| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,086 |
2,501 |
$66K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,208 |
873 |
$57K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
310 |
191 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
482 |
302 |
$20K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
301 |
190 |
$18K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
788 |
339 |
$11K |
| J2785 |
Injection, regadenoson, 0.1 mg |
170 |
106 |
$11K |
| 93880 |
|
462 |
262 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,125 |
609 |
$8K |
| 93000 |
|
1,974 |
1,256 |
$8K |
| 93015 |
|
306 |
193 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
130 |
90 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
363 |
169 |
$4K |
| 93458 |
|
86 |
51 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
388 |
272 |
$2K |
| 99221 |
|
201 |
113 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
61 |
36 |
$991.17 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12 |
12 |
$134.05 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
1,515 |
904 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
1,791 |
1,068 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,967 |
1,787 |
$0.00 |
| 4086F |
|
2,175 |
1,287 |
$0.00 |
| 1036F |
|
3,176 |
2,017 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
594 |
317 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
511 |
333 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,124 |
702 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,173 |
2,020 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
110 |
58 |
$0.00 |
| G9908 |
Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
195 |
120 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
1,329 |
825 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,177 |
1,335 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,128 |
3,638 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,915 |
1,871 |
$0.00 |
| 4004F |
|
1,782 |
1,064 |
$0.00 |