| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
463 |
106 |
$58K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
159 |
109 |
$43K |
| 80053 |
Comprehensive metabolic panel |
277 |
227 |
$41K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
313 |
257 |
$25K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
93 |
75 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
545 |
404 |
$13K |
| 84443 |
Thyroid stimulating hormone (TSH) |
60 |
54 |
$8K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16 |
14 |
$2K |
| 80061 |
Lipid panel |
12 |
12 |
$2K |
| 81001 |
|
30 |
30 |
$1K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
22 |
12 |
$138.56 |