| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,471 |
10,473 |
$573K |
| 99199 |
Unlisted special service, procedure or report |
35,826 |
21,064 |
$226K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,683 |
1,241 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,242 |
1,955 |
$79K |
| 99215 |
Prolong outpt/office vis |
153 |
134 |
$9K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
121 |
83 |
$9K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
67 |
54 |
$4K |
| 93000 |
|
429 |
343 |
$3K |
| 82947 |
|
1,685 |
1,307 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,269 |
1,031 |
$2K |
| 93015 |
|
67 |
60 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
306 |
40 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
93 |
77 |
$1K |
| 99406 |
|
151 |
124 |
$985.44 |
| 90674 |
|
119 |
97 |
$823.78 |
| 81002 |
|
205 |
177 |
$388.20 |
| 99442 |
|
17 |
12 |
$277.44 |
| 90661 |
|
18 |
15 |
$261.20 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
46 |
37 |
$260.09 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
25 |
$219.76 |
| 90756 |
|
31 |
29 |
$157.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
12 |
$150.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$120.10 |
| G0008 |
Administration of influenza virus vaccine |
47 |
46 |
$0.00 |
| 94760 |
|
15 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
12 |
$0.00 |