AMERICAN SPECIALTY LAB LLC

$497K

Total Medicaid Paid

53,528

Total Claims

44,626

Beneficiaries

57

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
G0480	Drug test def 1-7 classes	6,747	6,200	$165K
80307		8,504	7,818	$153K
U0003	Cov-19 amp prb hgh thruput	2,383	1,580	$101K
G0481	Drug test def 8-14 classes	793	746	$34K
U0005	Infec agen detec ampli probe	1,936	1,326	$9K
G2023	Specimen collect covid-19	2,127	1,569	$6K
82306		1,522	1,258	$5K
80061		3,163	2,651	$5K
80050		201	183	$4K
83036		2,560	2,135	$3K
80053		4,011	3,334	$2K
85025		3,361	2,761	$2K
84443		2,626	2,227	$1K
82607		686	580	$1K
36415		4,022	3,067	$953.51
84439		498	414	$595.11
87086		233	178	$270.33
86769		18	13	$210.66
82670		13	13	$209.66
84403		16	15	$193.71
G0306	Cbc/diffwbc w/o platelet	543	451	$193.12
81001		469	352	$192.37
84402		14	14	$191.07
84550		595	523	$166.32
84270		14	14	$163.13
84481		143	129	$161.84
84311		428	407	$157.41
84144		14	14	$156.53
84146		15	14	$145.42
83001		13	13	$126.80
83002		13	13	$126.30
82570		435	413	$123.55
82533		13	13	$122.32
87591		15	12	$119.70
87491		15	12	$119.70
84153		202	175	$112.95
84436		142	134	$112.56
82728		47	36	$111.60
82746		33	33	$100.30
84480		15	14	$87.03
83540		66	51	$62.24
83021		71	71	$61.60
83735		35	33	$50.27
86140		17	15	$35.30
84100		15	14	$32.30
P9604	One-way allow prorated trip	4,040	2,953	$30.93
87077		17	17	$22.08
83986		426	406	$21.96
81003		57	46	$12.24
84479		17	17	$8.84
84466		28	19	$8.71
82043		13	13	$0.00
85652		52	48	$0.00
84154		13	13	$0.00
G0103	Psa screening	15	14	$0.00
80048		16	12	$0.00
99001		32	30	$0.00

Medicaid Provider Spending