| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
64,133 |
59,346 |
$1.70M |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
63,960 |
59,210 |
$1.61M |
| 84443 |
Thyroid stimulating hormone (TSH) |
136,131 |
124,181 |
$1.43M |
| 80053 |
Comprehensive metabolic panel |
181,341 |
164,810 |
$1.27M |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
71,813 |
65,978 |
$1.24M |
| 80061 |
Lipid panel |
130,944 |
120,821 |
$1.11M |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
43,190 |
39,728 |
$1.01M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
188,398 |
167,983 |
$971K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
48,669 |
44,112 |
$767K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
37,715 |
35,916 |
$695K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
93,982 |
86,976 |
$556K |
| 36415 |
Collection of venous blood by venipuncture |
263,127 |
232,201 |
$530K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
14,033 |
10,966 |
$511K |
| 87902 |
|
2,986 |
2,648 |
$472K |
| 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 |
5,465 |
5,156 |
$437K |
| 80050 |
General health panel |
18,073 |
17,242 |
$431K |
| 80074 |
|
18,924 |
16,767 |
$431K |
| 86480 |
|
9,539 |
8,748 |
$358K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
14,473 |
13,687 |
$349K |
| 82607 |
|
35,068 |
32,224 |
$330K |
| 87522 |
Neg quan hep c or qual rna |
12,041 |
10,722 |
$305K |
| 86803 |
|
28,078 |
25,629 |
$272K |
| 84439 |
|
44,234 |
40,350 |
$260K |
| 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 |
5,289 |
3,807 |
$256K |
| 81514 |
|
2,781 |
2,618 |
$253K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
41,199 |
37,758 |
$242K |
| 87799 |
|
2,112 |
2,019 |
$182K |
| 84153 |
|
15,390 |
14,270 |
$182K |
| 82746 |
|
20,562 |
19,063 |
$180K |
| 84403 |
|
9,984 |
8,970 |
$171K |
| 83013 |
|
3,627 |
3,421 |
$165K |
| 87340 |
|
23,142 |
21,338 |
$162K |
| 84481 |
|
14,246 |
12,968 |
$157K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,162 |
3,865 |
$154K |
| 86003 |
|
2,430 |
2,133 |
$150K |
| 84702 |
|
13,472 |
10,720 |
$141K |
| 87480 |
|
8,937 |
8,112 |
$130K |
| 86696 |
|
9,799 |
9,159 |
$129K |
| 82728 |
|
14,135 |
12,935 |
$125K |
| 86592 |
|
41,375 |
37,771 |
$125K |
| 87510 |
|
8,949 |
8,106 |
$123K |
| 83001 |
|
8,134 |
7,547 |
$114K |
| 82670 |
|
5,179 |
4,646 |
$106K |
| 80081 |
|
2,045 |
1,947 |
$99K |
| 83540 |
|
22,275 |
20,418 |
$97K |
| 86762 |
|
9,372 |
8,482 |
$89K |
| 87660 |
|
6,910 |
6,308 |
$87K |
| 83880 |
|
3,815 |
3,435 |
$87K |
| 87481 |
|
4,706 |
4,299 |
$87K |
| 85027 |
|
18,951 |
17,151 |
$84K |
| 84146 |
|
5,520 |
5,189 |
$81K |
| 83002 |
|
5,431 |
5,074 |
$80K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
296 |
281 |
$80K |
| 86235 |
|
1,456 |
1,290 |
$79K |
| 80055 |
|
1,378 |
1,313 |
$79K |
| 87512 |
|
2,398 |
2,300 |
$78K |
| 86695 |
|
9,440 |
8,811 |
$77K |
| 86038 |
|
8,789 |
8,052 |
$77K |
| 83550 |
|
13,701 |
12,523 |
$76K |
| 82043 |
|
18,528 |
17,480 |
$74K |
| 87529 |
|
1,704 |
1,578 |
$74K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
15,118 |
13,645 |
$72K |
| 87070 |
|
11,736 |
10,850 |
$70K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
2,668 |
2,616 |
$70K |
| 82570 |
|
19,011 |
17,853 |
$66K |
| 84144 |
|
4,333 |
3,881 |
$64K |
| 86706 |
|
8,123 |
7,438 |
$64K |
| 82105 |
|
5,054 |
4,594 |
$62K |
| 86787 |
|
5,224 |
4,750 |
$58K |
| 83735 |
|
14,496 |
12,863 |
$58K |
| 83970 |
|
2,341 |
2,188 |
$54K |
| 82248 |
|
16,714 |
15,214 |
$54K |
| 87186 |
|
8,240 |
7,676 |
$50K |
| 82627 |
|
2,892 |
2,599 |
$48K |
| 84270 |
|
3,083 |
2,733 |
$46K |
| 88141 |
|
2,539 |
2,319 |
$45K |
| 87081 |
|
8,103 |
7,614 |
$44K |
| 81001 |
|
20,051 |
18,392 |
$44K |
| 84402 |
|
2,457 |
2,227 |
$44K |
| 86769 |
|
1,220 |
1,182 |
$43K |
| 84550 |
|
13,776 |
12,560 |
$42K |
| 83516 |
|
1,641 |
1,559 |
$42K |
| 84480 |
|
4,359 |
3,951 |
$42K |
| 87077 |
|
6,775 |
6,434 |
$41K |
| 86705 |
|
4,779 |
4,418 |
$40K |
| 83525 |
|
5,261 |
4,717 |
$40K |
| 84436 |
|
10,138 |
9,253 |
$40K |
| 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 |
2,024 |
1,933 |
$40K |
| 86376 |
|
3,748 |
3,399 |
$39K |
| 82677 |
|
1,835 |
1,724 |
$39K |
| 80076 |
|
6,854 |
6,425 |
$39K |
| 81513 |
|
564 |
456 |
$39K |
| 83655 |
|
3,544 |
3,358 |
$37K |
| 86850 |
|
7,903 |
7,138 |
$36K |
| 88142 |
|
2,286 |
2,188 |
$35K |
| 82140 |
|
3,436 |
3,065 |
$35K |
| 86708 |
|
3,790 |
3,390 |
$32K |
| 86694 |
|
3,333 |
3,054 |
$31K |
| 86704 |
|
3,343 |
3,074 |
$31K |
| 82950 |
|
8,025 |
7,276 |
$30K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
536 |
482 |
$30K |
| 86800 |
|
2,503 |
2,293 |
$29K |
| 82977 |
|
5,608 |
5,177 |
$28K |
| 82652 |
|
1,412 |
1,320 |
$28K |
| 86141 |
|
3,067 |
2,731 |
$27K |
| 86431 |
|
6,619 |
6,055 |
$27K |
| 84207 |
|
984 |
963 |
$26K |
| 87625 |
|
2,190 |
2,046 |
$26K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
233 |
216 |
$26K |
| 86140 |
|
7,982 |
7,229 |
$25K |
| 83020 |
|
2,225 |
2,001 |
$24K |
| 84703 |
|
4,178 |
3,821 |
$24K |
| 83690 |
|
5,077 |
4,528 |
$24K |
| 86336 |
|
1,849 |
1,734 |
$23K |
| 82784 |
|
1,377 |
1,303 |
$23K |
| 85379 |
|
3,172 |
2,726 |
$22K |
| 85652 |
|
12,554 |
11,296 |
$22K |
| 84460 |
|
6,978 |
6,369 |
$22K |
| 84425 |
|
1,102 |
1,075 |
$22K |
| 84450 |
|
6,638 |
6,058 |
$21K |
| 86665 |
|
781 |
728 |
$20K |
| 83721 |
|
4,239 |
3,891 |
$19K |
| 87520 |
|
1,239 |
1,188 |
$19K |
| 86160 |
|
1,252 |
1,117 |
$19K |
| 82378 |
|
1,607 |
1,435 |
$19K |
| 82785 |
|
1,450 |
1,356 |
$19K |
| 82150 |
|
4,337 |
3,829 |
$18K |
| 87109 |
|
1,335 |
1,304 |
$18K |
| 83090 |
|
1,831 |
1,591 |
$18K |
| 85610 |
|
6,839 |
5,581 |
$17K |
| 82565 |
|
4,956 |
4,507 |
$17K |
| 86901 |
|
7,750 |
7,012 |
$16K |
| 87088 |
|
2,653 |
2,444 |
$16K |
| 86780 |
|
1,642 |
1,440 |
$16K |
| 86900 |
|
7,800 |
7,053 |
$15K |
| 80164 |
|
2,002 |
1,863 |
$15K |
| 83014 |
|
2,430 |
2,339 |
$15K |
| 86225 |
|
1,591 |
1,434 |
$15K |
| 85651 |
|
4,746 |
4,484 |
$14K |
| 81003 |
|
9,248 |
8,445 |
$14K |
| 87800 |
|
548 |
490 |
$14K |
| 87631 |
|
129 |
121 |
$14K |
| 86765 |
|
1,284 |
1,202 |
$14K |
| 86735 |
|
1,260 |
1,186 |
$14K |
| 87563 |
|
666 |
619 |
$14K |
| 82672 |
|
838 |
765 |
$13K |
| 82951 |
|
1,467 |
1,336 |
$12K |
| 82040 |
|
4,547 |
4,201 |
$12K |
| 87255 |
|
394 |
371 |
$12K |
| 84520 |
|
4,186 |
3,787 |
$12K |
| 86709 |
|
1,495 |
1,391 |
$12K |
| 84479 |
|
3,275 |
2,947 |
$11K |
| 87147 |
|
2,845 |
2,601 |
$11K |
| 82550 |
|
2,178 |
1,999 |
$10K |
| 84075 |
|
3,469 |
3,162 |
$10K |
| 84100 |
|
3,774 |
3,377 |
$10K |
| 86334 |
|
575 |
562 |
$10K |
| 86147 |
|
193 |
186 |
$10K |
| 82310 |
|
2,832 |
2,635 |
$10K |
| 82247 |
|
3,418 |
3,094 |
$10K |
| 82947 |
|
3,231 |
3,044 |
$9K |
| 86304 |
|
740 |
704 |
$9K |
| 86812 |
|
564 |
501 |
$9K |
| 84155 |
|
4,056 |
3,751 |
$9K |
| 86381 |
|
593 |
527 |
$9K |
| 85018 |
|
4,528 |
4,309 |
$9K |
| 84134 |
|
1,111 |
980 |
$8K |
| 87486 |
|
302 |
282 |
$8K |
| 87581 |
|
304 |
282 |
$8K |
| 86664 |
|
648 |
611 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
220 |
207 |
$8K |
| 86663 |
|
692 |
651 |
$8K |
| 82330 |
|
1,011 |
902 |
$8K |
| 85730 |
|
2,243 |
2,063 |
$7K |
| 86200 |
|
827 |
753 |
$7K |
| 85060 |
|
1,079 |
984 |
$7K |
| 85014 |
|
3,725 |
3,539 |
$7K |
| 83615 |
|
1,488 |
1,354 |
$7K |
| 81241 |
|
133 |
130 |
$7K |
| 80348 |
|
1,064 |
802 |
$7K |
| 80349 |
|
1,074 |
821 |
$7K |
| 86677 |
|
221 |
208 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
266 |
261 |
$6K |
| 80051 |
|
1,410 |
1,233 |
$6K |
| 80178 |
|
1,315 |
1,214 |
$6K |
| 82533 |
|
569 |
498 |
$6K |
| 84156 |
|
2,404 |
2,147 |
$6K |
| 84132 |
|
1,769 |
1,698 |
$5K |
| 87449 |
|
443 |
400 |
$5K |
| 83718 |
|
1,002 |
962 |
$5K |
| 88185 |
|
14 |
13 |
$5K |
| 86146 |
|
176 |
164 |
$5K |
| 82374 |
|
1,536 |
1,473 |
$5K |
| 84295 |
|
1,484 |
1,428 |
$5K |
| 82435 |
|
1,479 |
1,424 |
$5K |
| 82274 |
|
407 |
377 |
$4K |
| 86060 |
|
830 |
748 |
$4K |
| 87205 |
|
1,244 |
1,139 |
$4K |
| 87536 |
|
89 |
83 |
$4K |
| 80069 |
|
780 |
709 |
$4K |
| 86015 |
|
589 |
523 |
$4K |
| 87252 |
|
191 |
176 |
$4K |
| 82465 |
|
1,193 |
1,157 |
$4K |
| 87350 |
|
540 |
467 |
$4K |
| 86707 |
|
522 |
452 |
$4K |
| 87498 |
|
130 |
121 |
$3K |
| 84478 |
|
807 |
781 |
$3K |
| 82952 |
|
815 |
766 |
$3K |
| 86039 |
|
375 |
365 |
$3K |
| 87634 |
|
137 |
119 |
$3K |
| 86364 |
|
295 |
250 |
$3K |
| 87427 |
|
401 |
285 |
$3K |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
770 |
659 |
$3K |
| 87517 |
|
93 |
84 |
$3K |
| 87045 |
|
347 |
320 |
$3K |
| 87071 |
|
350 |
326 |
$3K |
| 83883 |
|
227 |
202 |
$3K |
| 80358 |
|
255 |
97 |
$2K |
| 87046 |
|
300 |
276 |
$2K |
| 86593 |
|
704 |
604 |
$2K |
| 84140 |
|
186 |
152 |
$2K |
| 87209 |
|
132 |
124 |
$2K |
| 80354 |
|
238 |
113 |
$2K |
| 85045 |
|
607 |
571 |
$2K |
| 83921 |
|
120 |
113 |
$2K |
| 80324 |
|
219 |
136 |
$2K |
| 84466 |
|
168 |
147 |
$2K |
| 80353 |
|
211 |
116 |
$2K |
| 83704 |
|
69 |
66 |
$2K |
| 80346 |
|
170 |
116 |
$2K |
| 85613 |
|
208 |
185 |
$2K |
| 84154 |
|
142 |
133 |
$2K |
| 87400 |
|
81 |
76 |
$2K |
| 84165 |
|
232 |
213 |
$1K |
| 83520 |
|
20 |
16 |
$1K |
| 87177 |
|
166 |
154 |
$1K |
| 86258 |
|
115 |
99 |
$1K |
| 83930 |
|
331 |
278 |
$1K |
| 80361 |
|
66 |
49 |
$1K |
| 84482 |
|
131 |
109 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
105 |
94 |
$983.48 |
| 84681 |
|
54 |
49 |
$953.23 |
| 87075 |
|
117 |
102 |
$939.71 |
| 87110 |
|
67 |
55 |
$885.46 |
| 86870 |
|
41 |
38 |
$802.17 |
| 88189 |
|
13 |
12 |
$733.84 |
| 86308 |
|
151 |
143 |
$709.06 |
| 86356 |
|
17 |
17 |
$700.26 |
| 88184 |
|
14 |
13 |
$546.20 |
| 87102 |
|
76 |
70 |
$537.85 |
| 80175 |
|
49 |
48 |
$500.76 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
828 |
634 |
$487.63 |
| 84445 |
|
13 |
12 |
$451.70 |
| 80373 |
|
47 |
30 |
$449.87 |
| 85049 |
|
169 |
151 |
$442.98 |
| 80183 |
|
44 |
43 |
$439.14 |
| 88342 |
|
20 |
18 |
$410.48 |
| 80177 |
|
49 |
44 |
$408.96 |
| 86618 |
|
25 |
24 |
$408.02 |
| 83498 |
|
14 |
14 |
$336.35 |
| 86359 |
|
17 |
17 |
$328.84 |
| 86357 |
|
17 |
17 |
$328.84 |
| 80185 |
|
28 |
26 |
$327.91 |
| 81596 |
|
18 |
12 |
$324.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
29 |
$263.18 |
| 87324 |
|
27 |
27 |
$256.49 |
| 85048 |
|
274 |
227 |
$248.49 |
| 84305 |
|
13 |
12 |
$228.29 |
| 84630 |
|
26 |
25 |
$226.34 |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
15 |
13 |
$225.42 |
| 83695 |
|
16 |
14 |
$182.82 |
| 80356 |
|
25 |
24 |
$159.15 |
| 82595 |
|
30 |
30 |
$132.12 |
| 82103 |
|
21 |
16 |
$102.40 |
| 84484 |
|
13 |
13 |
$98.57 |
| 85384 |
|
15 |
13 |
$89.09 |
| 84590 |
|
13 |
13 |
$75.07 |
| 80159 |
|
15 |
13 |
$68.60 |
| 85670 |
|
14 |
14 |
$54.65 |
| 85732 |
|
15 |
15 |
$36.57 |
| 86701 |
|
14 |
14 |
$8.78 |
| 85041 |
|
12 |
12 |
$4.83 |
| P3001 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician |
15 |
13 |
$0.00 |