| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,303 |
21,834 |
$327K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,476 |
7,115 |
$189K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,026 |
15,035 |
$177K |
| 93000 |
|
19,819 |
18,257 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,043 |
970 |
$40K |
| 99215 |
Prolong outpt/office vis |
763 |
704 |
$17K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
532 |
447 |
$16K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
138 |
122 |
$13K |
| J2785 |
Injection, regadenoson, 0.1 mg |
264 |
236 |
$10K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,494 |
3,790 |
$9K |
| 93015 |
|
574 |
480 |
$9K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
403 |
319 |
$7K |
| 93224 |
|
160 |
148 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,375 |
604 |
$3K |
| 93016 |
|
745 |
723 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
276 |
135 |
$3K |
| 93925 |
|
79 |
70 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
433 |
410 |
$2K |
| 93018 |
|
601 |
589 |
$2K |
| 99205 |
Prolong outpt/office vis |
70 |
63 |
$2K |
| 78492 |
|
258 |
255 |
$1K |
| 99442 |
|
172 |
156 |
$625.78 |
| 93880 |
|
100 |
90 |
$595.94 |
| 80061 |
Lipid panel |
493 |
375 |
$562.16 |
| 93280 |
|
53 |
51 |
$488.12 |
| 99222 |
Initial hospital care, per day, moderate complexity |
257 |
246 |
$461.47 |
| 93017 |
|
63 |
55 |
$369.91 |
| 93227 |
|
26 |
26 |
$361.48 |
| 99152 |
|
491 |
430 |
$282.70 |
| 93288 |
|
118 |
116 |
$251.82 |
| 99443 |
|
167 |
160 |
$140.19 |
| 93923 |
|
14 |
12 |
$50.52 |
| 99153 |
Mod sedat endo service >5yrs |
163 |
148 |
$16.58 |
| 1036F |
|
7,107 |
6,384 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
7,637 |
6,867 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,983 |
2,754 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
296 |
259 |
$0.00 |
| 4086F |
|
977 |
856 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
24 |
24 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
18 |
16 |
$0.00 |
| 99441 |
|
14 |
14 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
40 |
35 |
$0.00 |
| 4040F |
|
2,678 |
2,407 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
4,228 |
3,807 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
775 |
699 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
8,662 |
7,836 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
10,717 |
9,518 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,756 |
1,594 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
8,075 |
7,266 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
4,128 |
3,734 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
393 |
363 |
$0.00 |
| G9724 |
Patients who had documentation of use of anticoagulant medications overlapping the measurement year |
316 |
291 |
$0.00 |
| J1245 |
Injection, dipyridamole, per 10 mg |
102 |
63 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
556 |
509 |
$0.00 |
| 3288F |
|
1,067 |
938 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
151 |
119 |
$0.00 |
| G9928 |
Fda-approved anticoagulant not prescribed, reason not given |
21 |
21 |
$0.00 |