| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,882 |
974 |
$866K |
| 97161 |
|
194 |
94 |
$27K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,925 |
1,675 |
$10K |
| 97162 |
|
54 |
26 |
$8K |
| 80053 |
Comprehensive metabolic panel |
3,217 |
2,691 |
$8K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
484 |
360 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
484 |
359 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
739 |
608 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
73 |
70 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
547 |
480 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,229 |
2,599 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
328 |
290 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
902 |
661 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
72 |
59 |
$2K |
| 80061 |
Lipid panel |
1,536 |
1,374 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,085 |
962 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
156 |
125 |
$1K |
| 87081 |
|
863 |
704 |
$1K |
| 87186 |
|
310 |
229 |
$910.14 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
310 |
241 |
$909.53 |
| 85610 |
|
616 |
294 |
$888.32 |
| 73630 |
|
30 |
13 |
$575.76 |
| 83655 |
|
85 |
83 |
$479.38 |
| 81003 |
|
764 |
634 |
$395.78 |
| 87088 |
|
127 |
96 |
$393.20 |
| 84439 |
|
345 |
295 |
$381.03 |
| 81002 |
|
385 |
176 |
$371.95 |
| 73564 |
|
26 |
15 |
$368.32 |
| 81025 |
|
493 |
382 |
$364.00 |
| 85027 |
|
370 |
320 |
$320.34 |
| 86780 |
|
72 |
65 |
$296.15 |
| 82570 |
|
280 |
249 |
$277.57 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
175 |
147 |
$222.16 |
| 81001 |
|
502 |
432 |
$212.13 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
70 |
67 |
$192.22 |
| 87807 |
|
44 |
36 |
$154.25 |
| 87210 |
|
189 |
112 |
$126.77 |
| 87205 |
|
270 |
171 |
$98.87 |
| 82043 |
|
138 |
124 |
$92.21 |
| 82607 |
|
28 |
27 |
$76.69 |
| 85018 |
|
98 |
98 |
$73.20 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
14 |
12 |
$69.92 |
| 82728 |
|
12 |
12 |
$24.39 |
| 82962 |
|
43 |
42 |
$24.07 |
| 86140 |
|
25 |
24 |
$16.03 |
| 87340 |
|
13 |
12 |
$13.14 |
| 85652 |
|
37 |
30 |
$11.48 |