| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,372 |
1,976 |
$59K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
846 |
726 |
$18K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,278 |
1,068 |
$3K |
| 93000 |
|
787 |
656 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
26 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
29 |
13 |
$834.30 |
| 94010 |
|
119 |
84 |
$459.82 |
| 99215 |
Prolong outpt/office vis |
16 |
13 |
$339.09 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
16 |
12 |
$301.51 |
| 93016 |
|
30 |
25 |
$256.75 |
| 93018 |
|
30 |
25 |
$176.29 |
| 95012 |
|
44 |
28 |
$87.69 |
| 1123F |
|
404 |
349 |
$75.00 |
| 3078F |
|
238 |
203 |
$28.19 |
| 1159F |
|
463 |
386 |
$28.19 |
| 1036F |
|
280 |
234 |
$27.94 |
| 4004F |
|
456 |
379 |
$25.24 |
| 1124F |
|
321 |
264 |
$9.65 |
| 3008F |
|
479 |
397 |
$0.24 |
| G8482 |
Influenza immunization administered or previously received |
445 |
396 |
$0.01 |
| 1126F |
|
84 |
75 |
$0.00 |
| G8866 |
Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal) |
113 |
90 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
88 |
69 |
$0.00 |
| G8864 |
Pneumococcal vaccine administered or previously received |
78 |
70 |
$0.00 |
| 3077F |
|
33 |
27 |
$0.00 |