| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
117 |
25 |
$8K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
54 |
50 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
324 |
285 |
$1K |
| 80053 |
Comprehensive metabolic panel |
151 |
135 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
66 |
66 |
$894.54 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
18 |
14 |
$728.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
39 |
$514.04 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
38 |
37 |
$366.48 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
34 |
29 |
$305.40 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
14 |
$244.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
15 |
$173.22 |
| 85610 |
|
86 |
45 |
$168.72 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
213 |
135 |
$165.42 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
22 |
22 |
$146.87 |
| 85027 |
|
20 |
17 |
$138.80 |
| 80061 |
Lipid panel |
14 |
14 |
$136.26 |
| 81001 |
|
53 |
50 |
$132.60 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$125.65 |
| 85007 |
|
20 |
17 |
$32.56 |
| 36415 |
Collection of venous blood by venipuncture |
1,365 |
1,090 |
$14.72 |
| 90791 |
Psychiatric diagnostic evaluation |
33 |
19 |
$0.00 |