| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
213 |
197 |
$2K |
| 80053 |
Comprehensive metabolic panel |
418 |
327 |
$211.63 |
| 84443 |
Thyroid stimulating hormone (TSH) |
142 |
128 |
$174.91 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
423 |
326 |
$149.13 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
94 |
84 |
$142.96 |
| 80061 |
Lipid panel |
106 |
98 |
$65.26 |
| 82607 |
|
80 |
73 |
$60.20 |
| 87187 |
|
15 |
14 |
$32.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
137 |
122 |
$31.41 |
| 83721 |
|
104 |
97 |
$25.14 |
| 87186 |
|
14 |
13 |
$6.91 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
44 |
41 |
$6.44 |
| 81000 |
|
73 |
62 |
$3.21 |
| 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) |
568 |
370 |
$0.00 |
| 0134A |
|
13 |
13 |
$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 |
506 |
321 |
$0.00 |
| 81015 |
|
12 |
12 |
$0.00 |
| 87205 |
|
16 |
15 |
$0.00 |
| 87088 |
|
14 |
13 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |
| 91300 |
|
28 |
28 |
$0.00 |
| 83540 |
|
12 |
12 |
$0.00 |
| 0124A |
|
37 |
35 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
225 |
207 |
$0.00 |
| 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 |
22 |
14 |
$0.00 |