| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| R0070 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen |
2,406 |
2,000 |
$100K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,321 |
2,870 |
$5K |
| Q0092 |
Set-up portable x-ray equipment |
2,555 |
2,074 |
$2K |
| 73130 |
|
104 |
91 |
$2K |
| 80053 |
Comprehensive metabolic panel |
758 |
601 |
$2K |
| 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 |
1,152 |
841 |
$2K |
| 80061 |
Lipid panel |
387 |
323 |
$872.70 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
690 |
548 |
$619.06 |
| 84443 |
Thyroid stimulating hormone (TSH) |
411 |
329 |
$535.11 |
| 73562 |
|
30 |
25 |
$385.35 |
| 36415 |
Collection of venous blood by venipuncture |
1,074 |
796 |
$383.54 |
| 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 |
16 |
13 |
$349.19 |
| 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) |
462 |
341 |
$266.30 |
| 86592 |
|
244 |
205 |
$209.60 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$31.33 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$31.33 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
130 |
105 |
$31.25 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
61 |
45 |
$28.08 |
| 86703 |
|
16 |
16 |
$23.77 |
| 81000 |
|
50 |
41 |
$3.59 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
14 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
34 |
32 |
$0.00 |
| 86696 |
|
12 |
12 |
$0.00 |
| 86695 |
|
12 |
12 |
$0.00 |
| 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 |
449 |
330 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
27 |
24 |
$0.00 |
| 83735 |
|
13 |
12 |
$0.00 |
| 87088 |
|
23 |
13 |
$0.00 |