| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,414 |
299 |
$114K |
| 97161 |
|
220 |
122 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
206 |
144 |
$9K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
340 |
263 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
171 |
163 |
$5K |
| 80053 |
Comprehensive metabolic panel |
1,380 |
1,033 |
$5K |
| 80074 |
|
238 |
181 |
$4K |
| H0031 |
Mental health assessment, by non-physician |
57 |
46 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
174 |
90 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
287 |
225 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
51 |
45 |
$3K |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
90 |
67 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
613 |
469 |
$3K |
| 87486 |
|
210 |
163 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,497 |
1,134 |
$2K |
| 80061 |
Lipid panel |
722 |
556 |
$1K |
| 82607 |
|
337 |
245 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
75 |
60 |
$1K |
| 80305 |
|
344 |
216 |
$965.14 |
| 82746 |
|
319 |
231 |
$927.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
99 |
44 |
$860.42 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
618 |
480 |
$826.33 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
312 |
251 |
$782.99 |
| H0032 |
Mental health service plan development by non-physician |
53 |
52 |
$615.21 |
| 81000 |
|
797 |
610 |
$454.80 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
49 |
44 |
$372.23 |
| 83540 |
|
256 |
192 |
$302.74 |
| 84153 |
|
58 |
42 |
$277.68 |
| 87252 |
|
73 |
55 |
$225.64 |
| 83550 |
|
155 |
117 |
$211.03 |
| 73630 |
|
16 |
14 |
$157.19 |
| 71046 |
Radiologic examination, chest; 2 views |
19 |
16 |
$129.66 |
| 85610 |
|
84 |
55 |
$105.16 |
| 82728 |
|
54 |
42 |
$95.76 |
| 86592 |
|
100 |
82 |
$83.10 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
38 |
33 |
$81.04 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
28 |
25 |
$46.27 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$15.96 |