| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80050 |
General health panel |
7,319 |
6,627 |
$172K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,476 |
2,753 |
$113K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
7,466 |
6,499 |
$105K |
| 80061 |
Lipid panel |
19,616 |
17,463 |
$103K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,570 |
3,862 |
$102K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,537 |
3,843 |
$101K |
| 80053 |
Comprehensive metabolic panel |
17,987 |
16,202 |
$62K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25,431 |
22,066 |
$62K |
| 84443 |
Thyroid stimulating hormone (TSH) |
13,582 |
12,314 |
$61K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15,952 |
13,986 |
$56K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
3,768 |
3,275 |
$53K |
| 80373 |
|
3,779 |
3,262 |
$50K |
| 80372 |
|
3,703 |
3,222 |
$49K |
| 80369 |
|
2,669 |
2,371 |
$39K |
| 82607 |
|
4,893 |
4,341 |
$37K |
| 80074 |
|
2,136 |
1,941 |
$36K |
| 80348 |
|
3,912 |
3,352 |
$36K |
| 86696 |
|
2,543 |
2,243 |
$35K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,937 |
1,586 |
$35K |
| 80362 |
|
3,721 |
3,220 |
$35K |
| 80346 |
|
3,489 |
3,030 |
$34K |
| 80354 |
|
3,726 |
3,217 |
$34K |
| 80358 |
|
3,749 |
3,246 |
$33K |
| 80361 |
|
3,175 |
2,748 |
$30K |
| 80365 |
|
3,181 |
2,766 |
$30K |
| 80356 |
|
3,032 |
2,632 |
$29K |
| 80324 |
|
3,417 |
2,959 |
$29K |
| 84439 |
|
6,595 |
5,815 |
$28K |
| 80349 |
|
2,910 |
2,523 |
$28K |
| 80335 |
|
2,777 |
1,829 |
$27K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
16,267 |
13,664 |
$27K |
| 83992 |
|
3,159 |
2,656 |
$27K |
| 80367 |
|
1,837 |
1,678 |
$27K |
| 80355 |
|
2,736 |
2,409 |
$27K |
| 80353 |
|
3,088 |
2,673 |
$26K |
| 80359 |
|
2,782 |
2,451 |
$24K |
| 80368 |
|
1,659 |
1,516 |
$23K |
| 80366 |
|
1,650 |
1,510 |
$23K |
| 86695 |
|
2,546 |
2,245 |
$22K |
| 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 |
691 |
578 |
$19K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
8,026 |
6,552 |
$18K |
| 87077 |
|
10,450 |
8,839 |
$18K |
| 80345 |
|
2,707 |
2,388 |
$18K |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
273 |
223 |
$17K |
| 80321 |
|
1,836 |
1,664 |
$17K |
| 82746 |
|
2,234 |
1,985 |
$16K |
| 80360 |
|
1,661 |
1,516 |
$16K |
| 87186 |
|
10,448 |
8,829 |
$15K |
| 82728 |
|
2,329 |
2,043 |
$14K |
| 84403 |
|
909 |
813 |
$13K |
| 80076 |
|
3,508 |
3,171 |
$13K |
| 84481 |
|
2,024 |
1,838 |
$13K |
| 80305 |
|
1,879 |
1,453 |
$12K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
434 |
88 |
$12K |
| 86592 |
|
4,289 |
3,603 |
$11K |
| 83550 |
|
2,519 |
2,248 |
$10K |
| 86038 |
|
1,363 |
1,203 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
10,126 |
8,507 |
$9K |
| 83970 |
|
391 |
365 |
$9K |
| 86803 |
|
1,183 |
1,034 |
$9K |
| 82553 |
|
1,120 |
971 |
$8K |
| 83880 |
|
950 |
813 |
$8K |
| 83540 |
|
2,913 |
2,584 |
$8K |
| 84484 |
|
1,032 |
917 |
$7K |
| 84144 |
|
524 |
417 |
$7K |
| 84152 |
|
742 |
702 |
$6K |
| 81001 |
|
4,815 |
4,048 |
$6K |
| 84702 |
|
804 |
642 |
$6K |
| 80164 |
|
1,581 |
1,301 |
$6K |
| 82550 |
|
1,455 |
1,277 |
$6K |
| 86431 |
|
1,535 |
1,410 |
$6K |
| 84153 |
|
1,095 |
932 |
$6K |
| 86140 |
|
2,182 |
1,870 |
$5K |
| 83735 |
|
2,038 |
1,804 |
$5K |
| 84436 |
|
3,416 |
2,987 |
$4K |
| 86677 |
|
702 |
581 |
$4K |
| 84154 |
|
447 |
394 |
$4K |
| 83001 |
|
319 |
283 |
$4K |
| 84270 |
|
296 |
266 |
$4K |
| 83002 |
|
304 |
272 |
$4K |
| 84402 |
|
258 |
229 |
$4K |
| 87070 |
|
1,833 |
1,520 |
$3K |
| 82043 |
|
1,510 |
1,358 |
$3K |
| 83525 |
|
549 |
488 |
$3K |
| 84479 |
|
2,819 |
2,483 |
$3K |
| 85652 |
|
2,539 |
2,139 |
$3K |
| 83690 |
|
774 |
694 |
$3K |
| 87799 |
|
360 |
122 |
$3K |
| 86141 |
|
400 |
361 |
$3K |
| 84550 |
|
1,229 |
1,066 |
$2K |
| 82150 |
|
676 |
621 |
$2K |
| 86317 |
|
242 |
219 |
$2K |
| 84703 |
|
436 |
387 |
$2K |
| 87340 |
|
479 |
396 |
$2K |
| 87481 |
|
321 |
127 |
$2K |
| 80185 |
|
446 |
359 |
$2K |
| 81015 |
|
3,074 |
2,481 |
$2K |
| 87512 |
|
55 |
52 |
$2K |
| 85610 |
|
2,088 |
1,095 |
$2K |
| 83721 |
|
5,108 |
4,288 |
$2K |
| 87653 |
|
220 |
79 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
220 |
79 |
$2K |
| 82951 |
|
227 |
186 |
$2K |
| 80156 |
|
516 |
425 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
137 |
101 |
$1K |
| 87640 |
|
229 |
79 |
$1K |
| 86376 |
|
126 |
115 |
$1K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
241 |
216 |
$1K |
| 82677 |
|
88 |
71 |
$1K |
| 82570 |
|
1,770 |
1,405 |
$1K |
| 84466 |
|
188 |
163 |
$1K |
| 86708 |
|
190 |
167 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
125 |
111 |
$1K |
| 87040 |
|
360 |
235 |
$1K |
| 87529 |
|
145 |
49 |
$1K |
| 85027 |
|
324 |
297 |
$1K |
| 87556 |
|
149 |
49 |
$1K |
| 82947 |
|
476 |
428 |
$1K |
| 84460 |
|
273 |
257 |
$996.03 |
| 85730 |
|
536 |
462 |
$987.61 |
| 82272 |
|
756 |
552 |
$965.06 |
| 82670 |
|
44 |
44 |
$939.43 |
| 84146 |
|
107 |
92 |
$923.43 |
| 87496 |
|
153 |
45 |
$921.36 |
| 85379 |
|
184 |
163 |
$888.74 |
| 87500 |
|
79 |
32 |
$881.70 |
| 82533 |
|
82 |
78 |
$853.59 |
| 87081 |
|
221 |
192 |
$824.44 |
| 82105 |
|
91 |
74 |
$756.26 |
| 87641 |
|
119 |
36 |
$747.69 |
| 86336 |
|
88 |
71 |
$736.92 |
| 84450 |
|
174 |
170 |
$709.00 |
| 84311 |
|
1,288 |
1,002 |
$681.15 |
| 85007 |
|
3,781 |
3,226 |
$657.64 |
| 86704 |
|
99 |
89 |
$632.00 |
| 87324 |
|
204 |
155 |
$524.77 |
| 84163 |
|
51 |
40 |
$462.92 |
| 86762 |
|
100 |
77 |
$457.31 |
| 87592 |
|
16 |
16 |
$447.72 |
| 82542 |
|
241 |
134 |
$408.72 |
| 84480 |
|
303 |
256 |
$403.03 |
| 83021 |
|
61 |
45 |
$396.43 |
| 87210 |
|
116 |
108 |
$366.04 |
| 81003 |
|
1,028 |
702 |
$359.19 |
| 82652 |
|
16 |
12 |
$332.27 |
| 85018 |
|
646 |
474 |
$311.26 |
| 85014 |
|
643 |
471 |
$305.36 |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
19 |
12 |
$291.22 |
| 80069 |
|
111 |
99 |
$286.50 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
38 |
14 |
$279.75 |
| 80320 |
|
25 |
24 |
$253.26 |
| 84134 |
|
119 |
110 |
$207.85 |
| 83986 |
|
1,315 |
1,016 |
$203.73 |
| 87205 |
|
280 |
255 |
$181.49 |
| 87650 |
|
31 |
19 |
$173.56 |
| 83789 |
|
49 |
19 |
$156.98 |
| 87150 |
|
86 |
32 |
$155.99 |
| 84600 |
|
15 |
14 |
$152.04 |
| 84132 |
|
434 |
210 |
$149.42 |
| 87147 |
|
62 |
59 |
$148.64 |
| 82248 |
|
61 |
52 |
$143.62 |
| 86850 |
|
78 |
58 |
$140.77 |
| 86800 |
|
14 |
13 |
$126.72 |
| 80184 |
|
53 |
43 |
$125.51 |
| 86901 |
|
80 |
58 |
$77.87 |
| 86900 |
|
78 |
58 |
$71.38 |
| 82977 |
|
18 |
14 |
$60.88 |
| 82950 |
|
19 |
18 |
$57.42 |
| 81025 |
|
19 |
12 |
$47.26 |
| 85045 |
|
18 |
15 |
$37.91 |
| 84100 |
|
14 |
12 |
$33.11 |
| 85041 |
|
125 |
79 |
$32.01 |
| 81000 |
|
372 |
328 |
$16.41 |
| 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 |
28 |
28 |
$0.00 |
| 80323 |
|
17 |
12 |
$0.00 |
| 86480 |
|
19 |
16 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
49 |
41 |
$0.00 |