| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,789 |
234 |
$328K |
| 97161 |
|
207 |
78 |
$22K |
| 97162 |
|
124 |
48 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
124 |
46 |
$6K |
| 80053 |
Comprehensive metabolic panel |
1,221 |
637 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
701 |
359 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
321 |
205 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,501 |
710 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
115 |
56 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
164 |
80 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
164 |
80 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
128 |
70 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
278 |
169 |
$2K |
| 80061 |
Lipid panel |
627 |
323 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
330 |
181 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
107 |
32 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
397 |
214 |
$1K |
| 84439 |
|
237 |
123 |
$944.97 |
| 87081 |
|
355 |
217 |
$889.33 |
| 71046 |
Radiologic examination, chest; 2 views |
93 |
54 |
$833.34 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
182 |
91 |
$737.61 |
| 82607 |
|
123 |
61 |
$701.44 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
49 |
28 |
$671.46 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
186 |
105 |
$659.42 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
82 |
45 |
$643.92 |
| 86780 |
|
90 |
44 |
$555.50 |
| 86803 |
|
80 |
37 |
$458.64 |
| 87186 |
|
79 |
47 |
$408.18 |
| 73030 |
|
26 |
14 |
$337.50 |
| 81001 |
|
271 |
148 |
$326.30 |
| 85027 |
|
127 |
64 |
$310.25 |
| 84466 |
|
73 |
37 |
$298.90 |
| 87480 |
|
38 |
19 |
$281.20 |
| 82746 |
|
52 |
27 |
$279.15 |
| 87340 |
|
61 |
29 |
$269.37 |
| 87510 |
|
38 |
19 |
$255.00 |
| 73630 |
|
22 |
15 |
$248.28 |
| 87088 |
|
46 |
25 |
$247.95 |
| 83540 |
|
73 |
37 |
$226.57 |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
61 |
37 |
$205.95 |
| 82570 |
|
105 |
59 |
$204.36 |
| 82043 |
|
105 |
59 |
$184.77 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
18 |
13 |
$184.55 |
| 86850 |
|
87 |
41 |
$183.66 |
| 85610 |
|
98 |
43 |
$180.61 |
| 82728 |
|
52 |
26 |
$170.52 |
| 87660 |
|
38 |
19 |
$163.40 |
| 86901 |
|
90 |
43 |
$160.36 |
| 84702 |
|
38 |
15 |
$147.02 |
| 86900 |
|
90 |
43 |
$117.30 |
| 85652 |
|
75 |
38 |
$82.63 |
| 81003 |
|
81 |
42 |
$80.77 |
| 86762 |
|
26 |
12 |
$63.84 |
| 81025 |
|
20 |
12 |
$24.09 |