| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,494 |
388 |
$487K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
374 |
171 |
$3K |
| 80053 |
Comprehensive metabolic panel |
828 |
664 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
296 |
242 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
139 |
97 |
$932.08 |
| 71046 |
Radiologic examination, chest; 2 views |
94 |
81 |
$748.44 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
904 |
708 |
$562.24 |
| 80061 |
Lipid panel |
238 |
206 |
$79.39 |
| 87081 |
|
129 |
88 |
$76.67 |
| 81001 |
|
98 |
71 |
$30.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32 |
27 |
$21.42 |
| 36415 |
Collection of venous blood by venipuncture |
316 |
261 |
$0.00 |