| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
515 |
131 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
84 |
64 |
$2K |
| 80053 |
Comprehensive metabolic panel |
1,646 |
1,320 |
$2K |
| 85027 |
|
1,294 |
1,030 |
$1K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
69 |
63 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
82 |
57 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
151 |
74 |
$927.62 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
55 |
41 |
$638.40 |
| 36415 |
Collection of venous blood by venipuncture |
2,761 |
2,112 |
$576.28 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
643 |
465 |
$326.06 |
| 86140 |
|
260 |
197 |
$165.35 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
15 |
13 |
$110.90 |
| 84443 |
Thyroid stimulating hormone (TSH) |
158 |
149 |
$36.28 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |