| 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 |
26,381 |
24,276 |
$2.16M |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
20,146 |
18,819 |
$826K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
20,105 |
18,781 |
$820K |
| 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 |
7,279 |
7,072 |
$813K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
9,945 |
9,676 |
$617K |
| 84443 |
Thyroid stimulating hormone (TSH) |
27,134 |
26,625 |
$430K |
| 80061 |
Lipid panel |
22,359 |
22,044 |
$305K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
11,876 |
11,677 |
$287K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
5,226 |
5,093 |
$274K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
33,479 |
33,084 |
$267K |
| 80050 |
General health panel |
7,073 |
7,021 |
$246K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
31,828 |
30,453 |
$245K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
5,972 |
5,923 |
$215K |
| 80053 |
Comprehensive metabolic panel |
21,231 |
20,462 |
$215K |
| 82728 |
|
15,213 |
14,916 |
$207K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
22,517 |
20,843 |
$181K |
| 86003 |
|
1,563 |
1,384 |
$157K |
| 82607 |
|
9,810 |
9,676 |
$147K |
| 88142 |
|
5,730 |
5,689 |
$139K |
| 86803 |
|
9,017 |
8,904 |
$127K |
| 84403 |
|
4,866 |
4,084 |
$124K |
| 80081 |
|
1,491 |
1,474 |
$117K |
| 82274 |
|
6,697 |
6,650 |
$112K |
| 86480 |
|
1,775 |
1,755 |
$108K |
| 83550 |
|
12,337 |
12,111 |
$108K |
| 87077 |
|
11,207 |
10,644 |
$98K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
11,347 |
10,936 |
$93K |
| 82565 |
|
16,716 |
16,241 |
$88K |
| 83540 |
|
12,417 |
12,185 |
$80K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12,672 |
12,505 |
$78K |
| 83970 |
|
1,845 |
1,792 |
$74K |
| 87186 |
|
8,080 |
7,655 |
$73K |
| 85027 |
|
10,073 |
9,675 |
$65K |
| 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 |
774 |
762 |
$62K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
803 |
753 |
$51K |
| 87070 |
|
5,602 |
5,257 |
$49K |
| 86140 |
|
9,274 |
8,825 |
$49K |
| 82043 |
|
8,315 |
8,232 |
$49K |
| 82784 |
|
3,436 |
3,306 |
$46K |
| 84439 |
|
5,094 |
4,898 |
$45K |
| 84460 |
|
8,348 |
8,098 |
$45K |
| 82672 |
|
2,081 |
2,035 |
$44K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
472 |
467 |
$44K |
| 84702 |
|
2,887 |
2,390 |
$43K |
| 84132 |
|
8,846 |
8,674 |
$43K |
| 83516 |
|
3,335 |
3,100 |
$42K |
| 83001 |
|
2,229 |
2,200 |
$42K |
| 87081 |
|
6,008 |
5,912 |
$40K |
| 84402 |
|
1,513 |
1,439 |
$39K |
| 81001 |
|
12,071 |
11,499 |
$39K |
| 84146 |
|
1,970 |
1,913 |
$39K |
| 86592 |
|
8,562 |
8,417 |
$37K |
| 84450 |
|
6,910 |
6,690 |
$36K |
| 82746 |
|
2,305 |
2,274 |
$34K |
| 82570 |
|
6,496 |
6,295 |
$33K |
| 87210 |
|
5,988 |
5,793 |
$33K |
| 87340 |
|
3,015 |
2,965 |
$31K |
| 86038 |
|
2,533 |
2,476 |
$31K |
| 86235 |
|
896 |
546 |
$30K |
| 80076 |
|
3,650 |
3,549 |
$30K |
| 86706 |
|
2,707 |
2,669 |
$29K |
| 85610 |
|
6,387 |
4,369 |
$27K |
| 87529 |
|
387 |
374 |
$26K |
| 87338 |
|
1,762 |
1,750 |
$25K |
| 87209 |
|
1,363 |
1,329 |
$25K |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
81 |
80 |
$24K |
| 86200 |
|
1,805 |
1,793 |
$24K |
| 87536 |
|
253 |
244 |
$21K |
| 84295 |
|
4,294 |
4,220 |
$21K |
| 83002 |
|
1,101 |
1,087 |
$21K |
| 83880 |
|
535 |
517 |
$20K |
| 87040 |
|
1,364 |
1,132 |
$20K |
| 87427 |
|
1,565 |
1,542 |
$19K |
| 83735 |
|
2,604 |
2,479 |
$17K |
| 84153 |
|
913 |
897 |
$17K |
| 87632 |
|
85 |
84 |
$17K |
| 82105 |
|
1,024 |
1,011 |
$16K |
| 87045 |
|
1,639 |
1,613 |
$16K |
| 87046 |
|
1,607 |
1,582 |
$15K |
| 83993 |
|
790 |
777 |
$15K |
| 82670 |
|
493 |
486 |
$15K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
736 |
732 |
$14K |
| 82310 |
|
2,571 |
2,518 |
$13K |
| 87177 |
|
1,362 |
1,328 |
$12K |
| 87522 |
Neg quan hep c or qual rna |
260 |
255 |
$12K |
| 86704 |
|
980 |
960 |
$11K |
| 87493 |
|
307 |
305 |
$11K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
395 |
393 |
$11K |
| 84550 |
|
2,424 |
2,363 |
$11K |
| 86696 |
|
523 |
513 |
$10K |
| 81003 |
|
4,149 |
4,073 |
$9K |
| 85652 |
|
3,199 |
3,090 |
$9K |
| 80069 |
|
1,014 |
891 |
$9K |
| 84156 |
|
2,347 |
2,162 |
$8K |
| 82533 |
|
523 |
502 |
$8K |
| 86431 |
|
1,414 |
1,403 |
$8K |
| 84165 |
|
713 |
684 |
$8K |
| 83520 |
|
411 |
400 |
$8K |
| 82950 |
|
1,470 |
1,459 |
$7K |
| 86695 |
|
525 |
515 |
$7K |
| 83655 |
|
520 |
511 |
$6K |
| 82947 |
|
1,506 |
1,461 |
$6K |
| 86376 |
|
424 |
415 |
$6K |
| 82550 |
|
898 |
832 |
$6K |
| 84480 |
|
398 |
386 |
$6K |
| 86225 |
|
407 |
397 |
$5K |
| 86787 |
|
432 |
430 |
$5K |
| 88342 |
|
95 |
92 |
$5K |
| 87147 |
|
788 |
768 |
$5K |
| 88304 |
|
166 |
162 |
$4K |
| 81507 |
|
12 |
12 |
$4K |
| 83690 |
|
583 |
578 |
$4K |
| 82627 |
|
229 |
229 |
$4K |
| 86160 |
|
170 |
158 |
$4K |
| 84520 |
|
904 |
848 |
$4K |
| 86780 |
|
261 |
251 |
$3K |
| 84100 |
|
768 |
722 |
$3K |
| 87329 |
|
276 |
268 |
$3K |
| 82977 |
|
545 |
507 |
$3K |
| 84630 |
|
248 |
247 |
$3K |
| 88141 |
|
175 |
174 |
$2K |
| 82374 |
|
440 |
431 |
$2K |
| 86361 |
|
77 |
75 |
$2K |
| 84144 |
|
107 |
97 |
$2K |
| 85014 |
|
864 |
849 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
33 |
33 |
$2K |
| 83921 |
|
99 |
98 |
$2K |
| 87280 |
|
130 |
129 |
$2K |
| 86430 |
|
278 |
275 |
$2K |
| 82951 |
|
116 |
115 |
$2K |
| 80178 |
|
270 |
250 |
$2K |
| 87220 |
|
385 |
375 |
$2K |
| 85018 |
|
752 |
738 |
$2K |
| 84425 |
|
112 |
112 |
$2K |
| 84160 |
|
291 |
279 |
$2K |
| 87088 |
|
197 |
191 |
$2K |
| 86765 |
|
138 |
135 |
$1K |
| 87517 |
|
27 |
24 |
$1K |
| 82040 |
|
258 |
242 |
$1K |
| 86762 |
|
90 |
89 |
$1K |
| 82785 |
|
95 |
94 |
$1K |
| 86593 |
|
262 |
253 |
$1K |
| 83021 |
|
39 |
39 |
$952.86 |
| 87279 |
|
63 |
56 |
$947.02 |
| 85730 |
|
178 |
170 |
$924.20 |
| 82150 |
|
128 |
127 |
$876.93 |
| 83615 |
|
137 |
129 |
$856.81 |
| 87260 |
|
58 |
57 |
$833.02 |
| 83718 |
|
96 |
95 |
$811.54 |
| 82247 |
|
129 |
120 |
$641.86 |
| 84155 |
|
179 |
175 |
$628.43 |
| 85007 |
|
140 |
137 |
$538.93 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
14 |
14 |
$537.74 |
| 82465 |
|
115 |
114 |
$533.15 |
| 83521 |
|
17 |
12 |
$526.86 |
| 87101 |
|
63 |
63 |
$498.97 |
| 86735 |
|
42 |
40 |
$489.06 |
| 81015 |
|
162 |
157 |
$484.53 |
| 86708 |
|
38 |
37 |
$465.93 |
| 84075 |
|
74 |
69 |
$382.28 |
| 83498 |
|
12 |
12 |
$326.28 |
| 84134 |
|
25 |
25 |
$324.88 |
| 86800 |
|
25 |
25 |
$320.21 |
| 80051 |
|
39 |
38 |
$290.34 |
| 86308 |
|
53 |
51 |
$282.36 |
| 83883 |
|
13 |
12 |
$274.57 |
| 86334 |
|
12 |
12 |
$267.05 |
| 82378 |
|
15 |
12 |
$263.25 |
| 82172 |
|
12 |
12 |
$230.34 |
| 82525 |
|
17 |
17 |
$201.02 |
| 82390 |
|
12 |
12 |
$137.64 |
| 89055 |
|
25 |
25 |
$132.50 |
| 82248 |
|
25 |
25 |
$116.92 |
| 86255 |
|
13 |
12 |
$113.79 |
| 83721 |
|
14 |
14 |
$98.39 |
| 85045 |
|
12 |
12 |
$43.76 |