| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
299,698 |
267,155 |
$8.96M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
93,517 |
86,014 |
$7.96M |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
13,480 |
12,175 |
$1.89M |
| J2785 |
Injection, regadenoson, 0.1 mg |
16,653 |
15,021 |
$1.82M |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
12,522 |
11,293 |
$1.53M |
| 93000 |
|
194,114 |
176,459 |
$1.45M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70,477 |
64,418 |
$1.42M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18,826 |
17,006 |
$1.23M |
| 93880 |
|
9,320 |
8,465 |
$587K |
| 93970 |
|
6,190 |
5,734 |
$574K |
| 93015 |
|
13,831 |
12,375 |
$567K |
| 93925 |
|
6,108 |
5,505 |
$519K |
| 99233 |
Prolong inpt eval add15 m |
15,029 |
7,524 |
$431K |
| 80061 |
Lipid panel |
57,983 |
53,253 |
$414K |
| 80053 |
Comprehensive metabolic panel |
41,507 |
38,087 |
$265K |
| 99223 |
Prolong inpt eval add15 m |
5,893 |
5,080 |
$245K |
| 93017 |
|
10,607 |
9,393 |
$229K |
| 93295 |
|
9,902 |
9,143 |
$209K |
| 95800 |
|
340 |
313 |
$154K |
| 93298 |
|
14,583 |
13,283 |
$151K |
| 93922 |
|
3,597 |
3,254 |
$144K |
| 93224 |
|
2,618 |
2,315 |
$139K |
| 84443 |
Thyroid stimulating hormone (TSH) |
13,076 |
12,053 |
$129K |
| 36475 |
|
201 |
174 |
$126K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,754 |
2,545 |
$120K |
| 93016 |
|
11,017 |
9,823 |
$108K |
| 93018 |
|
13,534 |
12,053 |
$97K |
| 93458 |
|
764 |
688 |
$89K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
18,211 |
16,326 |
$81K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
24,046 |
18,151 |
$81K |
| 93971 |
|
1,266 |
1,130 |
$79K |
| 36465 |
|
249 |
200 |
$77K |
| 93294 |
|
10,306 |
9,469 |
$74K |
| 85027 |
|
18,883 |
17,307 |
$72K |
| 93296 |
|
18,997 |
17,478 |
$66K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,790 |
2,596 |
$65K |
| 93793 |
|
10,973 |
6,300 |
$40K |
| 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) |
23,984 |
22,194 |
$38K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
11,209 |
9,948 |
$34K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,920 |
5,441 |
$31K |
| 36415 |
Collection of venous blood by venipuncture |
21,524 |
18,537 |
$29K |
| 84460 |
|
11,351 |
10,341 |
$28K |
| 84075 |
|
11,361 |
10,344 |
$24K |
| 37252 |
|
215 |
193 |
$24K |
| 84450 |
|
11,427 |
10,404 |
$23K |
| 93268 |
|
173 |
161 |
$22K |
| 83880 |
|
767 |
711 |
$17K |
| 75574 |
|
77 |
73 |
$16K |
| 99222 |
Initial hospital care, per day, moderate complexity |
839 |
701 |
$15K |
| 93280 |
|
1,370 |
1,256 |
$15K |
| 84436 |
|
4,728 |
4,366 |
$15K |
| 99215 |
Prolong outpt/office vis |
381 |
312 |
$14K |
| 93351 |
|
93 |
85 |
$13K |
| 84479 |
|
4,173 |
3,849 |
$13K |
| 76706 |
|
207 |
195 |
$11K |
| 99490 |
Ccm add 20min |
6,474 |
6,258 |
$11K |
| 93356 |
|
497 |
459 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
442 |
400 |
$8K |
| 84439 |
|
1,417 |
1,300 |
$7K |
| 74174 |
|
28 |
26 |
$6K |
| 37225 |
|
13 |
12 |
$6K |
| 86141 |
|
558 |
508 |
$6K |
| 99457 |
|
719 |
686 |
$5K |
| 93299 |
|
2,121 |
1,978 |
$5K |
| 37253 |
|
68 |
66 |
$4K |
| 99220 |
|
69 |
64 |
$4K |
| 36005 |
|
104 |
79 |
$4K |
| 99454 |
|
624 |
597 |
$4K |
| 99426 |
|
2,296 |
2,201 |
$4K |
| 93923 |
|
38 |
37 |
$3K |
| 75710 |
|
73 |
69 |
$3K |
| 83735 |
|
733 |
670 |
$3K |
| 93272 |
|
180 |
154 |
$3K |
| G2065 |
Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities |
968 |
919 |
$2K |
| 75635 |
|
19 |
17 |
$2K |
| G0250 |
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests |
2,131 |
2,019 |
$2K |
| 99152 |
|
1,918 |
1,682 |
$2K |
| G0422 |
Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session |
5,365 |
975 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
57 |
55 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
740 |
661 |
$2K |
| 93454 |
|
12 |
12 |
$2K |
| 99442 |
|
348 |
181 |
$1K |
| 93282 |
|
52 |
51 |
$953.60 |
| 82172 |
|
4,337 |
3,985 |
$953.38 |
| 75625 |
|
17 |
14 |
$904.27 |
| 93284 |
|
43 |
40 |
$877.89 |
| 75571 |
|
108 |
106 |
$842.80 |
| G0423 |
Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session |
2,960 |
600 |
$835.17 |
| 75822 |
|
59 |
52 |
$540.33 |
| 80050 |
General health panel |
15 |
15 |
$493.50 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
26 |
24 |
$384.60 |
| 78492 |
|
1,725 |
1,555 |
$377.19 |
| 99441 |
|
214 |
123 |
$362.22 |
| 82550 |
|
78 |
76 |
$347.30 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
622 |
569 |
$335.31 |
| 85610 |
|
215 |
146 |
$304.25 |
| 93228 |
|
52 |
50 |
$284.75 |
| 76937 |
|
65 |
59 |
$226.97 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$198.60 |
| 93297 |
|
125 |
115 |
$113.76 |
| 99443 |
|
19 |
12 |
$101.85 |
| 99458 |
|
15 |
12 |
$80.50 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
17 |
15 |
$77.43 |
| 78434 |
|
418 |
344 |
$72.50 |
| 99453 |
|
33 |
31 |
$26.90 |
| A9555 |
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries |
1,196 |
1,057 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
13 |
12 |
$0.00 |
| 78431 |
|
19 |
14 |
$0.00 |