| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,308 |
252 |
$235K |
| 97161 |
|
64 |
46 |
$7K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
36 |
36 |
$691.30 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
15 |
15 |
$314.70 |
| 80053 |
Comprehensive metabolic panel |
60 |
59 |
$291.51 |
| 84443 |
Thyroid stimulating hormone (TSH) |
37 |
37 |
$157.35 |
| 84439 |
|
13 |
13 |
$83.92 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
17 |
17 |
$77.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
16 |
$70.20 |
| 80061 |
Lipid panel |
27 |
27 |
$42.62 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
32 |
32 |
$35.15 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
61 |
61 |
$19.32 |
| 85652 |
|
15 |
15 |
$0.00 |
| 81001 |
|
19 |
19 |
$0.00 |
| 86140 |
|
14 |
14 |
$0.00 |