| Code | Description | Claims | Beneficiaries | Total Paid |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
431 |
426 |
$106K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
842 |
837 |
$79K |
| 76642 |
|
1,431 |
1,170 |
$78K |
| 77066 |
Tomosynthesis, mammo |
667 |
666 |
$72K |
| 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 |
446 |
440 |
$37K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,048 |
1,042 |
$32K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
846 |
838 |
$29K |
| 87481 |
|
304 |
255 |
$20K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
840 |
822 |
$20K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
521 |
510 |
$19K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
781 |
763 |
$17K |
| 84443 |
Thyroid stimulating hormone (TSH) |
692 |
683 |
$16K |
| 76641 |
|
185 |
123 |
$14K |
| 77065 |
Tomosynthesis, mammo |
181 |
179 |
$14K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
450 |
449 |
$13K |
| 80053 |
Comprehensive metabolic panel |
872 |
859 |
$10K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
264 |
264 |
$10K |
| 80061 |
Lipid panel |
652 |
643 |
$9K |
| 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 |
572 |
565 |
$8K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
253 |
245 |
$7K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
166 |
161 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
326 |
323 |
$6K |
| 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 |
67 |
67 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
778 |
759 |
$5K |
| 72100 |
|
179 |
178 |
$5K |
| 73630 |
|
298 |
235 |
$4K |
| 87511 |
|
190 |
189 |
$4K |
| 86803 |
|
188 |
183 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
436 |
429 |
$4K |
| 82607 |
|
242 |
238 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
450 |
443 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
45 |
44 |
$3K |
| 87150 |
|
72 |
72 |
$3K |
| 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 |
41 |
40 |
$3K |
| 82728 |
|
206 |
202 |
$2K |
| 76830 |
Ultrasound, transvaginal |
41 |
41 |
$2K |
| 85027 |
|
312 |
306 |
$2K |
| 84702 |
|
141 |
118 |
$2K |
| 83540 |
|
244 |
239 |
$2K |
| 73564 |
|
89 |
69 |
$2K |
| 87631 |
|
13 |
13 |
$2K |
| 72050 |
|
50 |
50 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
20 |
20 |
$2K |
| 86003 |
|
13 |
13 |
$2K |
| 84439 |
|
216 |
213 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
40 |
39 |
$2K |
| 80050 |
General health panel |
33 |
33 |
$2K |
| 86762 |
|
80 |
79 |
$2K |
| 87340 |
|
112 |
107 |
$1K |
| 86780 |
|
91 |
91 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
109 |
78 |
$1K |
| 83550 |
|
242 |
237 |
$1K |
| 85610 |
|
289 |
219 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
117 |
109 |
$1K |
| 84403 |
|
34 |
32 |
$961.74 |
| 82746 |
|
78 |
77 |
$939.70 |
| 82570 |
|
130 |
130 |
$937.14 |
| 82043 |
|
102 |
102 |
$811.69 |
| 76536 |
|
12 |
12 |
$792.74 |
| 73610 |
|
34 |
28 |
$758.89 |
| 82950 |
|
101 |
101 |
$690.94 |
| 84153 |
|
28 |
28 |
$643.28 |
| 83970 |
|
14 |
14 |
$633.32 |
| 84480 |
|
76 |
75 |
$612.48 |
| 82248 |
|
85 |
84 |
$603.79 |
| 86317 |
|
31 |
30 |
$600.49 |
| 84146 |
|
28 |
27 |
$582.96 |
| 86850 |
|
69 |
68 |
$569.52 |
| 86592 |
|
140 |
134 |
$539.06 |
| 85046 |
|
80 |
78 |
$486.33 |
| 83655 |
|
45 |
44 |
$479.10 |
| 81001 |
|
161 |
157 |
$478.75 |
| 83735 |
|
67 |
67 |
$476.79 |
| 83525 |
|
39 |
39 |
$438.46 |
| 84270 |
|
15 |
14 |
$405.05 |
| 88142 |
|
23 |
23 |
$388.64 |
| 87430 |
|
59 |
59 |
$385.54 |
| 86038 |
|
27 |
27 |
$380.86 |
| 86901 |
|
89 |
76 |
$349.70 |
| 85652 |
|
116 |
110 |
$345.59 |
| 86900 |
|
89 |
76 |
$344.96 |
| 83721 |
|
30 |
29 |
$343.59 |
| 86140 |
|
109 |
103 |
$333.88 |
| 36415 |
Collection of venous blood by venipuncture |
166 |
157 |
$270.90 |
| 80076 |
|
28 |
28 |
$254.34 |
| 82565 |
|
38 |
38 |
$252.67 |
| 86431 |
|
30 |
30 |
$238.96 |
| 87186 |
|
25 |
24 |
$238.40 |
| 73130 |
|
21 |
13 |
$193.62 |
| 82951 |
|
14 |
14 |
$174.95 |
| 84630 |
|
12 |
12 |
$168.57 |
| 83520 |
|
12 |
12 |
$145.05 |
| 83690 |
|
26 |
26 |
$135.70 |
| 84425 |
|
18 |
18 |
$133.14 |
| 81003 |
|
36 |
36 |
$114.60 |
| 82952 |
|
14 |
14 |
$45.77 |