| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
3,026 |
735 |
$334K |
| 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 |
1,898 |
709 |
$115K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,215 |
629 |
$77K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,927 |
753 |
$37K |
| 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 |
1,359 |
660 |
$28K |
| 87631 |
|
309 |
106 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,960 |
1,743 |
$13K |
| 80053 |
Comprehensive metabolic panel |
1,313 |
727 |
$11K |
| 85610 |
|
1,814 |
841 |
$4K |
| 83735 |
|
511 |
242 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
447 |
255 |
$3K |
| 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 |
389 |
169 |
$984.82 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
15 |
15 |
$685.77 |
| 36415 |
Collection of venous blood by venipuncture |
276 |
144 |
$662.34 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$595.40 |
| 83615 |
|
117 |
67 |
$522.52 |
| 86140 |
|
109 |
50 |
$406.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
62 |
54 |
$284.20 |
| 85652 |
|
107 |
51 |
$228.23 |
| 84443 |
Thyroid stimulating hormone (TSH) |
17 |
15 |
$206.65 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
12 |
$110.46 |
| 84100 |
|
24 |
12 |
$92.22 |
| 80061 |
Lipid panel |
18 |
12 |
$74.55 |