| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
506 |
368 |
$300.08 |
| 80053 |
Comprehensive metabolic panel |
357 |
277 |
$250.23 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
111 |
90 |
$115.94 |
| 86140 |
|
19 |
12 |
$38.76 |
| 36415 |
Collection of venous blood by venipuncture |
234 |
150 |
$24.24 |
| 86592 |
|
26 |
26 |
$15.96 |
| 81001 |
|
13 |
12 |
$3.95 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
40 |
32 |
$0.00 |
| 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) |
717 |
437 |
$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 |
849 |
569 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
46 |
44 |
$0.00 |