| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,850 |
2,787 |
$259K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,722 |
5,683 |
$139K |
| 99233 |
Prolong inpt eval add15 m |
2,566 |
975 |
$56K |
| 99223 |
Prolong inpt eval add15 m |
1,052 |
1,007 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
783 |
781 |
$34K |
| 93015 |
|
326 |
325 |
$15K |
| 93000 |
|
825 |
819 |
$14K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
31 |
31 |
$9K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
942 |
677 |
$7K |
| J2785 |
Injection, regadenoson, 0.1 mg |
28 |
28 |
$7K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
31 |
31 |
$4K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
95 |
25 |
$2K |
| 99205 |
Prolong outpt/office vis |
30 |
30 |
$2K |
| 93224 |
|
13 |
13 |
$995.34 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$48.00 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
30 |
30 |
$0.00 |