| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13,379 |
12,301 |
$1.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,878 |
10,779 |
$829K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,289 |
10,784 |
$513K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,543 |
2,417 |
$279K |
| 93000 |
|
17,861 |
16,362 |
$270K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,193 |
777 |
$87K |
| 93015 |
|
2,360 |
2,102 |
$86K |
| 78492 |
|
290 |
252 |
$49K |
| 93296 |
|
3,115 |
2,843 |
$47K |
| 93295 |
|
1,924 |
1,800 |
$35K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,765 |
4,978 |
$29K |
| 93298 |
|
1,792 |
1,657 |
$27K |
| 99458 |
|
644 |
639 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
313 |
295 |
$23K |
| 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) |
1,260 |
1,212 |
$20K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
179 |
165 |
$19K |
| 99222 |
Initial hospital care, per day, moderate complexity |
465 |
420 |
$18K |
| J2785 |
Injection, regadenoson, 0.1 mg |
889 |
776 |
$18K |
| 1036F |
|
5,013 |
4,612 |
$13K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
142 |
135 |
$11K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
317 |
231 |
$10K |
| A9555 |
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries |
288 |
252 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
233 |
216 |
$9K |
| 99457 |
|
970 |
959 |
$6K |
| 93294 |
|
1,007 |
914 |
$5K |
| 11721 |
|
146 |
140 |
$4K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,863 |
3,583 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
74 |
40 |
$3K |
| 93297 |
|
176 |
145 |
$2K |
| 99442 |
|
100 |
89 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,703 |
2,470 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
27 |
$1K |
| 93880 |
|
38 |
38 |
$979.61 |
| 4040F |
|
723 |
675 |
$537.21 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
215 |
197 |
$422.75 |
| 99441 |
|
46 |
40 |
$323.02 |
| 99454 |
|
710 |
707 |
$73.81 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
293 |
276 |
$68.36 |
| 93970 |
|
13 |
13 |
$20.61 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
12 |
$20.26 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
226 |
197 |
$0.00 |
| 93299 |
|
14 |
13 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
12 |
12 |
$0.00 |
| 4086F |
|
65 |
64 |
$0.00 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
28 |
28 |
$-145.10 |
| G0235 |
Pet imaging, any site, not otherwise specified |
54 |
52 |
$-1997.73 |