| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 84443 |
Thyroid stimulating hormone (TSH) |
12,294 |
11,554 |
$135K |
| 80053 |
Comprehensive metabolic panel |
19,538 |
17,879 |
$130K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19,996 |
18,125 |
$99K |
| 80061 |
Lipid panel |
11,847 |
11,143 |
$98K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,247 |
4,006 |
$79K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,478 |
6,997 |
$41K |
| 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 |
682 |
611 |
$39K |
| 82607 |
|
3,768 |
3,531 |
$35K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,453 |
1,381 |
$34K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
5,270 |
4,730 |
$23K |
| 82746 |
|
2,589 |
2,436 |
$23K |
| 84439 |
|
3,375 |
3,143 |
$20K |
| 84153 |
|
1,356 |
1,277 |
$20K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
521 |
489 |
$19K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
518 |
488 |
$19K |
| 87070 |
|
2,488 |
2,331 |
$18K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
445 |
399 |
$17K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
426 |
411 |
$16K |
| 80050 |
General health panel |
555 |
491 |
$14K |
| 80074 |
|
343 |
317 |
$13K |
| 82728 |
|
1,828 |
1,706 |
$13K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,074 |
2,821 |
$13K |
| 87186 |
|
2,545 |
2,333 |
$11K |
| 87077 |
|
2,527 |
2,314 |
$10K |
| 83550 |
|
2,061 |
1,916 |
$10K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
295 |
285 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
295 |
285 |
$9K |
| 83540 |
|
2,267 |
2,106 |
$8K |
| 84403 |
|
357 |
325 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
513 |
241 |
$7K |
| 83735 |
|
1,744 |
1,589 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
14,941 |
12,953 |
$7K |
| 82570 |
|
2,354 |
2,196 |
$6K |
| 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 |
337 |
295 |
$6K |
| 82043 |
|
1,998 |
1,871 |
$6K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
317 |
290 |
$6K |
| 84702 |
|
399 |
317 |
$6K |
| 86140 |
|
1,446 |
1,356 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
206 |
194 |
$5K |
| 85652 |
|
2,588 |
2,436 |
$5K |
| 80076 |
|
659 |
630 |
$4K |
| 81001 |
|
2,202 |
2,005 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
247 |
234 |
$4K |
| 84550 |
|
1,201 |
1,104 |
$3K |
| 82784 |
|
285 |
278 |
$3K |
| 87081 |
|
474 |
457 |
$3K |
| 82565 |
|
899 |
861 |
$3K |
| 83690 |
|
592 |
549 |
$3K |
| 86038 |
|
288 |
266 |
$3K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
55 |
55 |
$3K |
| 83970 |
|
179 |
164 |
$3K |
| 86803 |
|
250 |
242 |
$3K |
| 81015 |
|
1,288 |
1,199 |
$2K |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
125 |
117 |
$2K |
| 84460 |
|
605 |
575 |
$2K |
| 87340 |
|
237 |
229 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
113 |
106 |
$2K |
| 84481 |
|
162 |
148 |
$2K |
| 84450 |
|
469 |
442 |
$2K |
| 87205 |
|
561 |
526 |
$2K |
| 86255 |
|
157 |
143 |
$2K |
| 85027 |
|
377 |
354 |
$2K |
| 82150 |
|
317 |
303 |
$2K |
| 81513 |
|
12 |
12 |
$1K |
| 86431 |
|
343 |
325 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
43 |
42 |
$1K |
| 86235 |
|
28 |
18 |
$1K |
| 86592 |
|
229 |
216 |
$941.36 |
| 82248 |
|
277 |
258 |
$865.68 |
| 83001 |
|
54 |
50 |
$767.24 |
| 82670 |
|
26 |
24 |
$726.81 |
| 85610 |
|
288 |
239 |
$643.51 |
| 87522 |
Neg quan hep c or qual rna |
13 |
12 |
$634.56 |
| 86480 |
|
12 |
12 |
$532.64 |
| 83516 |
|
13 |
13 |
$353.00 |
| 86160 |
|
14 |
14 |
$261.67 |
| 82274 |
|
27 |
24 |
$259.11 |
| 86376 |
|
14 |
14 |
$203.57 |
| 86800 |
|
13 |
13 |
$203.19 |
| 83002 |
|
15 |
13 |
$182.88 |
| 82550 |
|
30 |
25 |
$158.55 |
| 83525 |
|
13 |
13 |
$125.73 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
165 |
157 |
$118.60 |