| Code | Description | Claims | Beneficiaries | Total Paid |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
605 |
602 |
$2K |
| 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 |
32 |
24 |
$236.82 |
| 80053 |
Comprehensive metabolic panel |
69 |
47 |
$99.62 |
| 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 |
61 |
44 |
$60.61 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
24 |
$59.32 |
| 36415 |
Collection of venous blood by venipuncture |
111 |
68 |
$12.88 |
| 80061 |
Lipid panel |
14 |
12 |
$0.00 |
| 85027 |
|
16 |
13 |
$0.00 |