| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,632 |
112 |
$33K |
| 0450 |
Emergency room services |
478 |
400 |
$15K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
847 |
93 |
$14K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
720 |
598 |
$12K |
| 99221 |
|
428 |
393 |
$10K |
| 97535 |
Self-care/home management training, each 15 minutes |
683 |
90 |
$10K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
732 |
70 |
$8K |
| 97116 |
|
303 |
31 |
$4K |
| 80053 |
Comprehensive metabolic panel |
378 |
331 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
476 |
415 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
57 |
50 |
$2K |
| 93000 |
|
28 |
26 |
$672.42 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
142 |
122 |
$554.14 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16 |
13 |
$448.20 |
| 97166 |
|
27 |
27 |
$421.53 |
| A4649 |
Surgical supply; miscellaneous |
557 |
274 |
$243.54 |
| 81001 |
|
124 |
116 |
$230.98 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
15 |
$227.61 |
| J3490 |
Unclassified drugs |
477 |
201 |
$134.93 |
| 85730 |
|
28 |
25 |
$120.14 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
28 |
26 |
$116.61 |
| 85610 |
|
28 |
25 |
$78.61 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
15 |
12 |
$36.57 |
| 81025 |
|
14 |
14 |
$8.61 |