| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,319 |
122 |
$86K |
| T1015 |
Clinic visit/encounter, all-inclusive |
86 |
67 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
913 |
335 |
$3K |
| 80053 |
Comprehensive metabolic panel |
594 |
299 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
225 |
107 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
642 |
331 |
$1K |
| 80061 |
Lipid panel |
355 |
177 |
$743.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
141 |
64 |
$719.18 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
182 |
104 |
$358.74 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
74 |
27 |
$314.05 |
| 71046 |
Radiologic examination, chest; 2 views |
23 |
12 |
$225.48 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
71 |
38 |
$173.24 |
| 84439 |
|
52 |
27 |
$134.33 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79 |
28 |
$97.00 |
| 81002 |
|
50 |
14 |
$58.76 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
17 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
95 |
32 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
27 |
$0.00 |