| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
112 |
37 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
131 |
128 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
72 |
64 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
842 |
650 |
$2K |
| 80053 |
Comprehensive metabolic panel |
445 |
341 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,032 |
1,560 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
91 |
85 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
45 |
43 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
85 |
77 |
$592.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
68 |
$480.60 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
17 |
14 |
$334.40 |
| A9270 |
Non-covered item or service |
12 |
12 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
12 |
$0.00 |