| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
326 |
49 |
$77K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
756 |
705 |
$15K |
| A0425 |
Ground mileage, per statute mile |
143 |
52 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
522 |
499 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
83 |
80 |
$3K |
| 80053 |
Comprehensive metabolic panel |
976 |
867 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
58 |
29 |
$2K |
| 87486 |
|
93 |
85 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
39 |
36 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
39 |
13 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
719 |
600 |
$587.48 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
219 |
205 |
$584.68 |
| 71046 |
Radiologic examination, chest; 2 views |
68 |
64 |
$453.41 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
301 |
275 |
$377.15 |
| 80061 |
Lipid panel |
429 |
405 |
$355.87 |
| 83655 |
|
45 |
45 |
$257.08 |
| 85027 |
|
185 |
171 |
$177.38 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
49 |
44 |
$130.06 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
13 |
$119.45 |
| 87186 |
|
13 |
12 |
$61.25 |
| 84439 |
|
57 |
55 |
$51.91 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
28 |
25 |
$47.92 |
| 81000 |
|
52 |
49 |
$23.11 |