| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
18,017 |
13,338 |
$1.65M |
| 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 |
6,808 |
3,089 |
$405K |
| 80336 |
|
14,477 |
6,354 |
$174K |
| 80372 |
|
15,352 |
6,670 |
$169K |
| 80367 |
|
15,327 |
6,658 |
$169K |
| 80373 |
|
15,314 |
6,665 |
$169K |
| 80366 |
|
15,231 |
6,599 |
$163K |
| 80357 |
|
14,891 |
6,359 |
$163K |
| 80368 |
|
15,227 |
6,567 |
$163K |
| G0482 |
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; 15-21 drug class(es), including metabolite(s) if performed |
4,522 |
2,048 |
$159K |
| 80346 |
|
15,393 |
6,684 |
$157K |
| 80361 |
|
15,343 |
6,681 |
$148K |
| 80354 |
|
15,392 |
6,702 |
$148K |
| 80356 |
|
15,344 |
6,674 |
$148K |
| 80339 |
|
14,984 |
6,361 |
$147K |
| 80348 |
|
14,727 |
6,334 |
$146K |
| 80365 |
|
15,282 |
6,632 |
$145K |
| 80360 |
|
14,944 |
6,289 |
$141K |
| 80358 |
|
15,364 |
6,683 |
$141K |
| 80323 |
|
12,209 |
5,143 |
$140K |
| 80371 |
|
14,857 |
6,257 |
$140K |
| 80364 |
|
14,233 |
6,224 |
$139K |
| 80349 |
|
14,747 |
6,370 |
$139K |
| 80369 |
|
11,371 |
4,794 |
$135K |
| 80359 |
|
15,264 |
6,583 |
$133K |
| 80350 |
|
14,260 |
6,171 |
$130K |
| 80338 |
|
11,235 |
4,576 |
$130K |
| 80353 |
|
15,159 |
6,609 |
$129K |
| 83992 |
|
13,698 |
6,588 |
$127K |
| 80324 |
|
11,867 |
4,950 |
$124K |
| 80355 |
|
14,092 |
6,216 |
$110K |
| 80321 |
|
13,517 |
6,176 |
$105K |
| 80370 |
|
3,819 |
1,905 |
$37K |
| 80332 |
|
3,232 |
1,617 |
$30K |
| 81403 |
|
393 |
346 |
$22K |
| 81405 |
|
396 |
345 |
$22K |
| 81404 |
|
394 |
343 |
$19K |
| 81211 |
|
264 |
237 |
$18K |
| 81201 |
|
400 |
347 |
$15K |
| 81317 |
|
395 |
347 |
$14K |
| 81298 |
|
394 |
346 |
$14K |
| 81288 |
|
396 |
348 |
$14K |
| 81295 |
|
394 |
346 |
$13K |
| 80325 |
|
3,670 |
1,788 |
$11K |
| 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 |
123 |
93 |
$11K |
| 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 |
578 |
362 |
$10K |
| 81325 |
|
211 |
195 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,899 |
1,680 |
$9K |
| 80050 |
General health panel |
400 |
360 |
$9K |
| 81259 |
|
213 |
197 |
$9K |
| 81242 |
|
211 |
195 |
$8K |
| 84403 |
|
1,107 |
930 |
$8K |
| 82670 |
|
987 |
834 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
85 |
82 |
$6K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,167 |
999 |
$6K |
| 80061 |
Lipid panel |
1,691 |
1,453 |
$5K |
| 84270 |
|
988 |
834 |
$5K |
| 80053 |
Comprehensive metabolic panel |
1,801 |
1,609 |
$5K |
| 80335 |
|
705 |
322 |
$5K |
| 80347 |
|
663 |
302 |
$5K |
| 82607 |
|
1,225 |
1,052 |
$5K |
| 84144 |
|
912 |
767 |
$4K |
| 80362 |
|
694 |
311 |
$4K |
| 82627 |
|
872 |
732 |
$4K |
| 83001 |
|
922 |
776 |
$4K |
| 84146 |
|
871 |
733 |
$4K |
| 83002 |
|
875 |
737 |
$4K |
| 84681 |
|
853 |
722 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,829 |
1,591 |
$3K |
| 82533 |
|
877 |
728 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,420 |
1,221 |
$3K |
| 82746 |
|
843 |
702 |
$3K |
| 84481 |
|
975 |
813 |
$3K |
| 82728 |
|
1,072 |
911 |
$3K |
| 83003 |
|
789 |
669 |
$3K |
| 83525 |
|
900 |
758 |
$2K |
| 80363 |
|
200 |
178 |
$2K |
| 82172 |
|
847 |
672 |
$2K |
| 84439 |
|
1,108 |
924 |
$2K |
| 83735 |
|
1,112 |
940 |
$1K |
| 83695 |
|
876 |
722 |
$1K |
| 84153 |
|
320 |
280 |
$1K |
| 82150 |
|
912 |
747 |
$1K |
| 83540 |
|
784 |
639 |
$1K |
| 83550 |
|
657 |
558 |
$1K |
| 84550 |
|
895 |
739 |
$1K |
| 82977 |
|
633 |
496 |
$1K |
| 86140 |
|
1,007 |
836 |
$1K |
| 84402 |
|
229 |
197 |
$991.91 |
| 84702 |
|
311 |
278 |
$915.50 |
| 84100 |
|
920 |
779 |
$841.77 |
| 82248 |
|
696 |
576 |
$718.67 |
| 86592 |
|
243 |
218 |
$558.89 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
308 |
276 |
$535.18 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
188 |
169 |
$485.58 |
| 81328 |
|
58 |
39 |
$483.35 |
| 81230 |
|
57 |
40 |
$483.35 |
| 81231 |
|
60 |
41 |
$483.35 |
| 83937 |
|
67 |
63 |
$445.65 |
| 80374 |
|
125 |
92 |
$445.50 |
| 85027 |
|
47 |
42 |
$352.98 |
| 81003 |
|
277 |
245 |
$297.04 |
| 81025 |
|
122 |
100 |
$281.64 |
| 81241 |
|
58 |
39 |
$273.64 |
| 81001 |
|
260 |
240 |
$269.36 |
| 83090 |
|
244 |
224 |
$247.81 |
| 81479 |
Unlisted molecular pathology procedure |
59 |
41 |
$195.75 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
180 |
166 |
$187.03 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
19 |
$182.39 |
| 81240 |
|
58 |
39 |
$181.59 |
| 80076 |
|
175 |
160 |
$180.10 |
| 81291 |
|
58 |
39 |
$150.36 |
| 81227 |
|
61 |
42 |
$141.71 |
| 86900 |
|
177 |
160 |
$124.99 |
| 85651 |
|
70 |
66 |
$119.74 |
| 80334 |
|
13 |
13 |
$115.50 |
| 87631 |
|
14 |
12 |
$114.10 |
| 87340 |
|
146 |
132 |
$90.56 |
| 81355 |
|
58 |
39 |
$79.03 |
| 86762 |
|
142 |
129 |
$78.64 |
| 87634 |
|
14 |
12 |
$57.28 |
| 82043 |
|
34 |
32 |
$42.89 |
| 86850 |
|
159 |
141 |
$30.51 |
| 85007 |
|
41 |
38 |
$27.03 |
| 86901 |
|
173 |
158 |
$22.21 |
| 82947 |
|
76 |
52 |
$16.78 |
| 82950 |
|
14 |
13 |
$5.84 |
| 81401 |
|
57 |
39 |
$0.00 |
| 0032U |
|
17 |
17 |
$0.00 |
| 80164 |
|
13 |
12 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
48 |
42 |
$0.00 |
| 81225 |
|
61 |
42 |
$0.00 |
| 81226 |
|
61 |
42 |
$0.00 |
| 86701 |
|
17 |
13 |
$0.00 |
| 84479 |
|
67 |
63 |
$0.00 |
| 84436 |
|
106 |
102 |
$0.00 |
| 84480 |
|
103 |
99 |
$0.00 |
| 0031U |
|
17 |
17 |
$0.00 |