| Code | Description | Claims | Beneficiaries | Total Paid |
| 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 |
12,621 |
5,284 |
$55K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,551 |
770 |
$8K |
| 80053 |
Comprehensive metabolic panel |
977 |
478 |
$8K |
| 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 |
94 |
63 |
$8K |
| G2024 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source |
224 |
141 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
6,574 |
2,453 |
$4K |
| 83735 |
|
665 |
267 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
525 |
280 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
167 |
92 |
$3K |
| 85610 |
|
657 |
276 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
80 |
69 |
$1K |
| 83615 |
|
215 |
97 |
$995.93 |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
44 |
32 |
$971.65 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
34 |
25 |
$655.20 |
| 80061 |
Lipid panel |
64 |
57 |
$487.10 |
| 85652 |
|
197 |
83 |
$464.34 |
| 86140 |
|
101 |
44 |
$439.59 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
56 |
52 |
$381.32 |
| 84100 |
|
26 |
14 |
$95.70 |
| 81001 |
|
15 |
12 |
$31.82 |