| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,837 |
479 |
$216K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
631 |
593 |
$22K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
213 |
205 |
$10K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
420 |
383 |
$6K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
330 |
62 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
460 |
424 |
$4K |
| 80053 |
Comprehensive metabolic panel |
1,063 |
897 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
517 |
464 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,624 |
1,332 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
72 |
68 |
$2K |
| 97161 |
|
27 |
15 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
195 |
187 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
89 |
84 |
$850.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
269 |
251 |
$458.37 |
| 81003 |
|
610 |
523 |
$387.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
36 |
$357.84 |
| 80061 |
Lipid panel |
330 |
305 |
$353.61 |
| 73610 |
|
17 |
12 |
$321.14 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
87 |
77 |
$302.36 |
| 85610 |
|
203 |
93 |
$299.46 |
| 0011A |
|
20 |
20 |
$247.68 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
104 |
95 |
$204.68 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
56 |
54 |
$103.62 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
127 |
69 |
$79.12 |
| 81025 |
|
76 |
72 |
$69.60 |
| 36415 |
Collection of venous blood by venipuncture |
852 |
695 |
$68.49 |
| 81001 |
|
69 |
67 |
$50.16 |
| 83655 |
|
12 |
12 |
$46.80 |
| 85651 |
|
28 |
27 |
$17.92 |
| 83735 |
|
15 |
14 |
$12.94 |