| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
900 |
542 |
$437.75 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
581 |
431 |
$123.61 |
| 80053 |
Comprehensive metabolic panel |
279 |
239 |
$43.47 |
| 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) |
1,026 |
626 |
$40.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
31 |
30 |
$13.28 |
| 80061 |
Lipid panel |
72 |
66 |
$10.39 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
73 |
70 |
$7.69 |
| 81001 |
|
14 |
13 |
$0.00 |