AMERICAN LAB LLC

$98K

Total Medicaid Paid

136,283

Total Claims

88,190

Beneficiaries

54

Codes Billed

2019-11

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
82306		4,254	2,958	$21K
80053		13,976	9,254	$12K
84443		7,832	5,460	$10K
87186		2,278	1,396	$9K
P9603	One-way allow prorated miles	16,809	10,304	$6K
85025		15,370	9,795	$5K
80061		7,101	4,994	$4K
83036		6,257	4,341	$3K
87801		955	247	$2K
U0003	Cov-19 amp prb hgh thruput	254	114	$2K
87798		817	287	$2K
82607		4,871	3,331	$2K
U0004	Cov-19 test non-cdc hgh thru	210	102	$2K
87077		2,408	1,537	$2K
87086		4,347	2,767	$2K
80048		1,499	856	$1K
84480		887	674	$1K
80164		696	518	$1K
81003		6,298	4,177	$1K
82728		1,827	1,173	$738.86
87088		2,459	1,578	$720.04
36415		17,022	10,474	$703.58
U0005	Infec agen detec ampli probe	310	154	$647.50
82746		2,192	1,477	$585.94
84436		822	642	$567.95
82140		476	341	$535.61
87481		776	306	$521.25
84439		2,535	1,772	$494.47
84479		628	501	$426.70
84153		189	138	$390.91
87150		21	17	$386.05
87640		478	325	$373.17
87500		357	273	$340.12
83735		1,283	822	$323.32
87653		463	316	$322.95
82652		359	283	$252.13
83540		2,197	1,403	$250.56
83550		1,932	1,231	$250.00
87641		365	250	$211.16
87651		250	179	$191.93
G2023	Specimen collect covid-19	692	393	$164.22
P9604	One-way allow prorated trip	648	394	$106.22
84481		119	97	$61.45
82570		195	148	$56.72
82044		199	148	$50.58
83880		72	50	$28.47
85045		71	50	$16.60
85610		51	24	$11.50
82248		23	13	$6.25
84550		34	24	$2.93
85651		42	30	$0.00
G2024	Spec coll snf/lab covid-19	23	15	$0.00
86140		33	20	$0.00
87563		21	17	$0.00

Medicaid Provider Spending