| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,688 |
322 |
$299K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,374 |
554 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
814 |
626 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
891 |
862 |
$5K |
| 80053 |
Comprehensive metabolic panel |
1,246 |
1,179 |
$3K |
| 97161 |
|
15 |
12 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
207 |
184 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,241 |
1,132 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
44 |
44 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
478 |
464 |
$792.97 |
| 80061 |
Lipid panel |
616 |
597 |
$656.07 |
| 87088 |
|
154 |
126 |
$539.00 |
| 84439 |
|
239 |
232 |
$401.06 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
135 |
107 |
$394.94 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
43 |
40 |
$376.33 |
| 81003 |
|
357 |
330 |
$359.04 |
| 87807 |
|
93 |
71 |
$288.75 |
| 81001 |
|
463 |
405 |
$262.10 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
68 |
59 |
$260.61 |
| 85027 |
|
42 |
42 |
$47.50 |
| 83735 |
|
29 |
29 |
$35.09 |
| 84703 |
|
17 |
14 |
$27.84 |
| 83690 |
|
13 |
12 |
$22.89 |
| 82570 |
|
14 |
14 |
$15.89 |
| 85610 |
|
14 |
13 |
$14.88 |
| 82043 |
|
13 |
13 |
$13.44 |
| 85652 |
|
15 |
13 |
$2.54 |
| 36415 |
Collection of venous blood by venipuncture |
1,296 |
1,141 |
$0.00 |