| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| R0075 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen |
5,989 |
5,258 |
$60K |
| R0070 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen |
6,721 |
6,020 |
$60K |
| Q0092 |
Set-up portable x-ray equipment |
13,186 |
10,808 |
$35K |
| 71045 |
Radiologic examination, chest; single view |
13,771 |
8,033 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,048 |
2,185 |
$20K |
| 80053 |
Comprehensive metabolic panel |
2,332 |
1,345 |
$14K |
| 83735 |
|
3,293 |
1,658 |
$12K |
| 74018 |
|
3,043 |
1,699 |
$9K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,242 |
1,006 |
$9K |
| 73560 |
|
1,144 |
606 |
$4K |
| 80069 |
|
399 |
248 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
486 |
333 |
$2K |
| 73501 |
|
411 |
263 |
$1K |
| 86140 |
|
343 |
189 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
322 |
291 |
$909.41 |
| 93971 |
|
17 |
12 |
$797.16 |
| 73502 |
|
105 |
64 |
$562.89 |
| 84443 |
Thyroid stimulating hormone (TSH) |
57 |
53 |
$491.71 |
| 85652 |
|
310 |
182 |
$491.55 |
| 36415 |
Collection of venous blood by venipuncture |
3,812 |
1,193 |
$486.10 |
| 73020 |
|
76 |
41 |
$175.56 |
| 73620 |
|
66 |
37 |
$162.81 |
| 72100 |
|
21 |
13 |
$97.92 |
| 84439 |
|
16 |
12 |
$88.64 |
| 73600 |
|
25 |
14 |
$69.85 |
| 73100 |
|
18 |
12 |
$63.90 |
| 81001 |
|
14 |
12 |
$25.22 |
| 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 |
7,023 |
2,341 |
$4.95 |
| 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) |
3,009 |
1,019 |
$0.00 |