| 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 |
192 |
119 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
51 |
43 |
$83.28 |
| 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) |
121 |
80 |
$62.78 |
| 80061 |
Lipid panel |
53 |
44 |
$56.81 |
| 85610 |
|
117 |
43 |
$37.48 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
94 |
72 |
$29.36 |
| 83037 |
|
30 |
24 |
$28.58 |
| 80053 |
Comprehensive metabolic panel |
61 |
49 |
$16.37 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
20 |
13 |
$15.16 |
| 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 |
30 |
19 |
$12.42 |
| 87186 |
|
20 |
13 |
$8.12 |
| 84443 |
Thyroid stimulating hormone (TSH) |
63 |
53 |
$7.88 |
| 87077 |
|
20 |
13 |
$7.58 |
| 36415 |
Collection of venous blood by venipuncture |
122 |
61 |
$4.37 |
| 81001 |
|
20 |
13 |
$3.15 |
| 82607 |
|
15 |
12 |
$0.00 |