| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
835 |
165 |
$35K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
686 |
127 |
$25K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
719 |
107 |
$24K |
| 87428 |
|
565 |
524 |
$18K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
112 |
97 |
$10K |
| 80053 |
Comprehensive metabolic panel |
1,132 |
913 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
117 |
81 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,223 |
984 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
354 |
218 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
431 |
350 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
30 |
27 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
198 |
190 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
819 |
601 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
23 |
15 |
$1K |
| 84484 |
|
161 |
110 |
$1K |
| 83605 |
|
117 |
87 |
$1K |
| 81003 |
|
475 |
423 |
$980.34 |
| 87420 |
|
93 |
84 |
$892.62 |
| 71046 |
Radiologic examination, chest; 2 views |
56 |
49 |
$818.27 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13 |
12 |
$304.52 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
36 |
32 |
$294.51 |
| 81001 |
|
118 |
108 |
$249.60 |
| 80305 |
|
19 |
16 |
$228.56 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
38 |
24 |
$222.83 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
33 |
27 |
$147.67 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
15 |
13 |
$25.05 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
15 |
14 |
$0.00 |