 |
17,357 |
$236K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,034 |
1,953 |
$122K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
3,284 |
2,427 |
$99K |
| 93880 |
|
2,663 |
2,622 |
$90K |
| 75574 |
|
1,257 |
1,243 |
$86K |
| 71250 |
|
1,860 |
1,812 |
$49K |
| 93015 |
|
2,081 |
2,050 |
$43K |
| 93000 |
|
8,503 |
8,007 |
$42K |
| 99233 |
Prolong inpt eval add15 m |
2,726 |
670 |
$32K |
| 93241 |
|
770 |
744 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
907 |
858 |
$23K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
17,061 |
14,042 |
$22K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
379 |
371 |
$22K |
| 99223 |
Prolong inpt eval add15 m |
379 |
360 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,373 |
4,065 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,544 |
3,290 |
$17K |
| 93280 |
|
1,192 |
1,184 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
2,444 |
2,380 |
$12K |
| 93283 |
|
742 |
731 |
$10K |
| 99000 |
|
1,017 |
920 |
$9K |
| 93224 |
|
496 |
459 |
$8K |
| 93925 |
|
255 |
251 |
$7K |
| 99215 |
Prolong outpt/office vis |
162 |
161 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,621 |
6,169 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,260 |
2,130 |
$6K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
712 |
581 |
$6K |
| 93458 |
|
317 |
307 |
$5K |
| 75635 |
|
87 |
87 |
$5K |
| 93017 |
|
953 |
942 |
$5K |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
878 |
878 |
$4K |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
4,142 |
3,830 |
$4K |
| 70498 |
|
158 |
158 |
$4K |
| A9505 |
Thallium tl-201 thallous chloride, diagnostic, per millicurie |
132 |
127 |
$3K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
47 |
46 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,432 |
1,934 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
253 |
253 |
$2K |
| 90686 |
|
812 |
793 |
$2K |
| 80047 |
|
2,423 |
2,135 |
$2K |
| 70496 |
|
171 |
171 |
$2K |
| 93923 |
|
19 |
19 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
39 |
39 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
122 |
116 |
$1K |
| 90662 |
|
83 |
82 |
$360.00 |
| 74178 |
|
31 |
31 |
$356.32 |
| 71045 |
Radiologic examination, chest; single view |
434 |
427 |
$354.92 |
| 93971 |
|
24 |
24 |
$256.60 |
| 93016 |
|
961 |
944 |
$218.50 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,091 |
2,963 |
$208.82 |
| 78608 |
|
12 |
12 |
$199.67 |
| 93018 |
|
978 |
960 |
$193.09 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
30 |
29 |
$163.74 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,920 |
1,833 |
$152.57 |
| 80061 |
Lipid panel |
16 |
12 |
$149.31 |
| J1245 |
Injection, dipyridamole, per 10 mg |
682 |
681 |
$135.69 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
232 |
226 |
$124.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
12 |
$108.24 |
| J1940 |
Injection, furosemide, up to 20 mg |
712 |
581 |
$100.10 |
| 93227 |
|
94 |
93 |
$67.91 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$40.64 |
| 93356 |
|
191 |
189 |
$35.98 |
| 99152 |
|
129 |
117 |
$31.37 |
| 72100 |
|
24 |
24 |
$17.91 |
| 90688 |
|
171 |
171 |
$16.80 |
| 81003 |
|
15 |
12 |
$11.58 |
| 85610 |
|
198 |
167 |
$10.91 |
| 36415 |
Collection of venous blood by venipuncture |
7,549 |
7,253 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
1,378 |
1,367 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
200 |
199 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
139 |
139 |
$0.00 |
| 99495 |
|
13 |
12 |
$0.00 |
| 99496 |
|
12 |
12 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
14 |
13 |
$0.00 |
| 82962 |
|
12 |
12 |
$0.00 |