| 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 |
36 |
27 |
$3K |
| 87481 |
|
135 |
93 |
$1K |
| 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 |
34 |
25 |
$550.00 |
| 87529 |
|
173 |
118 |
$516.78 |
| 87653 |
|
153 |
109 |
$308.23 |
| 87532 |
|
157 |
113 |
$305.37 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
154 |
110 |
$305.37 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
165 |
117 |
$305.37 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
138 |
90 |
$305.37 |
| 87641 |
|
154 |
110 |
$284.52 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
163 |
116 |
$281.88 |
| 87496 |
|
171 |
124 |
$281.88 |
| 87511 |
|
130 |
88 |
$258.39 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
148 |
103 |
$234.90 |
| 87088 |
|
173 |
124 |
$78.00 |
| 87500 |
|
107 |
68 |
$41.07 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
21 |
17 |
$29.56 |
| 84443 |
Thyroid stimulating hormone (TSH) |
183 |
132 |
$28.46 |
| 80053 |
Comprehensive metabolic panel |
244 |
177 |
$25.43 |
| 87640 |
|
123 |
83 |
$23.71 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
270 |
192 |
$19.50 |
| 82607 |
|
111 |
79 |
$12.19 |
| 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 |
292 |
189 |
$0.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
56 |
40 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
257 |
172 |
$0.00 |
| 84439 |
|
88 |
58 |
$0.00 |
| 87150 |
|
109 |
70 |
$0.00 |
| 87186 |
|
13 |
12 |
$0.00 |