| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
354 |
85 |
$31K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
331 |
257 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
120 |
116 |
$6K |
| 80053 |
Comprehensive metabolic panel |
610 |
395 |
$2K |
| 86780 |
|
360 |
287 |
$2K |
| 87653 |
|
57 |
48 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,334 |
979 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
137 |
101 |
$948.86 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
294 |
215 |
$709.64 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
26 |
12 |
$448.32 |
| 80306 |
|
128 |
86 |
$365.47 |
| 86850 |
|
466 |
351 |
$360.43 |
| 87340 |
|
129 |
105 |
$232.83 |
| 86901 |
|
461 |
347 |
$221.34 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
106 |
102 |
$212.19 |
| 86900 |
|
461 |
347 |
$164.70 |
| 86803 |
|
51 |
45 |
$139.79 |
| 81001 |
|
247 |
193 |
$123.27 |
| 82950 |
|
133 |
102 |
$107.18 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
150 |
106 |
$88.86 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$85.88 |
| 83021 |
|
32 |
25 |
$83.23 |
| 84702 |
|
27 |
26 |
$63.85 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
22 |
12 |
$52.87 |
| 80061 |
Lipid panel |
108 |
75 |
$48.70 |
| 83020 |
|
32 |
25 |
$33.55 |
| 88143 |
|
14 |
14 |
$28.98 |
| 83550 |
|
14 |
14 |
$25.04 |
| 86762 |
|
29 |
25 |
$11.97 |
| 83540 |
|
16 |
16 |
$9.31 |
| 84439 |
|
23 |
12 |
$8.63 |
| 84156 |
|
29 |
28 |
$5.60 |
| 82570 |
|
16 |
16 |
$4.54 |
| 82728 |
|
16 |
14 |
$3.48 |