| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
815 |
158 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
333 |
304 |
$25K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
520 |
324 |
$20K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
397 |
76 |
$16K |
| 80053 |
Comprehensive metabolic panel |
1,189 |
661 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
194 |
177 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,332 |
735 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
393 |
234 |
$8K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
97 |
63 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
243 |
158 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,534 |
1,308 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
61 |
26 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
38 |
13 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
45 |
24 |
$751.49 |
| 71045 |
Radiologic examination, chest; single view |
55 |
52 |
$446.88 |
| 80061 |
Lipid panel |
25 |
13 |
$431.75 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
61 |
26 |
$385.61 |
| 83721 |
|
25 |
13 |
$307.50 |
| 81003 |
|
82 |
50 |
$176.90 |
| 84703 |
|
18 |
12 |
$116.87 |