| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
58,497 |
53,933 |
$4.29M |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
40,540 |
38,908 |
$4.22M |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
40,585 |
38,956 |
$4.22M |
| 84443 |
Thyroid stimulating hormone (TSH) |
77,251 |
74,703 |
$3.01M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
21,473 |
19,451 |
$2.71M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
15,543 |
11,911 |
$2.45M |
| 80061 |
Lipid panel |
63,250 |
61,799 |
$2.10M |
| 83036 |
Hemoglobin; glycosylated (A1C) |
88,087 |
85,504 |
$2.04M |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
30,760 |
29,998 |
$1.87M |
| 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 |
9,310 |
8,585 |
$1.74M |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
888 |
876 |
$1.67M |
| 80053 |
Comprehensive metabolic panel |
63,153 |
59,102 |
$1.55M |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
20,507 |
20,036 |
$1.38M |
| 86003 |
|
4,783 |
4,587 |
$1.24M |
| 82728 |
|
35,589 |
34,584 |
$1.18M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
59,955 |
55,204 |
$1.10M |
| 86780 |
|
31,288 |
30,517 |
$1.05M |
| 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 |
13,400 |
12,601 |
$955K |
| 88142 |
|
16,026 |
15,847 |
$847K |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
14,536 |
14,285 |
$831K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
6,244 |
6,106 |
$828K |
| 85027 |
|
52,809 |
50,395 |
$796K |
| 82607 |
|
21,930 |
21,455 |
$784K |
| 87506 |
|
1,273 |
1,231 |
$749K |
| 81329 |
|
2,242 |
2,174 |
$738K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
36,670 |
34,373 |
$715K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
7,141 |
7,055 |
$649K |
| 88307 |
|
1,067 |
900 |
$642K |
| 86803 |
|
15,241 |
14,900 |
$537K |
| 87507 |
|
588 |
580 |
$529K |
| 87505 |
|
1,626 |
1,484 |
$483K |
| 83550 |
|
21,575 |
20,904 |
$451K |
| 81513 |
|
1,274 |
1,248 |
$440K |
| 88342 |
|
2,120 |
1,628 |
$429K |
| 84702 |
|
11,878 |
9,870 |
$419K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,271 |
5,165 |
$412K |
| 88341 |
|
699 |
551 |
$404K |
| 87340 |
|
14,694 |
14,315 |
$373K |
| 87536 |
|
1,681 |
1,641 |
$371K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
19,740 |
18,190 |
$370K |
| 87653 |
|
4,957 |
4,840 |
$355K |
| 84403 |
|
5,671 |
5,527 |
$350K |
| 83540 |
|
20,749 |
20,132 |
$331K |
| 87529 |
|
2,196 |
1,823 |
$327K |
| 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 |
8,510 |
7,790 |
$298K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
2,876 |
2,627 |
$282K |
| 82042 |
|
14,085 |
13,614 |
$246K |
| 83516 |
|
8,659 |
8,489 |
$243K |
| 82670 |
|
3,338 |
3,216 |
$215K |
| 84460 |
|
16,586 |
15,809 |
$208K |
| 87186 |
|
10,077 |
9,554 |
$206K |
| 86140 |
|
15,926 |
14,995 |
$198K |
| 82565 |
|
16,116 |
15,249 |
$196K |
| 87077 |
|
9,210 |
8,584 |
$184K |
| 84439 |
|
8,512 |
7,700 |
$184K |
| 82746 |
|
5,116 |
5,004 |
$179K |
| 85610 |
|
20,145 |
13,849 |
$172K |
| 83970 |
|
1,908 |
1,804 |
$167K |
| 88312 |
|
696 |
473 |
$165K |
| 84153 |
|
3,537 |
3,391 |
$152K |
| 84146 |
|
3,237 |
3,097 |
$149K |
| 86704 |
|
4,938 |
4,835 |
$146K |
| 80076 |
|
7,240 |
6,807 |
$143K |
| 83001 |
|
3,200 |
3,125 |
$141K |
| 87081 |
|
8,805 |
8,607 |
$139K |
| 88304 |
|
2,107 |
1,571 |
$138K |
| 88141 |
|
2,020 |
2,004 |
$135K |
| 83735 |
|
8,372 |
6,607 |
$127K |
| 80069 |
|
6,710 |
5,496 |
$127K |
| 81001 |
|
15,481 |
14,501 |
$111K |
| 87070 |
|
5,200 |
4,958 |
$105K |
| 87481 |
|
1,191 |
1,165 |
$103K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,196 |
1,170 |
$103K |
| 86255 |
|
1,300 |
1,199 |
$98K |
| 87631 |
|
299 |
293 |
$97K |
| 87522 |
Neg quan hep c or qual rna |
921 |
875 |
$96K |
| 86787 |
|
3,101 |
2,999 |
$95K |
| 87517 |
|
857 |
806 |
$92K |
| 82627 |
|
1,680 |
1,649 |
$92K |
| 82784 |
|
2,978 |
2,645 |
$90K |
| 86706 |
|
3,382 |
3,331 |
$90K |
| 84480 |
|
2,571 |
2,403 |
$90K |
| 82274 |
|
2,705 |
2,652 |
$85K |
| 86038 |
|
2,892 |
2,803 |
$85K |
| 86160 |
|
1,670 |
1,480 |
$83K |
| 87808 |
|
2,226 |
2,173 |
$83K |
| 83993 |
|
1,528 |
1,502 |
$82K |
| 86200 |
|
2,583 |
2,529 |
$81K |
| 86762 |
|
2,361 |
2,284 |
$80K |
| 82533 |
|
1,879 |
1,734 |
$73K |
| 87088 |
|
3,736 |
3,575 |
$72K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
1,094 |
1,079 |
$70K |
| 84165 |
|
1,623 |
1,502 |
$67K |
| 86361 |
|
1,010 |
994 |
$67K |
| 84450 |
|
5,325 |
5,114 |
$66K |
| 82105 |
|
2,034 |
1,935 |
$64K |
| 82550 |
|
4,038 |
3,774 |
$63K |
| 82950 |
|
5,019 |
4,929 |
$61K |
| 82248 |
|
5,017 |
4,488 |
$61K |
| 81003 |
|
11,172 |
10,768 |
$60K |
| 84550 |
|
5,596 |
5,285 |
$60K |
| 88112 |
|
591 |
482 |
$59K |
| 88344 |
|
103 |
87 |
$55K |
| 86696 |
|
1,116 |
1,100 |
$54K |
| 83921 |
|
1,012 |
997 |
$52K |
| 84134 |
|
1,426 |
1,071 |
$52K |
| 86769 |
|
654 |
638 |
$51K |
| 83615 |
|
3,586 |
3,222 |
$51K |
| 83002 |
|
1,209 |
1,163 |
$51K |
| 86708 |
|
1,600 |
1,566 |
$49K |
| 84100 |
|
4,460 |
3,385 |
$47K |
| 86431 |
|
3,361 |
3,284 |
$47K |
| 82951 |
|
1,454 |
1,416 |
$46K |
| 80197 |
|
1,705 |
966 |
$46K |
| 88173 |
|
155 |
117 |
$45K |
| 83883 |
|
803 |
592 |
$42K |
| 82247 |
|
3,140 |
2,820 |
$37K |
| 86695 |
|
1,092 |
1,076 |
$37K |
| 86709 |
|
1,312 |
1,287 |
$36K |
| 84132 |
|
3,300 |
2,988 |
$36K |
| 87210 |
|
2,408 |
2,354 |
$36K |
| 82040 |
|
3,011 |
2,887 |
$35K |
| 86235 |
|
113 |
97 |
$35K |
| 87040 |
|
971 |
809 |
$35K |
| 85652 |
|
5,014 |
4,838 |
$31K |
| 86592 |
|
2,749 |
2,662 |
$30K |
| 84075 |
|
2,209 |
2,138 |
$27K |
| 86376 |
|
766 |
748 |
$27K |
| 83020 |
|
451 |
441 |
$24K |
| 82977 |
|
1,403 |
1,326 |
$23K |
| 87324 |
|
808 |
781 |
$22K |
| 87101 |
|
1,108 |
1,077 |
$22K |
| 82390 |
|
808 |
788 |
$21K |
| 82310 |
|
1,821 |
1,604 |
$21K |
| 87449 |
|
733 |
707 |
$21K |
| 86304 |
|
411 |
378 |
$19K |
| 87075 |
|
715 |
678 |
$17K |
| 85730 |
|
1,086 |
1,035 |
$16K |
| 85007 |
|
1,635 |
1,331 |
$14K |
| 85014 |
|
2,436 |
2,307 |
$14K |
| 85018 |
|
2,428 |
2,298 |
$14K |
| 87205 |
|
1,296 |
1,205 |
$14K |
| 82952 |
|
1,372 |
1,340 |
$13K |
| 86765 |
|
388 |
373 |
$12K |
| 84144 |
|
296 |
264 |
$12K |
| 86308 |
|
967 |
950 |
$12K |
| 82947 |
|
1,168 |
1,103 |
$11K |
| 86021 |
|
219 |
188 |
$11K |
| 80178 |
|
670 |
628 |
$10K |
| 86735 |
|
275 |
271 |
$9K |
| 82378 |
|
204 |
183 |
$9K |
| 86665 |
|
135 |
103 |
$9K |
| 85045 |
|
845 |
714 |
$8K |
| 86225 |
|
236 |
232 |
$8K |
| 86593 |
|
636 |
611 |
$7K |
| 83721 |
|
264 |
260 |
$6K |
| 81002 |
|
673 |
665 |
$6K |
| 84295 |
|
536 |
479 |
$6K |
| 81507 |
|
51 |
51 |
$6K |
| 83010 |
|
168 |
134 |
$5K |
| 80164 |
|
170 |
163 |
$4K |
| 84156 |
|
486 |
461 |
$4K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
57 |
55 |
$4K |
| 86317 |
|
97 |
96 |
$4K |
| 82340 |
|
226 |
218 |
$3K |
| 87102 |
|
131 |
125 |
$3K |
| 86664 |
|
65 |
64 |
$2K |
| 86147 |
|
31 |
24 |
$2K |
| 84478 |
|
159 |
152 |
$2K |
| 83021 |
|
57 |
55 |
$2K |
| 86663 |
|
55 |
53 |
$2K |
| 80175 |
|
69 |
63 |
$2K |
| 86705 |
|
58 |
57 |
$2K |
| 86146 |
|
19 |
13 |
$1K |
| 87107 |
|
41 |
41 |
$1K |
| 84520 |
|
110 |
105 |
$1K |
| 86334 |
|
13 |
12 |
$969.64 |
| 82465 |
|
46 |
44 |
$507.05 |
| 80177 |
|
13 |
12 |
$394.28 |
| 85379 |
|
12 |
12 |
$307.14 |
| 85008 |
|
26 |
25 |
$182.40 |
| 84300 |
|
13 |
12 |
$156.00 |
| 87338 |
|
16 |
16 |
$85.60 |
| 82570 |
|
100 |
86 |
$67.14 |
| 81050 |
|
13 |
13 |
$46.86 |