| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,938 |
377 |
$116K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
445 |
382 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
256 |
137 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
249 |
211 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,208 |
1,043 |
$6K |
| 80053 |
Comprehensive metabolic panel |
1,854 |
1,565 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,160 |
2,526 |
$5K |
| 87797 |
|
273 |
208 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
424 |
360 |
$4K |
| 97161 |
|
39 |
25 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
271 |
234 |
$2K |
| 87088 |
|
508 |
390 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
182 |
170 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
59 |
12 |
$2K |
| 84702 |
|
282 |
212 |
$1K |
| 83655 |
|
129 |
96 |
$1K |
| 80061 |
Lipid panel |
1,062 |
953 |
$1K |
| 84439 |
|
753 |
657 |
$1K |
| 86701 |
|
310 |
263 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
33 |
23 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
470 |
417 |
$828.76 |
| 97162 |
|
22 |
13 |
$814.80 |
| 85610 |
|
433 |
251 |
$780.57 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
247 |
212 |
$741.85 |
| 81001 |
|
895 |
707 |
$737.14 |
| 86850 |
|
416 |
330 |
$651.08 |
| 87653 |
|
30 |
26 |
$569.28 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
541 |
491 |
$564.09 |
| 86901 |
|
421 |
334 |
$504.54 |
| 83540 |
|
251 |
209 |
$434.99 |
| 86592 |
|
424 |
321 |
$409.77 |
| 86900 |
|
422 |
335 |
$375.32 |
| 87340 |
|
78 |
54 |
$264.77 |
| 81003 |
|
388 |
304 |
$254.45 |
| 86762 |
|
51 |
29 |
$208.03 |
| 82947 |
|
189 |
133 |
$135.39 |
| 88142 |
|
69 |
56 |
$111.47 |
| 82247 |
|
37 |
25 |
$80.17 |
| 85651 |
|
14 |
12 |
$11.32 |
| 82043 |
|
12 |
12 |
$7.68 |
| 80050 |
General health panel |
100 |
98 |
$0.00 |