| 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 |
8,393 |
4,665 |
$12K |
| 80061 |
Lipid panel |
1,421 |
776 |
$856.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,032 |
1,530 |
$815.54 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,785 |
967 |
$811.67 |
| 36415 |
Collection of venous blood by venipuncture |
4,141 |
2,088 |
$789.39 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
62 |
29 |
$750.00 |
| 80053 |
Comprehensive metabolic panel |
2,431 |
1,350 |
$698.85 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
732 |
365 |
$630.30 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
165 |
96 |
$539.58 |
| 84439 |
|
1,182 |
671 |
$538.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,500 |
821 |
$457.27 |
| 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) |
2,383 |
1,406 |
$292.60 |
| 82607 |
|
598 |
320 |
$204.40 |
| 83880 |
|
242 |
117 |
$203.91 |
| 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 |
276 |
150 |
$193.61 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
405 |
199 |
$126.79 |
| 87631 |
|
37 |
16 |
$118.40 |
| 80050 |
General health panel |
13 |
13 |
$77.28 |
| 82728 |
|
54 |
47 |
$52.50 |
| 82746 |
|
108 |
64 |
$41.14 |
| 81003 |
|
455 |
292 |
$34.58 |
| 80164 |
|
60 |
52 |
$32.88 |
| 84134 |
|
13 |
13 |
$23.95 |
| 83550 |
|
68 |
58 |
$21.54 |
| 83540 |
|
108 |
77 |
$21.35 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
158 |
83 |
$14.23 |
| 83735 |
|
45 |
28 |
$10.55 |
| 82570 |
|
16 |
12 |
$9.03 |
| 81000 |
|
133 |
70 |
$8.63 |
| 82248 |
|
19 |
13 |
$6.47 |
| 80177 |
|
21 |
18 |
$6.07 |
| 82043 |
|
17 |
12 |
$5.00 |
| 84480 |
|
22 |
12 |
$2.13 |
| 84132 |
|
38 |
15 |
$0.00 |
| 82435 |
|
38 |
13 |
$0.00 |
| 82374 |
|
35 |
13 |
$0.00 |
| 81002 |
|
24 |
14 |
$0.00 |
| 82947 |
|
38 |
13 |
$0.00 |
| 82310 |
|
38 |
13 |
$0.00 |
| 82565 |
|
38 |
13 |
$0.00 |
| 84520 |
|
38 |
13 |
$0.00 |