| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,567 |
1,564 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,978 |
2,855 |
$80K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
111 |
107 |
$18K |
| 99233 |
Prolong inpt eval add15 m |
632 |
466 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
231 |
229 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
171 |
171 |
$8K |
| 93015 |
|
147 |
140 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
288 |
283 |
$4K |
| 90686 |
|
171 |
171 |
$3K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
100 |
96 |
$3K |
| 93000 |
|
214 |
213 |
$2K |
| 90662 |
|
32 |
32 |
$2K |
| 93454 |
|
12 |
12 |
$968.56 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$489.43 |
| J1245 |
Injection, dipyridamole, per 10 mg |
57 |
53 |
$7.05 |
| 3078F |
|
263 |
260 |
$0.00 |
| 99080 |
|
1,509 |
98 |
$0.00 |
| G9507 |
Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) |
110 |
110 |
$0.00 |
| 0521F |
|
15 |
15 |
$0.00 |
| 3016F |
|
15 |
15 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
15 |
15 |
$0.00 |
| 1036F |
|
55 |
53 |
$0.00 |
| 3008F |
|
572 |
538 |
$0.00 |
| 3074F |
|
139 |
137 |
$0.00 |
| 1000F |
|
29 |
27 |
$0.00 |
| 1126F |
|
27 |
27 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
56 |
54 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
28 |
27 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
87 |
85 |
$0.00 |
| 4010F |
|
68 |
66 |
$0.00 |
| 99429 |
|
13 |
13 |
$0.00 |
| G8450 |
Beta-blocker therapy prescribed |
14 |
14 |
$0.00 |