| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
4,162 |
3,612 |
$178K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
68 |
42 |
$808.45 |
| Q3014 |
Telehealth originating site facility fee |
58 |
53 |
$402.49 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
19 |
13 |
$98.36 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$43.10 |
| 80053 |
Comprehensive metabolic panel |
107 |
101 |
$25.54 |
| 36415 |
Collection of venous blood by venipuncture |
201 |
186 |
$3.84 |