| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,204 |
4,699 |
$494K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,290 |
8,136 |
$296K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,999 |
4,399 |
$108K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
348 |
314 |
$65K |
| J2785 |
Injection, regadenoson, 0.1 mg |
526 |
453 |
$61K |
| 93015 |
|
1,158 |
1,033 |
$59K |
| 93229 |
|
187 |
165 |
$45K |
| 93241 |
|
278 |
257 |
$41K |
| 99442 |
|
1,087 |
978 |
$35K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
308 |
281 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
428 |
387 |
$31K |
| 99454 |
|
1,045 |
959 |
$28K |
| 99490 |
Ccm add 20min |
2,654 |
2,307 |
$28K |
| 93970 |
|
279 |
248 |
$27K |
| 93356 |
|
1,713 |
1,564 |
$25K |
| 99457 |
|
1,011 |
928 |
$22K |
| 93458 |
|
67 |
64 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
252 |
216 |
$4K |
| 99152 |
|
201 |
184 |
$2K |
| 93975 |
|
13 |
13 |
$1K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
80 |
66 |
$1K |
| Q9969 |
Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose |
448 |
290 |
$935.52 |
| 93228 |
|
45 |
40 |
$591.70 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
32 |
16 |
$395.16 |
| 93296 |
|
51 |
41 |
$393.93 |
| 99439 |
|
16 |
13 |
$79.14 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
930 |
728 |
$44.65 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,434 |
3,731 |
$12.07 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
858 |
636 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
729 |
543 |
$0.00 |
| 1036F |
|
859 |
636 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
577 |
419 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
56 |
39 |
$0.00 |