| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,029 |
24,589 |
$1.22M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
8,121 |
7,561 |
$645K |
| 78431 |
|
176 |
152 |
$155K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,409 |
1,329 |
$116K |
| 93000 |
|
12,659 |
11,322 |
$83K |
| A9555 |
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries |
190 |
173 |
$56K |
| J2785 |
Injection, regadenoson, 0.1 mg |
537 |
495 |
$39K |
| 93298 |
|
2,520 |
2,385 |
$36K |
| 93015 |
|
1,012 |
921 |
$35K |
| 78492 |
|
29 |
25 |
$29K |
| 93925 |
|
246 |
236 |
$25K |
| 93970 |
|
202 |
189 |
$19K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
109 |
90 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
377 |
307 |
$12K |
| 93296 |
|
1,352 |
1,262 |
$12K |
| 93922 |
|
325 |
308 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
346 |
216 |
$9K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
85 |
66 |
$7K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
67 |
62 |
$6K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
1,667 |
1,613 |
$3K |
| 93294 |
|
317 |
293 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
83 |
73 |
$2K |
| 78434 |
|
35 |
34 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
88 |
64 |
$2K |
| 93268 |
|
13 |
13 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$1K |
| 99490 |
Ccm add 20min |
131 |
129 |
$747.11 |
| 93295 |
|
58 |
52 |
$745.22 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$536.41 |
| Q9969 |
Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose |
13 |
13 |
$128.88 |
| 1090F |
|
334 |
244 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
510 |
385 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,364 |
1,807 |
$0.00 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
2,340 |
1,778 |
$0.00 |
| 4040F |
|
1,310 |
1,032 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
208 |
143 |
$0.00 |
| G8400 |
Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given |
296 |
218 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
236 |
176 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
39 |
25 |
$0.00 |
| G8536 |
No documentation of an elder maltreatment screen, reason not given |
1,440 |
1,028 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
2,309 |
1,756 |
$0.00 |
| 1036F |
|
1,650 |
1,210 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
1,772 |
1,261 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
247 |
181 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
517 |
405 |
$0.00 |
| 1101F |
|
1,831 |
1,400 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
588 |
410 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
701 |
506 |
$0.00 |
| 1123F |
|
1,142 |
919 |
$0.00 |
| 3017F |
|
18 |
15 |
$0.00 |