| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,128 |
5,596 |
$273K |
| 99215 |
Prolong outpt/office vis |
2,753 |
2,298 |
$128K |
| 99457 |
|
7,076 |
6,178 |
$126K |
| 99490 |
Ccm add 20min |
6,219 |
5,333 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,955 |
1,586 |
$32K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
221 |
190 |
$31K |
| 99454 |
|
7,056 |
6,293 |
$26K |
| 93000 |
|
497 |
400 |
$10K |
| 99439 |
|
592 |
349 |
$8K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
696 |
631 |
$6K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
33 |
25 |
$5K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
120 |
112 |
$3K |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
133 |
124 |
$2K |
| 99453 |
|
141 |
139 |
$1K |
| 99489 |
Ccm add 20min |
33 |
31 |
$1K |
| 93015 |
|
34 |
26 |
$963.84 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
18 |
17 |
$832.46 |
| 99442 |
|
44 |
32 |
$546.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
19 |
$400.52 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
33 |
25 |
$314.44 |
| 99487 |
Ccm add 20min |
33 |
31 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
17 |
12 |
$0.00 |