| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,425 |
419 |
$342K |
| 80053 |
Comprehensive metabolic panel |
1,026 |
868 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
527 |
467 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,189 |
928 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
201 |
171 |
$1K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
21 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
186 |
137 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14 |
13 |
$773.23 |
| 80061 |
Lipid panel |
405 |
364 |
$679.49 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
264 |
244 |
$508.68 |
| 81003 |
|
326 |
194 |
$326.42 |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
27 |
$307.57 |
| 83655 |
|
49 |
39 |
$261.69 |
| 73630 |
|
25 |
14 |
$238.41 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
69 |
63 |
$218.45 |
| 81002 |
|
120 |
77 |
$179.98 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
33 |
24 |
$143.08 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
69 |
63 |
$142.44 |
| 84439 |
|
35 |
33 |
$81.99 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
13 |
$54.92 |
| 81001 |
|
66 |
58 |
$52.91 |
| 87081 |
|
23 |
13 |
$33.85 |