| A | B | C | D | E | F | G | |
|---|---|---|---|---|---|---|---|
1 | CPT only copyright 2020 American Medical Association. All rights reserved. | ||||||
2 | |||||||
3 | 2020 Part B National Summary Data File Code Range: 04) Path/Lab (80000 - 89999) and codes ending in U or M | ||||||
4 | This data table begins with column headers on row 5 and data cells are A-6 through F-3988 | ||||||
5 | DESCRIPTION | HCPCS | MODIFIER | ALLOWED SERVICES | ALLOWED CHARGES | PAYMENT | |
6 | PATH/LAB | 0001U | OTHER | N/A | $4,320.00 | $4,248.00 | |
7 | PATH/LAB | 0001U | TOTAL | N/A | $4,320.00 | $4,248.00 | |
8 | PATH/LAB | 0002M | OTHER | N/A | $704.40 | $694.33 | |
9 | PATH/LAB | 0002M | TOTAL | N/A | $704.40 | $694.33 | |
10 | PATH/LAB | 0002U | OTHER | N/A | $25.00 | $25.00 | |
11 | PATH/LAB | 0002U | TOTAL | N/A | $25.00 | $25.00 | |
12 | PATH/LAB | 0003M | OTHER | 88 | $40,123.22 | $39,699.98 | |
13 | PATH/LAB | 0003M | TOTAL | 88 | $40,123.22 | $39,699.98 | |
14 | PATH/LAB | 0003U | OTHER | N/A | $0.00 | $0.00 | |
15 | PATH/LAB | 0003U | TOTAL | N/A | $0.00 | $0.00 | |
16 | PATH/LAB | 0004M | OTHER | N/A | $0.00 | $0.00 | |
17 | PATH/LAB | 0004M | TOTAL | N/A | $0.00 | $0.00 | |
18 | PATH/LAB | 0005U | OTHER | 4,940 | $3,754,400.00 | $3,729,764.78 | |
19 | PATH/LAB | 0005U | TOTAL | 4,940 | $3,754,400.00 | $3,729,764.78 | |
20 | PATH/LAB | 0006M | OTHER | N/A | $0.00 | $0.00 | |
21 | PATH/LAB | 0006M | TOTAL | N/A | $0.00 | $0.00 | |
22 | PATH/LAB | 0006U | OTHER | N/A | $0.00 | $0.00 | |
23 | PATH/LAB | 0006U | TOTAL | N/A | $0.00 | $0.00 | |
24 | PATH/LAB | 0007M | OTHER | N/A | $0.00 | $0.00 | |
25 | PATH/LAB | 0007M | TOTAL | N/A | $0.00 | $0.00 | |
26 | PATH/LAB | 0007U | OTHER | N/A | $0.00 | $0.00 | |
27 | PATH/LAB | 0007U | TOTAL | N/A | $0.00 | $0.00 | |
28 | PATH/LAB | 0008U | OTHER | N/A | $550.00 | $539.00 | |
29 | PATH/LAB | 0008U | TOTAL | N/A | $550.00 | $539.00 | |
30 | PATH/LAB | 0012M | OTHER | 1,353 | $1,028,280.00 | $1,027,603.60 | |
31 | PATH/LAB | 0012M | TOTAL | 1,353 | $1,028,280.00 | $1,027,603.60 | |
32 | PATH/LAB | 0013M | OTHER | 640 | $486,400.00 | $486,400.00 | |
33 | PATH/LAB | 0013M | TOTAL | 640 | $486,400.00 | $486,400.00 | |
34 | PATH/LAB | 0018U | OTHER | 1,408 | $4,222,542.72 | $4,195,848.55 | |
35 | PATH/LAB | 0018U | TOTAL | 1,408 | $4,222,542.72 | $4,195,848.55 | |
36 | PATH/LAB | 0019U | OTHER | N/A | $200.00 | $196.00 | |
37 | PATH/LAB | 0019U | TOTAL | N/A | $200.00 | $196.00 | |
38 | PATH/LAB | 0022U | OTHER | N/A | $7,800.00 | $7,800.00 | |
39 | PATH/LAB | 0022U | TOTAL | N/A | $7,800.00 | $7,800.00 | |
40 | PATH/LAB | 0023U | OTHER | 273 | $61,873.15 | $61,102.41 | |
41 | PATH/LAB | 0023U | TOTAL | 273 | $61,873.15 | $61,102.41 | |
42 | PATH/LAB | 0024U | OTHER | 59 | $1,506.97 | $1,504.41 | |
43 | PATH/LAB | 0024U | TOTAL | 59 | $1,506.97 | $1,504.41 | |
44 | PATH/LAB | 0026U | OTHER | N/A | $28,800.00 | $28,584.00 | |
45 | PATH/LAB | 0026U | TOTAL | N/A | $28,800.00 | $28,584.00 | |
46 | PATH/LAB | 0027U | OTHER | 277 | $33,256.79 | $32,943.62 | |
47 | PATH/LAB | 0027U | TOTAL | 277 | $33,256.79 | $32,943.62 | |
48 | PATH/LAB | 0029U | OTHER | N/A | $3,873.08 | $3,847.23 | |
49 | PATH/LAB | 0029U | TOTAL | N/A | $3,873.08 | $3,847.23 | |
50 | PATH/LAB | 0030U | OTHER | 260 | $34,873.80 | $34,873.80 | |
51 | PATH/LAB | 0030U | TOTAL | 260 | $34,873.80 | $34,873.80 | |
52 | PATH/LAB | 0031U | OTHER | 617 | $107,857.77 | $107,847.27 | |
53 | PATH/LAB | 0031U | TOTAL | 617 | $107,857.77 | $107,847.27 | |
54 | PATH/LAB | 0032U | OTHER | 755 | $131,981.55 | $131,971.05 | |
55 | PATH/LAB | 0032U | TOTAL | 755 | $131,981.55 | $131,971.05 | |
56 | PATH/LAB | 0033U | OTHER | 522 | $165,799.00 | $165,785.02 | |
57 | PATH/LAB | 0033U | TOTAL | 522 | $165,799.00 | $165,785.02 | |
58 | PATH/LAB | 0034U | OTHER | 12 | $5,594.04 | $5,584.72 | |
59 | PATH/LAB | 0034U | TOTAL | 12 | $5,594.04 | $5,584.72 | |
60 | PATH/LAB | 0035U | OTHER | 17 | $7,403.80 | $6,605.96 | |
61 | PATH/LAB | 0035U | TOTAL | 17 | $7,403.80 | $6,605.96 | |
62 | PATH/LAB | 0036U | OTHER | N/A | $0.00 | $0.00 | |
63 | PATH/LAB | 0036U | TOTAL | N/A | $0.00 | $0.00 | |
64 | PATH/LAB | 0037U | OTHER | 22,147 | $77,514,500.00 | $76,814,344.36 | |
65 | PATH/LAB | 0037U | TOTAL | 22,147 | $77,514,500.00 | $76,814,344.36 | |
66 | PATH/LAB | 0038U | OTHER | 1,811 | $53,605.60 | $53,014.38 | |
67 | PATH/LAB | 0038U | TOTAL | 1,811 | $53,605.60 | $53,014.38 | |
68 | PATH/LAB | 0041U | OTHER | 36 | $619.56 | $619.22 | |
69 | PATH/LAB | 0041U | TOTAL | 36 | $619.56 | $619.22 | |
70 | PATH/LAB | 0042U | OTHER | 59 | $1,015.39 | $1,011.99 | |
71 | PATH/LAB | 0042U | TOTAL | 59 | $1,015.39 | $1,011.99 | |
72 | PATH/LAB | 0044U | OTHER | 15 | $222.90 | $221.10 | |
73 | PATH/LAB | 0044U | TOTAL | 15 | $222.90 | $221.10 | |
74 | PATH/LAB | 0045U | OTHER | 367 | $1,421,391.00 | $1,402,878.06 | |
75 | PATH/LAB | 0045U | TOTAL | 367 | $1,421,391.00 | $1,402,878.06 | |
76 | PATH/LAB | 0046U | OTHER | N/A | $407.43 | $407.43 | |
77 | PATH/LAB | 0046U | TOTAL | N/A | $407.43 | $407.43 | |
78 | PATH/LAB | 0047U | OTHER | 3,837 | $14,860,701.00 | $14,656,464.33 | |
79 | PATH/LAB | 0047U | TOTAL | 3,837 | $14,860,701.00 | $14,656,464.33 | |
80 | PATH/LAB | 0050U | OTHER | N/A | $0.00 | $0.00 | |
81 | PATH/LAB | 0050U | TOTAL | N/A | $0.00 | $0.00 | |
82 | PATH/LAB | 0051U | OTHER | 480 | $92,980.80 | $92,357.73 | |
83 | PATH/LAB | 0051U | TOTAL | 480 | $92,980.80 | $92,357.73 | |
84 | PATH/LAB | 0053U | OTHER | N/A | $0.00 | $0.00 | |
85 | PATH/LAB | 0053U | TOTAL | N/A | $0.00 | $0.00 | |
86 | PATH/LAB | 0054U | OTHER | 1,331 | $198,265.76 | $195,703.63 | |
87 | PATH/LAB | 0054U | TOTAL | 1,331 | $198,265.76 | $195,703.63 | |
88 | PATH/LAB | 0058U | OTHER | 97 | $31,240.96 | $31,048.88 | |
89 | PATH/LAB | 0058U | TOTAL | 97 | $31,240.96 | $31,048.88 | |
90 | PATH/LAB | 0059U | OTHER | 35 | $11,303.60 | $11,251.92 | |
91 | PATH/LAB | 0059U | TOTAL | 35 | $11,303.60 | $11,251.92 | |
92 | PATH/LAB | 0061U | OTHER | 378 | $9,487.80 | $9,451.80 | |
93 | PATH/LAB | 0061U | TOTAL | 378 | $9,487.80 | $9,451.80 | |
94 | PATH/LAB | 0063U | OTHER | N/A | $55.00 | $55.00 | |
95 | PATH/LAB | 0063U | TOTAL | N/A | $55.00 | $55.00 | |
96 | PATH/LAB | 0064U | OTHER | 19 | $405.37 | $337.98 | |
97 | PATH/LAB | 0064U | TOTAL | 19 | $405.37 | $337.98 | |
98 | PATH/LAB | 0065U | OTHER | 151 | $2,399.91 | $2,277.19 | |
99 | PATH/LAB | 0065U | TOTAL | 151 | $2,399.91 | $2,277.19 | |
100 | PATH/LAB | 0067U | OTHER | N/A | $13,281.10 | $13,281.10 |