| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
20,508 |
10,932 |
$1.22M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
28,118 |
15,155 |
$951K |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
7,309 |
4,433 |
$263K |
| G0482 |
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; 15-21 drug class(es), including metabolite(s) if performed |
3,941 |
2,760 |
$106K |
| 80321 |
|
5,187 |
3,131 |
$69K |
| 80370 |
|
1,616 |
1,149 |
$63K |
| 80348 |
|
9,013 |
6,244 |
$34K |
| 80373 |
|
7,101 |
4,918 |
$32K |
| 80361 |
|
11,425 |
8,379 |
$29K |
| 80355 |
|
3,733 |
3,034 |
$23K |
| 80337 |
|
439 |
247 |
$21K |
| 80324 |
|
8,182 |
5,539 |
$20K |
| 80368 |
|
755 |
530 |
$20K |
| G0483 |
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; 22 or more drug class(es), including metabolite(s) if performed |
581 |
370 |
$19K |
| 80366 |
|
3,271 |
2,640 |
$18K |
| 80346 |
|
8,465 |
5,672 |
$17K |
| 80354 |
|
7,924 |
5,499 |
$17K |
| 80353 |
|
7,923 |
5,255 |
$17K |
| 80358 |
|
7,069 |
4,788 |
$16K |
| 80338 |
|
1,389 |
1,082 |
$14K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,823 |
2,537 |
$13K |
| 80356 |
|
10,960 |
7,873 |
$13K |
| 80344 |
|
596 |
373 |
$12K |
| 80365 |
|
8,910 |
6,272 |
$12K |
| 80372 |
|
2,555 |
1,747 |
$11K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,373 |
2,122 |
$9K |
| 80360 |
|
6,398 |
4,267 |
$9K |
| 82607 |
|
1,958 |
1,866 |
$8K |
| 80345 |
|
5,361 |
3,437 |
$8K |
| 82746 |
|
1,763 |
1,684 |
$7K |
| 80050 |
General health panel |
776 |
729 |
$7K |
| 80061 |
Lipid panel |
2,946 |
2,621 |
$7K |
| 80053 |
Comprehensive metabolic panel |
3,049 |
2,650 |
$7K |
| 80359 |
|
3,396 |
2,452 |
$6K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
63 |
61 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
144 |
128 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
144 |
128 |
$5K |
| 83550 |
|
1,751 |
1,671 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,462 |
2,239 |
$5K |
| 80362 |
|
2,590 |
1,795 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,072 |
2,682 |
$5K |
| 80369 |
|
2,008 |
1,567 |
$4K |
| 80349 |
|
1,973 |
1,315 |
$4K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
155 |
138 |
$4K |
| 84480 |
|
1,200 |
1,152 |
$4K |
| 83540 |
|
1,391 |
1,329 |
$4K |
| 86141 |
|
213 |
200 |
$3K |
| 84436 |
|
625 |
594 |
$3K |
| 86038 |
|
940 |
904 |
$2K |
| 84439 |
|
1,378 |
1,318 |
$2K |
| 85651 |
|
1,355 |
1,273 |
$2K |
| 84479 |
|
407 |
383 |
$2K |
| 84550 |
|
1,333 |
1,280 |
$2K |
| 82728 |
|
429 |
396 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
46 |
43 |
$2K |
| 82533 |
|
131 |
124 |
$2K |
| 83695 |
|
193 |
182 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
344 |
312 |
$1K |
| 83735 |
|
265 |
250 |
$1K |
| 87481 |
|
53 |
51 |
$1K |
| 82150 |
|
910 |
875 |
$1K |
| 82550 |
|
222 |
207 |
$1K |
| 86703 |
|
154 |
144 |
$949.96 |
| 86140 |
|
912 |
876 |
$933.03 |
| 86696 |
|
41 |
37 |
$720.21 |
| 81003 |
|
713 |
641 |
$658.05 |
| 84153 |
|
264 |
230 |
$631.39 |
| 36415 |
Collection of venous blood by venipuncture |
2,061 |
1,518 |
$538.29 |
| 86695 |
|
41 |
37 |
$537.30 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
54 |
51 |
$520.35 |
| 82043 |
|
143 |
134 |
$418.29 |
| 86694 |
|
39 |
35 |
$410.56 |
| 83718 |
|
130 |
122 |
$323.52 |
| 86803 |
|
279 |
211 |
$258.83 |
| 84703 |
|
164 |
162 |
$253.24 |
| 86592 |
|
64 |
55 |
$235.58 |
| 84460 |
|
152 |
144 |
$230.78 |
| 84075 |
|
152 |
144 |
$223.72 |
| 84450 |
|
152 |
144 |
$223.72 |
| 83992 |
|
26 |
14 |
$220.00 |
| 84478 |
|
130 |
122 |
$218.61 |
| 82310 |
|
153 |
145 |
$214.18 |
| 82374 |
|
152 |
144 |
$213.43 |
| 81001 |
|
146 |
139 |
$211.15 |
| 82247 |
|
152 |
144 |
$209.98 |
| 84295 |
|
152 |
144 |
$207.98 |
| 82565 |
|
169 |
149 |
$205.58 |
| 84132 |
|
158 |
147 |
$204.65 |
| 82040 |
|
151 |
144 |
$203.70 |
| 82435 |
|
152 |
144 |
$200.15 |
| 85610 |
|
78 |
44 |
$190.15 |
| 82977 |
|
45 |
42 |
$189.85 |
| 82465 |
|
130 |
122 |
$170.94 |
| 82947 |
|
154 |
146 |
$165.32 |
| 84520 |
|
148 |
140 |
$162.32 |
| 84155 |
|
152 |
144 |
$160.10 |
| 87340 |
|
19 |
14 |
$151.02 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
55 |
55 |
$134.68 |
| 84702 |
|
19 |
17 |
$97.83 |
| 80074 |
|
18 |
14 |
$88.76 |
| 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 |
30 |
26 |
$50.22 |
| 80177 |
|
13 |
13 |
$36.94 |
| 88142 |
|
12 |
12 |
$31.98 |
| 80076 |
|
33 |
28 |
$8.69 |
| 80371 |
|
37 |
30 |
$0.00 |