| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,330 |
463 |
$396K |
| 84443 |
Thyroid stimulating hormone (TSH) |
674 |
609 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
423 |
263 |
$5K |
| T1015 |
Clinic visit/encounter, all-inclusive |
50 |
40 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
173 |
127 |
$4K |
| 80053 |
Comprehensive metabolic panel |
940 |
799 |
$4K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
44 |
25 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,071 |
909 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
426 |
396 |
$1K |
| 80061 |
Lipid panel |
490 |
467 |
$958.67 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
81 |
$794.73 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
175 |
148 |
$685.87 |
| 71046 |
Radiologic examination, chest; 2 views |
70 |
64 |
$666.39 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
155 |
151 |
$629.63 |
| 73110 |
|
52 |
34 |
$604.92 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14 |
14 |
$536.48 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
16 |
15 |
$491.10 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
20 |
12 |
$476.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
15 |
$433.32 |
| 81001 |
|
338 |
296 |
$319.64 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$218.54 |
| 84439 |
|
75 |
72 |
$211.21 |
| 36415 |
Collection of venous blood by venipuncture |
245 |
203 |
$203.60 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
18 |
12 |
$61.32 |
| 82570 |
|
14 |
12 |
$20.43 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
16 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
18 |
12 |
$0.00 |