| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
42 |
20 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
60 |
30 |
$522.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
60 |
30 |
$476.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
108 |
51 |
$304.20 |
| 80053 |
Comprehensive metabolic panel |
42 |
18 |
$214.20 |
| 80061 |
Lipid panel |
28 |
14 |
$85.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
12 |
$74.16 |