| Code | Description | Claims | Beneficiaries | Total Paid |
| 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 |
114,112 |
105,170 |
$7.26M |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
81,324 |
78,540 |
$2.01M |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
80,396 |
77,660 |
$1.98M |
| 84443 |
Thyroid stimulating hormone (TSH) |
129,296 |
125,892 |
$1.24M |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
65,210 |
63,831 |
$1.05M |
| 81513 |
|
16,755 |
15,424 |
$1.03M |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
61,936 |
60,733 |
$981K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
3,094 |
3,046 |
$912K |
| 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 |
50,829 |
47,115 |
$904K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
28,136 |
24,520 |
$873K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
184,336 |
171,921 |
$782K |
| 87631 |
|
7,465 |
7,360 |
$736K |
| 86480 |
|
16,875 |
16,608 |
$665K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
26,785 |
25,171 |
$612K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
119,676 |
116,982 |
$607K |
| 87481 |
|
19,670 |
18,220 |
$602K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
25,384 |
25,095 |
$578K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
27,136 |
26,877 |
$542K |
| 86780 |
|
50,092 |
49,140 |
$453K |
| 86803 |
|
49,460 |
48,575 |
$447K |
| 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 |
6,016 |
4,934 |
$432K |
| 80053 |
Comprehensive metabolic panel |
152,351 |
145,303 |
$423K |
| 86003 |
|
17,883 |
5,276 |
$412K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
9,602 |
9,049 |
$408K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
75,411 |
70,611 |
$396K |
| 87536 |
|
7,783 |
7,608 |
$392K |
| 80061 |
Lipid panel |
121,421 |
118,964 |
$381K |
| 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 |
12,824 |
11,247 |
$358K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
5,103 |
4,988 |
$345K |
| 83655 |
|
29,348 |
28,923 |
$318K |
| 85027 |
|
78,207 |
75,791 |
$305K |
| 83013 |
|
6,486 |
6,378 |
$304K |
| 82607 |
|
39,249 |
38,429 |
$303K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,035 |
1,013 |
$290K |
| 82728 |
|
36,993 |
35,886 |
$288K |
| 87902 |
|
1,865 |
1,819 |
$283K |
| 83970 |
|
16,647 |
16,117 |
$283K |
| 87088 |
|
34,612 |
30,147 |
$278K |
| 87522 |
Neg quan hep c or qual rna |
9,376 |
9,138 |
$261K |
| 84439 |
|
45,485 |
44,342 |
$247K |
| 80050 |
General health panel |
8,764 |
8,700 |
$224K |
| 87340 |
|
33,437 |
32,716 |
$222K |
| ATP17 |
|
31,373 |
30,048 |
$203K |
| 86481 |
|
3,931 |
3,854 |
$199K |
| 84702 |
|
16,755 |
13,702 |
$196K |
| ATP14 |
|
35,505 |
33,410 |
$187K |
| 86317 |
|
17,428 |
16,238 |
$182K |
| 84403 |
|
9,502 |
9,201 |
$158K |
| 81001 |
|
85,248 |
81,069 |
$152K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
72,062 |
68,143 |
$152K |
| 83550 |
|
32,668 |
31,615 |
$151K |
| 82570 |
|
59,718 |
57,675 |
$148K |
| 86360 |
|
5,595 |
5,494 |
$142K |
| 86762 |
|
12,694 |
12,554 |
$139K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,190 |
1,176 |
$136K |
| 84153 |
|
14,725 |
14,274 |
$135K |
| 83540 |
|
36,242 |
35,100 |
$128K |
| 83880 |
|
9,184 |
8,304 |
$121K |
| 82043 |
|
44,233 |
43,192 |
$117K |
| 82746 |
|
15,311 |
15,011 |
$117K |
| 87081 |
|
20,650 |
20,245 |
$116K |
| 86355 |
|
5,597 |
5,496 |
$115K |
| 86357 |
|
5,591 |
5,487 |
$114K |
| 87186 |
|
21,650 |
20,697 |
$113K |
| 86359 |
|
5,571 |
5,465 |
$111K |
| 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 |
1,323 |
1,156 |
$110K |
| 87077 |
|
22,878 |
21,703 |
$109K |
| 84146 |
|
7,676 |
7,502 |
$102K |
| 86704 |
|
14,632 |
14,294 |
$101K |
| 36415 |
Collection of venous blood by venipuncture |
355,921 |
315,763 |
$101K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
3,331 |
2,981 |
$100K |
| 86850 |
|
13,501 |
13,165 |
$100K |
| 83516 |
|
8,806 |
7,985 |
$99K |
| 82670 |
|
4,798 |
4,673 |
$93K |
| 87070 |
|
14,310 |
13,724 |
$93K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,578 |
2,388 |
$92K |
| 83001 |
|
6,763 |
6,675 |
$88K |
| 87653 |
|
2,993 |
2,964 |
$87K |
| ATP08 |
|
23,153 |
21,193 |
$87K |
| 82784 |
|
9,581 |
8,624 |
$81K |
| 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 |
4,956 |
4,925 |
$78K |
| 82652 |
|
3,264 |
3,217 |
$78K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,524 |
1,494 |
$77K |
| 86038 |
|
9,807 |
9,649 |
$77K |
| 85610 |
|
41,279 |
23,605 |
$76K |
| ATP15 |
|
13,139 |
11,936 |
$75K |
| 83735 |
|
23,946 |
21,231 |
$73K |
| 86787 |
|
7,668 |
7,567 |
$72K |
| 86140 |
|
22,314 |
20,918 |
$72K |
| 83718 |
|
13,034 |
12,860 |
$68K |
| 80074 |
|
1,885 |
1,851 |
$67K |
| 82274 |
|
8,340 |
8,222 |
$64K |
| 84270 |
|
4,623 |
4,515 |
$63K |
| 80069 |
|
24,038 |
22,161 |
$63K |
| 86618 |
|
5,732 |
5,646 |
$62K |
| 83002 |
|
4,683 |
4,623 |
$62K |
| 83021 |
|
4,280 |
4,216 |
$60K |
| 82105 |
|
4,414 |
4,323 |
$57K |
| 87529 |
|
2,031 |
1,743 |
$56K |
| 87480 |
|
3,389 |
3,304 |
$54K |
| 87510 |
|
3,375 |
3,293 |
$54K |
| ATP11 |
|
10,132 |
9,700 |
$54K |
| 87660 |
|
3,379 |
3,296 |
$54K |
| 87147 |
|
12,591 |
12,203 |
$53K |
| 80076 |
|
20,043 |
19,108 |
$53K |
| 86708 |
|
7,324 |
7,208 |
$52K |
| 82785 |
|
4,121 |
4,080 |
$50K |
| 83721 |
|
11,765 |
11,544 |
$49K |
| 85652 |
|
28,702 |
27,246 |
$48K |
| ATP18 |
|
6,976 |
6,660 |
$48K |
| 84460 |
|
30,288 |
29,051 |
$47K |
| 84481 |
|
4,532 |
4,403 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,351 |
4,212 |
$45K |
| 86160 |
|
3,427 |
2,623 |
$44K |
| 86696 |
|
3,203 |
3,158 |
$43K |
| 86376 |
|
4,382 |
4,307 |
$43K |
| ATP03 |
|
9,318 |
8,936 |
$42K |
| 86665 |
|
1,699 |
1,573 |
$41K |
| 84450 |
|
28,293 |
27,081 |
$41K |
| 82565 |
|
25,038 |
23,535 |
$39K |
| 82950 |
|
9,611 |
9,535 |
$38K |
| 82627 |
|
2,366 |
2,334 |
$37K |
| 83014 |
|
6,441 |
6,336 |
$35K |
| 86235 |
|
1,455 |
951 |
$35K |
| 86765 |
|
4,049 |
4,001 |
$34K |
| 82951 |
|
3,255 |
3,221 |
$34K |
| 84156 |
|
18,008 |
17,020 |
$34K |
| 83690 |
|
7,726 |
7,483 |
$34K |
| 87517 |
|
1,330 |
1,308 |
$32K |
| 80197 |
|
7,316 |
5,535 |
$32K |
| 86735 |
|
3,761 |
3,722 |
$32K |
| 87209 |
|
2,655 |
2,362 |
$31K |
| 82465 |
|
15,739 |
15,465 |
$31K |
| 87046 |
|
2,832 |
2,486 |
$29K |
| 86900 |
|
11,532 |
11,166 |
$29K |
| 87338 |
|
2,962 |
2,940 |
$29K |
| ATP10 |
|
9,662 |
8,832 |
$28K |
| 83520 |
|
2,638 |
2,512 |
$28K |
| 86800 |
|
2,740 |
2,667 |
$28K |
| 82248 |
|
23,204 |
21,544 |
$26K |
| 87205 |
|
9,248 |
8,943 |
$26K |
| 82533 |
|
2,618 |
2,447 |
$26K |
| ATP07 |
|
5,499 |
5,228 |
$26K |
| 80051 |
|
10,453 |
9,799 |
$26K |
| 87507 |
|
104 |
103 |
$26K |
| 86901 |
|
11,385 |
11,131 |
$26K |
| 87581 |
|
963 |
941 |
$25K |
| 87486 |
|
964 |
942 |
$25K |
| 86705 |
|
3,843 |
3,723 |
$25K |
| 88304 |
|
651 |
604 |
$23K |
| 86431 |
|
6,414 |
6,333 |
$23K |
| 80164 |
|
3,754 |
3,563 |
$23K |
| 81025 |
|
4,028 |
3,849 |
$21K |
| 87350 |
|
3,467 |
3,347 |
$21K |
| ATP02 |
|
7,458 |
6,776 |
$21K |
| 86695 |
|
2,223 |
2,194 |
$21K |
| 81508 |
|
556 |
542 |
$21K |
| 87799 |
|
1,575 |
1,257 |
$20K |
| 85730 |
|
5,152 |
4,943 |
$19K |
| 86200 |
|
2,304 |
2,274 |
$19K |
| 88342 |
|
415 |
398 |
$19K |
| 86664 |
|
1,592 |
1,571 |
$18K |
| 84550 |
|
13,928 |
13,248 |
$18K |
| 86769 |
|
891 |
852 |
$18K |
| 86617 |
|
1,634 |
1,586 |
$18K |
| 82947 |
|
9,140 |
8,892 |
$18K |
| 84520 |
|
14,498 |
13,606 |
$17K |
| 82150 |
|
4,246 |
4,086 |
$17K |
| 84100 |
|
11,889 |
10,146 |
$17K |
| 86039 |
|
2,460 |
2,412 |
$17K |
| 84144 |
|
1,151 |
1,084 |
$17K |
| 88112 |
|
779 |
679 |
$17K |
| 82550 |
|
8,933 |
8,365 |
$17K |
| 86334 |
|
1,658 |
1,608 |
$16K |
| 87045 |
|
2,754 |
2,685 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
862 |
834 |
$16K |
| ATP13 |
|
3,550 |
3,337 |
$16K |
| 85018 |
|
8,191 |
8,041 |
$16K |
| 84134 |
|
1,766 |
1,485 |
$16K |
| 86677 |
|
1,541 |
1,528 |
$16K |
| 87177 |
|
2,655 |
2,359 |
$15K |
| 86225 |
|
1,593 |
1,567 |
$15K |
| 86008 |
|
142 |
138 |
$14K |
| 81003 |
|
10,244 |
10,002 |
$14K |
| 87476 |
|
702 |
684 |
$14K |
| 84154 |
|
1,798 |
1,755 |
$14K |
| 86706 |
|
1,972 |
1,948 |
$14K |
| 87210 |
|
4,276 |
4,150 |
$14K |
| 87899 |
|
1,546 |
1,419 |
$13K |
| 83921 |
|
1,665 |
1,622 |
$13K |
| 83993 |
|
1,118 |
1,093 |
$13K |
| ATP04 |
|
2,769 |
2,642 |
$12K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
454 |
396 |
$12K |
| 85014 |
|
6,385 |
6,292 |
$12K |
| 82247 |
|
7,666 |
6,672 |
$12K |
| 80180 |
|
1,889 |
1,743 |
$12K |
| 36416 |
|
9,168 |
8,317 |
$12K |
| ATP16 |
|
2,532 |
2,165 |
$11K |
| 82553 |
|
2,598 |
2,452 |
$11K |
| 82952 |
|
3,288 |
3,250 |
$10K |
| 87449 |
|
1,802 |
1,760 |
$10K |
| ATP09 |
|
2,580 |
2,256 |
$10K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
176 |
176 |
$10K |
| 86255 |
|
903 |
877 |
$10K |
| 87324 |
|
1,741 |
1,697 |
$9K |
| ATP05 |
|
1,825 |
1,749 |
$9K |
| 80178 |
|
2,713 |
2,532 |
$9K |
| 84165 |
|
1,843 |
1,796 |
$9K |
| 84480 |
|
1,409 |
1,366 |
$9K |
| 85045 |
|
3,669 |
3,556 |
$9K |
| 86141 |
|
1,167 |
1,135 |
$9K |
| 82310 |
|
4,289 |
4,013 |
$8K |
| 82977 |
|
3,663 |
3,503 |
$8K |
| 83525 |
|
998 |
974 |
$8K |
| 84466 |
|
977 |
957 |
$8K |
| 84075 |
|
4,440 |
4,252 |
$8K |
| 83615 |
|
3,577 |
3,254 |
$7K |
| 87625 |
|
387 |
379 |
$7K |
| 85379 |
|
1,207 |
1,185 |
$7K |
| 84436 |
|
1,835 |
1,680 |
$7K |
| 0099U |
|
41 |
38 |
$6K |
| 84425 |
|
671 |
660 |
$6K |
| 86593 |
|
2,070 |
2,033 |
$6K |
| ATP06 |
|
1,508 |
1,432 |
$6K |
| 82040 |
|
3,306 |
3,125 |
$6K |
| 84163 |
|
442 |
441 |
$6K |
| 83883 |
|
618 |
604 |
$6K |
| 87206 |
|
1,659 |
1,459 |
$6K |
| 87329 |
|
796 |
777 |
$6K |
| 87427 |
|
776 |
749 |
$5K |
| 86308 |
|
1,249 |
1,239 |
$5K |
| 87563 |
|
261 |
247 |
$5K |
| 82677 |
|
284 |
277 |
$5K |
| 84402 |
|
271 |
263 |
$4K |
| ATP12 |
|
1,127 |
1,052 |
$4K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
1,889 |
1,870 |
$4K |
| 82330 |
|
536 |
508 |
$4K |
| 84703 |
|
752 |
735 |
$4K |
| 82340 |
|
937 |
925 |
$3K |
| 81401 |
|
50 |
46 |
$3K |
| 82088 |
|
132 |
130 |
$3K |
| 88312 |
|
172 |
169 |
$3K |
| 83498 |
|
149 |
147 |
$3K |
| 83010 |
|
331 |
327 |
$3K |
| 83090 |
|
307 |
301 |
$3K |
| 82172 |
|
238 |
237 |
$3K |
| 84132 |
|
1,628 |
1,490 |
$3K |
| 81050 |
|
1,363 |
1,337 |
$3K |
| 84300 |
|
858 |
830 |
$2K |
| 82024 |
|
88 |
84 |
$2K |
| 86666 |
|
81 |
81 |
$2K |
| 86336 |
|
163 |
159 |
$2K |
| 84305 |
|
145 |
143 |
$2K |
| 87102 |
|
481 |
408 |
$2K |
| 86304 |
|
175 |
160 |
$2K |
| ATP19 |
|
399 |
378 |
$2K |
| 82397 |
|
210 |
207 |
$2K |
| 86352 |
|
26 |
25 |
$2K |
| 84155 |
|
1,695 |
1,636 |
$2K |
| 80175 |
|
396 |
380 |
$2K |
| 82787 |
|
145 |
143 |
$2K |
| 80177 |
|
353 |
341 |
$2K |
| 84244 |
|
118 |
117 |
$2K |
| 82140 |
|
273 |
257 |
$1K |
| 80156 |
|
510 |
483 |
$1K |
| 86709 |
|
229 |
225 |
$1K |
| 88300 |
|
81 |
81 |
$1K |
| 85651 |
|
623 |
614 |
$1K |
| 85613 |
|
172 |
171 |
$1K |
| 86753 |
|
149 |
147 |
$1K |
| 84484 |
|
269 |
266 |
$1K |
| 85660 |
|
260 |
259 |
$1K |
| 86147 |
|
34 |
29 |
$1K |
| 83835 |
|
107 |
101 |
$1K |
| 84681 |
|
118 |
118 |
$1K |
| 84207 |
|
89 |
88 |
$1K |
| 87040 |
|
116 |
101 |
$987.00 |
| 86162 |
|
67 |
65 |
$943.81 |
| 84630 |
|
117 |
113 |
$934.86 |
| 82390 |
|
148 |
144 |
$886.00 |
| 84445 |
|
26 |
25 |
$835.17 |
| 82507 |
|
37 |
37 |
$832.15 |
| 86707 |
|
120 |
120 |
$831.18 |
| 86258 |
|
348 |
345 |
$677.86 |
| 82378 |
|
67 |
63 |
$663.34 |
| 80162 |
|
96 |
82 |
$526.77 |
| 82610 |
|
64 |
62 |
$495.89 |
| 89055 |
|
195 |
193 |
$457.85 |
| 84560 |
|
106 |
106 |
$413.51 |
| 82374 |
|
213 |
206 |
$343.27 |
| 80183 |
|
24 |
24 |
$342.89 |
| 86611 |
|
14 |
14 |
$334.08 |
| 80299 |
|
50 |
41 |
$324.76 |
| 82272 |
|
105 |
102 |
$308.42 |
| 82525 |
|
54 |
50 |
$283.00 |
| 83945 |
|
25 |
25 |
$281.16 |
| 86812 |
|
12 |
12 |
$266.10 |
| 85245 |
|
12 |
12 |
$253.06 |
| 84482 |
|
26 |
26 |
$238.70 |
| 86682 |
|
28 |
28 |
$229.40 |
| 82103 |
|
27 |
27 |
$220.68 |
| 86644 |
|
28 |
25 |
$210.08 |
| 81002 |
|
95 |
93 |
$192.72 |
| 86694 |
|
17 |
17 |
$170.69 |
| 85049 |
|
55 |
53 |
$138.08 |
| 84432 |
|
14 |
13 |
$125.02 |
| ATP20 |
|
39 |
39 |
$124.74 |
| 81015 |
|
61 |
61 |
$121.42 |
| 87015 |
|
17 |
12 |
$104.98 |
| 84540 |
|
42 |
41 |
$94.48 |
| 84478 |
|
196 |
137 |
$88.40 |
| 87075 |
|
30 |
28 |
$87.84 |
| 80185 |
|
15 |
12 |
$60.45 |
| 80158 |
|
13 |
12 |
$55.86 |
| 84105 |
|
13 |
13 |
$54.20 |
| 80159 |
|
20 |
12 |
$53.31 |
| 87185 |
|
12 |
12 |
$51.96 |
| 84133 |
|
16 |
16 |
$44.05 |
| 82523 |
|
14 |
14 |
$39.45 |
| 81596 |
|
194 |
184 |
$0.00 |
| 82575 |
|
13 |
13 |
$0.00 |
| 81511 |
|
110 |
97 |
$0.00 |
| 0240U |
|
12 |
12 |
$0.00 |
| 80373 |
|
71 |
64 |
$0.00 |
| 80348 |
|
53 |
49 |
$0.00 |