| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 82040 |
|
1,034 |
707 |
$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 |
2,580 |
1,766 |
$709.86 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,301 |
1,676 |
$636.89 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,275 |
1,022 |
$379.27 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
807 |
45 |
$294.84 |
| 80053 |
Comprehensive metabolic panel |
1,037 |
933 |
$183.06 |
| 80061 |
Lipid panel |
801 |
713 |
$174.04 |
| 82435 |
|
1,157 |
777 |
$159.62 |
| 82565 |
|
1,152 |
777 |
$128.23 |
| 82310 |
|
1,195 |
778 |
$115.32 |
| 84075 |
|
1,030 |
694 |
$101.96 |
| 83718 |
|
718 |
503 |
$96.18 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
159 |
120 |
$89.61 |
| 82947 |
|
1,165 |
775 |
$79.57 |
| 84132 |
|
1,164 |
773 |
$73.81 |
| 84460 |
|
1,033 |
694 |
$58.99 |
| 84450 |
|
1,027 |
693 |
$50.90 |
| 85027 |
|
417 |
372 |
$50.65 |
| 82247 |
|
1,010 |
693 |
$49.32 |
| 82374 |
|
1,161 |
776 |
$43.91 |
| 80164 |
|
61 |
57 |
$43.23 |
| 84155 |
|
1,036 |
697 |
$40.40 |
| 84478 |
|
721 |
503 |
$38.79 |
| 84520 |
|
1,165 |
774 |
$35.91 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
190 |
149 |
$32.40 |
| 81000 |
|
585 |
454 |
$26.86 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
721 |
602 |
$24.72 |
| 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 |
157 |
130 |
$11.00 |
| 84439 |
|
77 |
55 |
$6.01 |
| 36415 |
Collection of venous blood by venipuncture |
3,807 |
2,638 |
$5.83 |
| 81001 |
|
15 |
15 |
$2.39 |
| 82248 |
|
54 |
52 |
$0.00 |
| 87481 |
|
48 |
34 |
$0.00 |
| 82977 |
|
143 |
108 |
$0.00 |
| 87653 |
|
48 |
34 |
$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 |
26 |
26 |
$0.00 |
| 83540 |
|
41 |
23 |
$0.00 |
| 80305 |
|
27 |
27 |
$0.00 |
| 83615 |
|
138 |
109 |
$0.00 |
| 82607 |
|
274 |
201 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
127 |
107 |
$0.00 |
| 87088 |
|
238 |
198 |
$0.00 |
| 82728 |
|
32 |
18 |
$0.00 |
| 87640 |
|
48 |
34 |
$0.00 |
| 83880 |
|
35 |
20 |
$0.00 |
| 82746 |
|
64 |
40 |
$0.00 |