| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
211 |
53 |
$4K |
| 87400 |
|
164 |
150 |
$468.05 |
| 36415 |
Collection of venous blood by venipuncture |
2,243 |
1,741 |
$439.79 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,114 |
847 |
$381.12 |
| 80053 |
Comprehensive metabolic panel |
777 |
591 |
$297.80 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
17 |
12 |
$71.69 |
| 84443 |
Thyroid stimulating hormone (TSH) |
41 |
39 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$0.00 |
| 81002 |
|
14 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |