| 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 |
1,676 |
1,111 |
$80K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,417 |
1,382 |
$74K |
| 88307 |
|
730 |
720 |
$63K |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
274 |
270 |
$28K |
| 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 |
398 |
319 |
$26K |
| 82962 |
|
4,707 |
1,971 |
$25K |
| 88304 |
|
815 |
812 |
$24K |
| 88342 |
|
358 |
356 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,074 |
6,868 |
$17K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
528 |
446 |
$14K |
| 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 |
901 |
556 |
$13K |
| 80053 |
Comprehensive metabolic panel |
7,337 |
3,826 |
$13K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
137 |
105 |
$11K |
| 88302 |
|
270 |
269 |
$9K |
| 83735 |
|
4,272 |
2,128 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,116 |
1,483 |
$5K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
483 |
210 |
$5K |
| 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 |
97 |
92 |
$4K |
| 85027 |
|
3,681 |
3,390 |
$4K |
| 87040 |
|
1,399 |
1,225 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,432 |
1,354 |
$3K |
| 86141 |
|
1,578 |
941 |
$3K |
| 82805 |
|
580 |
397 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,317 |
2,279 |
$3K |
| 86901 |
|
6,853 |
5,622 |
$3K |
| 86886 |
|
3,932 |
3,770 |
$3K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
256 |
191 |
$3K |
| 80061 |
Lipid panel |
1,319 |
1,296 |
$2K |
| 86900 |
|
5,044 |
4,066 |
$2K |
| 84100 |
|
2,591 |
1,405 |
$2K |
| 82746 |
|
890 |
873 |
$2K |
| 82550 |
|
2,106 |
1,173 |
$2K |
| 83605 |
|
1,039 |
849 |
$2K |
| 82728 |
|
795 |
584 |
$2K |
| 86880 |
|
1,877 |
1,807 |
$2K |
| 86920 |
|
25 |
24 |
$1K |
| 82607 |
|
517 |
506 |
$1K |
| 85730 |
|
1,023 |
767 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
847 |
777 |
$1K |
| 84439 |
|
732 |
710 |
$1K |
| 84466 |
|
481 |
475 |
$948.44 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
190 |
143 |
$931.06 |
| 87186 |
|
467 |
361 |
$904.30 |
| 87541 |
|
164 |
124 |
$850.20 |
| 87581 |
|
162 |
124 |
$850.05 |
| 85610 |
|
1,180 |
846 |
$831.88 |
| 87486 |
|
163 |
123 |
$811.06 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
36 |
27 |
$702.53 |
| 83540 |
|
652 |
639 |
$670.85 |
| 80202 |
|
262 |
146 |
$610.09 |
| 85651 |
|
1,150 |
777 |
$515.65 |
| 87077 |
|
278 |
203 |
$514.24 |
| 82247 |
|
569 |
418 |
$511.06 |
| 87070 |
|
299 |
256 |
$493.06 |
| 87081 |
|
432 |
411 |
$453.34 |
| 84550 |
|
719 |
667 |
$374.45 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
260 |
258 |
$372.97 |
| 85379 |
|
221 |
65 |
$371.45 |
| 82140 |
|
124 |
86 |
$306.44 |
| 83550 |
|
269 |
267 |
$291.13 |
| 83880 |
|
49 |
37 |
$274.68 |
| 82009 |
|
256 |
190 |
$212.93 |
| 82570 |
|
191 |
176 |
$171.14 |
| 84484 |
|
77 |
55 |
$169.13 |
| 85384 |
|
103 |
37 |
$145.00 |
| 85007 |
|
320 |
250 |
$142.39 |
| 81001 |
|
267 |
243 |
$139.02 |
| 82248 |
|
150 |
135 |
$133.68 |
| 83690 |
|
99 |
82 |
$128.75 |
| 71045 |
Radiologic examination, chest; single view |
18 |
18 |
$103.23 |
| 80076 |
|
59 |
43 |
$82.47 |
| 81003 |
|
135 |
129 |
$48.17 |
| 80306 |
|
44 |
44 |
$34.28 |
| 83615 |
|
36 |
12 |
$23.35 |
| 84156 |
|
12 |
12 |
$7.68 |
| 85008 |
|
32 |
27 |
$2.33 |
| 81406 |
|
165 |
93 |
$0.00 |
| 86003 |
|
127 |
126 |
$0.00 |
| 81408 |
|
180 |
94 |
$0.00 |
| 81413 |
|
81 |
75 |
$0.00 |
| 81414 |
|
67 |
61 |
$0.00 |
| 81405 |
|
165 |
93 |
$0.00 |
| 81403 |
|
25 |
25 |
$0.00 |
| 82785 |
|
120 |
120 |
$0.00 |
| 81404 |
|
296 |
92 |
$0.00 |
| 81411 |
|
66 |
60 |
$0.00 |
| 81238 |
|
51 |
46 |
$0.00 |
| 81401 |
|
51 |
46 |
$0.00 |
| 81161 |
|
67 |
61 |
$0.00 |
| 80050 |
General health panel |
77 |
67 |
$0.00 |
| 81407 |
|
81 |
75 |
$0.00 |
| 84153 |
|
44 |
44 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
19 |
19 |
$0.00 |