| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,793 |
371 |
$259K |
| 97161 |
|
375 |
108 |
$37K |
| 97162 |
|
228 |
69 |
$23K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
218 |
130 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
477 |
354 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
477 |
354 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
81 |
66 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
676 |
595 |
$3K |
| 81511 |
|
46 |
28 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
58 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
83 |
80 |
$2K |
| 87536 |
|
40 |
26 |
$2K |
| 87081 |
|
721 |
691 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
65 |
24 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
223 |
154 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
607 |
522 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
58 |
44 |
$2K |
| 80053 |
Comprehensive metabolic panel |
1,113 |
952 |
$1K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
137 |
54 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
52 |
39 |
$953.45 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,302 |
1,071 |
$882.43 |
| 83970 |
|
52 |
39 |
$792.72 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
94 |
59 |
$687.48 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
78 |
66 |
$593.40 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
86 |
65 |
$472.11 |
| 74018 |
|
63 |
46 |
$432.85 |
| 87480 |
|
395 |
306 |
$419.20 |
| 73110 |
|
36 |
33 |
$399.00 |
| 87510 |
|
395 |
306 |
$393.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
176 |
155 |
$359.30 |
| 80061 |
Lipid panel |
478 |
448 |
$351.03 |
| 73564 |
|
37 |
37 |
$349.65 |
| 84403 |
|
35 |
34 |
$327.96 |
| 82784 |
|
92 |
59 |
$318.41 |
| 72100 |
|
38 |
38 |
$301.35 |
| 87186 |
|
109 |
98 |
$292.60 |
| 88304 |
|
14 |
14 |
$280.05 |
| 83516 |
|
56 |
43 |
$271.46 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
297 |
276 |
$242.10 |
| 73630 |
|
30 |
29 |
$235.93 |
| 86003 |
|
20 |
18 |
$235.58 |
| 86803 |
|
131 |
85 |
$234.38 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
31 |
31 |
$211.20 |
| 73610 |
|
15 |
15 |
$208.08 |
| 86038 |
|
88 |
60 |
$204.56 |
| 85610 |
|
174 |
121 |
$200.25 |
| 87147 |
|
256 |
242 |
$191.38 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
230 |
205 |
$179.83 |
| 83655 |
|
46 |
45 |
$177.58 |
| 86780 |
|
220 |
129 |
$171.88 |
| 82951 |
|
49 |
44 |
$163.80 |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
94 |
76 |
$158.61 |
| 82274 |
|
30 |
29 |
$149.74 |
| 84702 |
|
66 |
47 |
$146.19 |
| 84439 |
|
298 |
258 |
$132.18 |
| 73030 |
|
15 |
15 |
$127.65 |
| 83001 |
|
22 |
21 |
$126.76 |
| 82607 |
|
109 |
86 |
$119.68 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
26 |
18 |
$112.88 |
| 86850 |
|
115 |
77 |
$90.08 |
| 80074 |
|
24 |
12 |
$76.96 |
| 87088 |
|
72 |
65 |
$73.45 |
| 73140 |
|
12 |
12 |
$71.80 |
| 81001 |
|
201 |
162 |
$65.54 |
| 87070 |
|
38 |
33 |
$64.38 |
| 82728 |
|
71 |
64 |
$60.36 |
| 82570 |
|
133 |
124 |
$55.68 |
| 85730 |
|
47 |
34 |
$52.20 |
| 87660 |
|
395 |
306 |
$50.40 |
| 83735 |
|
66 |
41 |
$48.39 |
| 86140 |
|
116 |
87 |
$46.58 |
| 84466 |
|
67 |
61 |
$39.03 |
| 80069 |
|
42 |
37 |
$37.86 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
39 |
$36.90 |
| 80076 |
|
29 |
27 |
$35.91 |
| 87340 |
|
132 |
75 |
$33.03 |
| 84480 |
|
34 |
32 |
$32.94 |
| 85027 |
|
66 |
54 |
$31.41 |
| 86901 |
|
114 |
76 |
$30.43 |
| 85652 |
|
151 |
114 |
$29.53 |
| 80164 |
|
14 |
13 |
$26.34 |
| 83540 |
|
69 |
63 |
$25.16 |
| 86431 |
|
56 |
42 |
$24.94 |
| 81025 |
|
60 |
55 |
$23.22 |
| 82746 |
|
47 |
34 |
$22.62 |
| 84550 |
|
46 |
42 |
$21.86 |
| 84146 |
|
15 |
14 |
$19.77 |
| 82043 |
|
76 |
72 |
$19.60 |
| 84481 |
|
39 |
35 |
$15.18 |
| 81003 |
|
65 |
52 |
$15.05 |
| 82785 |
|
25 |
20 |
$14.12 |
| 83002 |
|
16 |
15 |
$13.05 |
| 86762 |
|
96 |
60 |
$12.08 |
| 84156 |
|
50 |
46 |
$9.20 |
| 83615 |
|
16 |
12 |
$8.72 |
| 86900 |
|
112 |
74 |
$8.65 |
| 85045 |
|
16 |
15 |
$3.85 |
| 86359 |
|
52 |
30 |
$3.82 |
| 85018 |
|
12 |
12 |
$3.48 |
| 85014 |
|
12 |
12 |
$2.32 |
| 86360 |
|
52 |
30 |
$0.00 |
| 84100 |
|
17 |
13 |
$0.00 |
| 88342 |
|
18 |
13 |
$0.00 |