| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,392 |
14,448 |
$758K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
3,305 |
3,058 |
$624K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,061 |
6,831 |
$610K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
3,442 |
3,006 |
$300K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,669 |
2,561 |
$242K |
| J2785 |
Injection, regadenoson, 0.1 mg |
2,247 |
2,093 |
$204K |
| 93015 |
|
4,377 |
4,104 |
$155K |
| 93224 |
|
2,262 |
2,187 |
$129K |
| 93000 |
|
6,949 |
6,647 |
$73K |
| 93925 |
|
574 |
551 |
$67K |
| 99215 |
Prolong outpt/office vis |
932 |
878 |
$58K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,325 |
534 |
$48K |
| 99223 |
Prolong inpt eval add15 m |
280 |
268 |
$30K |
| 93970 |
|
280 |
271 |
$23K |
| 93295 |
|
714 |
686 |
$14K |
| 93298 |
|
729 |
690 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
167 |
69 |
$9K |
| 93296 |
|
711 |
679 |
$8K |
| 93880 |
|
85 |
80 |
$8K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,317 |
1,000 |
$8K |
| 93280 |
|
254 |
233 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
180 |
167 |
$6K |
| 93291 |
|
152 |
135 |
$3K |
| 93458 |
|
12 |
12 |
$2K |
| 93922 |
|
54 |
52 |
$2K |
| Q9969 |
Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose |
753 |
639 |
$2K |
| 99490 |
Ccm add 20min |
114 |
113 |
$702.02 |
| 99152 |
|
71 |
68 |
$518.97 |
| 93284 |
|
15 |
12 |
$367.46 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$302.37 |
| 93288 |
|
15 |
12 |
$276.27 |
| 93793 |
|
21 |
12 |
$129.73 |
| 99442 |
|
12 |
12 |
$80.51 |
| 99072 |
|
582 |
414 |
$1.50 |