| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
322 |
245 |
$1K |
| 80053 |
Comprehensive metabolic panel |
661 |
556 |
$504.25 |
| 84443 |
Thyroid stimulating hormone (TSH) |
272 |
269 |
$476.96 |
| 80061 |
Lipid panel |
289 |
286 |
$474.95 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
112 |
111 |
$444.72 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
749 |
615 |
$397.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
284 |
279 |
$355.43 |
| G0471 |
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) |
377 |
292 |
$103.10 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
115 |
106 |
$61.86 |
| 81001 |
|
170 |
158 |
$33.61 |
| 83540 |
|
12 |
12 |
$17.66 |
| 84480 |
|
28 |
28 |
$12.46 |
| 84439 |
|
24 |
24 |
$7.83 |
| 85730 |
|
15 |
12 |
$0.00 |
| 83735 |
|
21 |
13 |
$0.00 |
| 87088 |
|
29 |
27 |
$0.00 |
| 84100 |
|
15 |
12 |
$0.00 |
| 85610 |
|
20 |
15 |
$0.00 |