| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
962 |
119 |
$62K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
30 |
30 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
177 |
157 |
$357.52 |
| 84443 |
Thyroid stimulating hormone (TSH) |
56 |
52 |
$275.96 |
| 80053 |
Comprehensive metabolic panel |
119 |
110 |
$228.26 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
30 |
30 |
$155.21 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
12 |
$99.34 |
| 80061 |
Lipid panel |
60 |
59 |
$99.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
43 |
42 |
$74.12 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
35 |
35 |
$74.08 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
13 |
$25.89 |