PHYSICIANS STAT LAB INC.

$99K

Total Medicaid Paid

154,240

Total Claims

100,737

Beneficiaries

67

Codes Billed

2018-01

First Month

2024-05

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
U0003	Cov-19 amp prb hgh thruput	5,746	2,507	$26K
80053		14,635	10,757	$15K
87798		6,330	876	$12K
87635		970	613	$10K
82306		5,440	4,151	$7K
P9603	One-way allow prorated miles	6,642	3,981	$4K
84443		9,925	7,518	$3K
G2023	Specimen collect covid-19	5,655	2,804	$2K
80048		3,960	2,593	$2K
87637		24	21	$2K
82607		5,459	4,164	$2K
85025		17,591	12,312	$2K
80061		9,892	7,650	$1K
87631		121	85	$1K
87641		518	367	$1K
83036		8,110	6,166	$1K
87799		291	212	$960.85
85610		2,972	1,034	$762.28
81001		5,799	4,223	$643.96
87633		693	313	$641.47
87481		1,397	261	$622.18
U0005	Infec agen detec ampli probe	3,216	1,453	$410.50
82746		1,699	1,270	$386.10
82728		1,461	1,084	$381.78
87542		290	213	$329.22
87653		648	453	$298.76
84479		407	294	$275.19
P9604	One-way allow prorated trip	4,859	2,648	$268.49
87640		627	445	$255.12
84439		2,739	2,120	$204.99
84480		573	417	$152.68
83735		2,462	1,824	$124.75
36415		13,204	8,603	$114.81
84436		1,139	880	$95.29
83540		1,978	1,457	$69.91
87500		478	373	$63.44
84481		80	69	$29.47
83550		748	532	$28.54
84146		13	12	$14.27
81002		15	12	$3.48
G0471	Ven blood coll snf/hha	1,306	837	$2.68
87150		132	87	$0.00
82570		35	26	$0.00
82610		154	143	$0.00
80076		452	302	$0.00
80164		100	87	$0.00
87186		545	446	$0.00
87563		74	50	$0.00
84550		25	24	$0.00
86413		66	35	$0.00
82947		19	12	$0.00
82747		19	17	$0.00
84153		270	214	$0.00
87086		1,162	959	$0.00
83880		167	135	$0.00
87505		43	36	$0.00
87651		177	113	$0.00
82043		87	65	$0.00
87088		197	120	$0.00
87900		43	36	$0.00
87541		89	59	$0.00
G0103	Psa screening	22	18	$0.00
86140		49	24	$0.00
87077		35	31	$0.00
85651		55	25	$0.00
81000		45	34	$0.00
86409		66	35	$0.00

Medicaid Provider Spending