| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
183 |
152 |
$582.16 |
| 80053 |
Comprehensive metabolic panel |
430 |
356 |
$565.95 |
| 84443 |
Thyroid stimulating hormone (TSH) |
240 |
209 |
$527.70 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
433 |
348 |
$444.94 |
| 80061 |
Lipid panel |
337 |
275 |
$424.72 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
222 |
187 |
$310.77 |
| 82607 |
|
80 |
68 |
$127.44 |
| 84439 |
|
136 |
118 |
$103.82 |
| 84481 |
|
53 |
50 |
$81.06 |
| 83722 |
|
82 |
69 |
$34.20 |
| 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 |
147 |
119 |
$21.37 |
| 82746 |
|
35 |
32 |
$18.75 |
| 83540 |
|
38 |
34 |
$10.51 |
| 83690 |
|
16 |
15 |
$4.61 |
| 82150 |
|
17 |
16 |
$3.95 |
| 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) |
134 |
120 |
$0.63 |
| 84100 |
|
16 |
16 |
$0.00 |
| 84550 |
|
13 |
13 |
$0.00 |
| 83735 |
|
33 |
30 |
$0.00 |
| 82728 |
|
31 |
29 |
$0.00 |
| 85027 |
|
18 |
15 |
$0.00 |