| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,868 |
11,806 |
$303K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,592 |
3,046 |
$223K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
962 |
775 |
$85K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,587 |
1,289 |
$85K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,348 |
1,955 |
$72K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
930 |
746 |
$54K |
| J2785 |
Injection, regadenoson, 0.1 mg |
647 |
512 |
$40K |
| 93000 |
|
5,890 |
4,912 |
$33K |
| 93015 |
|
1,003 |
814 |
$23K |
| 99223 |
Prolong inpt eval add15 m |
547 |
472 |
$18K |
| 99205 |
Prolong outpt/office vis |
296 |
251 |
$17K |
| 93880 |
|
475 |
405 |
$13K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
205 |
183 |
$7K |
| 93356 |
|
587 |
529 |
$7K |
| 99496 |
|
18 |
13 |
$842.73 |
| 93297 |
|
86 |
75 |
$604.97 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$194.11 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
38 |
$108.75 |
| 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) |
4,349 |
3,749 |
$0.02 |
| 4086F |
|
4,140 |
3,521 |
$0.02 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
4,459 |
3,842 |
$0.02 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
6,652 |
5,724 |
$0.02 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,850 |
1,540 |
$0.02 |
| 1036F |
|
8,607 |
7,343 |
$0.02 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
8,604 |
7,343 |
$0.02 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
9,558 |
8,249 |
$0.02 |
| G9368 |
At least two orders for high-risk medications from the same drug class not ordered |
1,689 |
1,417 |
$0.02 |
| 4004F |
|
3,733 |
3,237 |
$0.02 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
5,461 |
4,710 |
$0.02 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
4,318 |
3,727 |
$0.02 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
958 |
813 |
$0.00 |
| G2181 |
Bmi not documented due to medical reason or patient refusal of height or weight measurement |
97 |
80 |
$0.00 |
| 3100F |
|
201 |
176 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
87 |
76 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
15,574 |
13,013 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
2,472 |
2,161 |
$0.00 |
| G8962 |
Cardiac stress imaging test performed on patient for any reason including those who did not have low risk surgery or test that was performed more than 30 days preceding low risk surgery |
612 |
492 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
807 |
707 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
43 |
39 |
$0.00 |