| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,162 |
1,106 |
$128K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
478 |
193 |
$39K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
185 |
175 |
$26K |
| 80053 |
Comprehensive metabolic panel |
268 |
241 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
544 |
481 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
54 |
50 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
121 |
112 |
$5K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
76 |
41 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
32 |
30 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
77 |
77 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
14 |
$796.73 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
13 |
12 |
$503.28 |
| T1015 |
Clinic visit/encounter, all-inclusive |
88 |
77 |
$0.00 |
| A9270 |
Non-covered item or service |
749 |
389 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
65 |
65 |
$0.00 |