| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51,416 |
44,742 |
$1.75M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
34,183 |
26,573 |
$1.65M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,580 |
10,248 |
$260K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
6,361 |
4,010 |
$207K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,782 |
1,627 |
$187K |
| 93295 |
|
8,539 |
7,452 |
$168K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,967 |
2,497 |
$153K |
| 93296 |
|
15,811 |
13,684 |
$145K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
2,403 |
1,709 |
$133K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
36,520 |
24,004 |
$114K |
| 93458 |
|
820 |
694 |
$105K |
| J2785 |
Injection, regadenoson, 0.1 mg |
2,204 |
1,560 |
$78K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
799 |
717 |
$73K |
| 99243 |
|
929 |
846 |
$71K |
| 93000 |
|
9,119 |
7,873 |
$69K |
| 93015 |
|
1,420 |
1,166 |
$45K |
| 93294 |
|
4,925 |
4,221 |
$40K |
| 93298 |
|
2,239 |
2,001 |
$25K |
| 99254 |
|
273 |
252 |
$24K |
| 93297 |
|
2,989 |
2,708 |
$20K |
| 99233 |
Prolong inpt eval add15 m |
351 |
117 |
$17K |
| 93016 |
|
1,615 |
1,198 |
$8K |
| 99215 |
Prolong outpt/office vis |
143 |
121 |
$7K |
| 93018 |
|
1,693 |
1,263 |
$6K |
| 99442 |
|
332 |
239 |
$5K |
| 99245 |
|
43 |
42 |
$5K |
| 93880 |
|
81 |
49 |
$3K |
| 93925 |
|
66 |
38 |
$3K |
| G0422 |
Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session |
406 |
48 |
$2K |
| 99443 |
|
97 |
84 |
$2K |
| 93793 |
|
1,182 |
830 |
$2K |
| 99152 |
|
410 |
315 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
792 |
759 |
$2K |
| 99242 |
|
38 |
36 |
$2K |
| 99441 |
|
201 |
130 |
$2K |
| 99253 |
|
25 |
25 |
$1K |
| 75574 |
|
19 |
19 |
$1K |
| 93280 |
|
100 |
83 |
$899.36 |
| 93922 |
|
67 |
63 |
$874.08 |
| 85610 |
|
427 |
303 |
$769.36 |
| 93248 |
|
53 |
52 |
$760.49 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$667.86 |
| 93320 |
|
13 |
12 |
$603.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
41 |
$397.73 |
| 93923 |
|
14 |
13 |
$305.32 |
| G0423 |
Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session |
29 |
12 |
$300.43 |
| 93289 |
|
17 |
14 |
$233.09 |
| 93017 |
|
112 |
62 |
$215.47 |
| 93308 |
|
16 |
13 |
$203.24 |
| 93288 |
|
22 |
12 |
$183.08 |
| 93971 |
|
19 |
12 |
$145.33 |
| 93246 |
|
13 |
12 |
$90.57 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$54.84 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12 |
12 |
$49.34 |
| 3079F |
|
117 |
113 |
$0.00 |
| 3074F |
|
1,019 |
996 |
$0.00 |
| 3075F |
|
30 |
30 |
$0.00 |
| 3078F |
|
1,885 |
1,829 |
$0.00 |
| 3077F |
|
126 |
123 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
29 |
29 |
$0.00 |