| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
514 |
40 |
$62K |
| T1015 |
Clinic visit/encounter, all-inclusive |
77 |
65 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
143 |
51 |
$5K |
| 80053 |
Comprehensive metabolic panel |
579 |
183 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
874 |
307 |
$2K |
| 87081 |
|
182 |
63 |
$513.24 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
66 |
25 |
$338.66 |
| 84443 |
Thyroid stimulating hormone (TSH) |
30 |
12 |
$242.78 |
| 81001 |
|
37 |
13 |
$51.43 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
14 |
$46.56 |