| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
21 |
21 |
$0.00 |
| 80061 |
Lipid panel |
58 |
57 |
$0.00 |
| 81003 |
|
13 |
13 |
$0.00 |
| G0483 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
14 |
13 |
$0.00 |
| T4541 |
Incontinence product, disposable underpad, large, each |
24 |
24 |
$0.00 |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
14 |
14 |
$0.00 |
| 82570 |
|
13 |
13 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
14 |
13 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
19 |
19 |
$0.00 |
| A4335 |
Incontinence supply; miscellaneous |
20 |
20 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
33 |
$0.00 |
| 82043 |
|
15 |
15 |
$0.00 |
| 93000 |
|
13 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
43 |
43 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
69 |
63 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
58 |
56 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
24 |
24 |
$0.00 |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
17 |
16 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
78 |
68 |
$0.00 |