| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
80 |
12 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
363 |
343 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71 |
24 |
$2K |
| 80053 |
Comprehensive metabolic panel |
652 |
590 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
188 |
111 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
16 |
$820.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
123 |
100 |
$657.88 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
728 |
656 |
$561.23 |
| 87081 |
|
232 |
210 |
$536.31 |
| 71046 |
Radiologic examination, chest; 2 views |
46 |
41 |
$451.97 |
| 80061 |
Lipid panel |
165 |
157 |
$106.80 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
20 |
14 |
$35.77 |
| 84439 |
|
40 |
38 |
$30.29 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
49 |
46 |
$27.65 |
| 81001 |
|
13 |
12 |
$5.56 |