| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 84481 |
|
18 |
18 |
$22.76 |
| 80061 |
Lipid panel |
38 |
36 |
$18.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
38 |
36 |
$13.06 |
| 84439 |
|
18 |
18 |
$12.12 |
| 36415 |
Collection of venous blood by venipuncture |
61 |
56 |
$0.00 |
| 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 |
62 |
56 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
19 |
18 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
60 |
56 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
60 |
56 |
$0.00 |