| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
9,810 |
2,199 |
$358K |
| 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 |
12,522 |
2,814 |
$166K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
3,239 |
837 |
$158K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
1,984 |
1,377 |
$63K |
| 87481 |
|
1,663 |
1,082 |
$18K |
| 87631 |
|
240 |
235 |
$15K |
| 87150 |
|
829 |
424 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
393 |
290 |
$9K |
| 87500 |
|
1,689 |
1,098 |
$6K |
| 87641 |
|
1,611 |
1,052 |
$5K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,251 |
715 |
$5K |
| 87653 |
|
1,131 |
849 |
$5K |
| 87541 |
|
240 |
235 |
$4K |
| 87581 |
|
240 |
235 |
$4K |
| 87486 |
|
240 |
235 |
$4K |
| 87640 |
|
254 |
248 |
$4K |
| 80053 |
Comprehensive metabolic panel |
2,632 |
2,004 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,862 |
2,038 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
666 |
508 |
$3K |
| 80061 |
Lipid panel |
1,283 |
1,030 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,470 |
1,204 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
899 |
707 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
679 |
331 |
$1K |
| 80164 |
|
270 |
226 |
$683.33 |
| 82607 |
|
290 |
215 |
$623.21 |
| 85027 |
|
462 |
347 |
$560.49 |
| 87471 |
|
206 |
128 |
$557.89 |
| 80177 |
|
254 |
209 |
$485.22 |
| 84439 |
|
406 |
325 |
$387.95 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
634 |
376 |
$387.89 |
| 81226 |
|
20 |
18 |
$360.73 |
| 82747 |
|
58 |
52 |
$277.63 |
| 81225 |
|
20 |
18 |
$233.09 |
| 83735 |
|
165 |
128 |
$171.17 |
| 84481 |
|
151 |
116 |
$159.93 |
| 81230 |
|
20 |
18 |
$139.85 |
| 81231 |
|
20 |
18 |
$139.85 |
| 81227 |
|
20 |
18 |
$139.85 |
| 81328 |
|
20 |
18 |
$139.85 |
| 81401 |
|
20 |
18 |
$109.60 |
| 83880 |
|
94 |
68 |
$86.58 |
| 82728 |
|
16 |
15 |
$71.56 |
| 81355 |
|
20 |
18 |
$70.56 |
| 83550 |
|
89 |
69 |
$66.34 |
| 81241 |
|
20 |
18 |
$58.70 |
| 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 |
1,266 |
858 |
$58.40 |
| 83540 |
|
99 |
76 |
$57.99 |
| 80050 |
General health panel |
16 |
15 |
$56.27 |
| 81240 |
|
20 |
18 |
$52.55 |
| 81291 |
|
20 |
18 |
$52.27 |
| 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) |
1,268 |
851 |
$36.03 |
| 84460 |
|
65 |
47 |
$23.96 |
| 84450 |
|
60 |
44 |
$13.71 |
| 81005 |
|
60 |
51 |
$11.49 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
18 |
17 |
$3.79 |
| 36415 |
Collection of venous blood by venipuncture |
69 |
56 |
$3.63 |
| 84480 |
|
14 |
13 |
$0.00 |
| 81418 |
|
105 |
100 |
$0.00 |