| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,290 |
1,061 |
$26K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,271 |
1,062 |
$26K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,100 |
915 |
$26K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,378 |
3,030 |
$22K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
377 |
323 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,705 |
3,871 |
$20K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
87 |
68 |
$13K |
| 80053 |
Comprehensive metabolic panel |
2,485 |
1,487 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
894 |
861 |
$12K |
| 83735 |
|
3,480 |
1,795 |
$12K |
| 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 |
500 |
437 |
$11K |
| 87040 |
|
906 |
616 |
$9K |
| 84484 |
|
1,971 |
1,371 |
$8K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
303 |
250 |
$6K |
| 82805 |
|
670 |
309 |
$6K |
| 82553 |
|
1,477 |
1,171 |
$5K |
| 85730 |
|
1,767 |
1,315 |
$5K |
| 80081 |
|
169 |
149 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,159 |
952 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
744 |
614 |
$5K |
| 83880 |
|
663 |
551 |
$5K |
| 80076 |
|
1,623 |
1,409 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
620 |
588 |
$5K |
| 85027 |
|
1,595 |
1,012 |
$4K |
| 82550 |
|
1,737 |
1,295 |
$4K |
| 85610 |
|
2,149 |
1,468 |
$4K |
| 83605 |
|
608 |
384 |
$4K |
| 83690 |
|
1,034 |
881 |
$3K |
| 87081 |
|
1,266 |
1,086 |
$3K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
299 |
213 |
$3K |
| 81001 |
|
2,397 |
2,073 |
$3K |
| 84100 |
|
1,497 |
553 |
$3K |
| 86901 |
|
967 |
779 |
$2K |
| 82150 |
|
673 |
578 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
90 |
69 |
$2K |
| 82261 |
|
242 |
156 |
$2K |
| 87486 |
|
88 |
69 |
$2K |
| 88189 |
|
31 |
30 |
$2K |
| 87581 |
|
87 |
68 |
$2K |
| 87186 |
|
294 |
215 |
$2K |
| 86850 |
|
612 |
475 |
$2K |
| 86900 |
|
965 |
778 |
$2K |
| 84165 |
|
203 |
183 |
$2K |
| 86334 |
|
132 |
116 |
$1K |
| 87210 |
|
629 |
559 |
$1K |
| 84702 |
|
432 |
362 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
527 |
470 |
$1K |
| 82375 |
|
497 |
206 |
$1K |
| 80202 |
|
205 |
98 |
$1K |
| 85379 |
|
319 |
279 |
$1K |
| 80061 |
Lipid panel |
458 |
406 |
$1K |
| 87070 |
|
377 |
261 |
$1K |
| 83498 |
|
247 |
163 |
$1K |
| 86592 |
|
475 |
384 |
$940.28 |
| 82803 |
|
98 |
72 |
$903.18 |
| 82607 |
|
143 |
124 |
$848.32 |
| 81003 |
|
961 |
868 |
$843.12 |
| 87807 |
|
169 |
161 |
$834.98 |
| 82247 |
|
337 |
165 |
$758.76 |
| 82248 |
|
317 |
157 |
$688.05 |
| 86880 |
|
234 |
169 |
$589.88 |
| 87205 |
|
312 |
204 |
$588.81 |
| 82128 |
|
238 |
154 |
$568.69 |
| 82760 |
|
245 |
161 |
$535.92 |
| 82570 |
|
234 |
186 |
$498.97 |
| 82565 |
|
274 |
202 |
$486.54 |
| 84439 |
|
103 |
85 |
$420.85 |
| 87340 |
|
59 |
42 |
$364.50 |
| 86920 |
|
106 |
60 |
$354.85 |
| 84466 |
|
72 |
59 |
$306.49 |
| 88342 |
|
14 |
13 |
$288.32 |
| 83970 |
|
18 |
15 |
$280.08 |
| 82016 |
|
180 |
134 |
$270.30 |
| 83540 |
|
87 |
73 |
$267.84 |
| 82950 |
|
111 |
93 |
$258.63 |
| 82746 |
|
42 |
39 |
$253.34 |
| 84550 |
|
167 |
132 |
$250.04 |
| 84145 |
|
112 |
94 |
$227.85 |
| 84156 |
|
206 |
172 |
$219.75 |
| 87088 |
|
46 |
39 |
$203.40 |
| 80074 |
|
14 |
13 |
$192.40 |
| 82728 |
|
49 |
38 |
$170.71 |
| 81025 |
|
124 |
117 |
$161.52 |
| 86140 |
|
68 |
59 |
$157.45 |
| 86038 |
|
19 |
14 |
$142.20 |
| 87075 |
|
29 |
24 |
$141.91 |
| 85060 |
|
12 |
12 |
$139.05 |
| 85652 |
|
103 |
86 |
$132.31 |
| 87147 |
|
23 |
12 |
$120.00 |
| 85045 |
|
57 |
24 |
$69.43 |
| 82009 |
|
72 |
62 |
$64.57 |
| 86885 |
|
18 |
13 |
$51.85 |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
17 |
13 |
$48.00 |
| 83615 |
|
19 |
15 |
$38.70 |
| 80050 |
General health panel |
117 |
105 |
$21.30 |
| 80320 |
|
161 |
132 |
$0.00 |