| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 81249 |
|
153 |
138 |
$86K |
| 81408 |
|
201 |
166 |
$12K |
| 81240 |
|
153 |
138 |
$9K |
| 81404 |
|
50 |
32 |
$5K |
| 81405 |
|
49 |
34 |
$3K |
| 81406 |
|
49 |
34 |
$3K |
| 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 |
234 |
195 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
107 |
57 |
$1K |
| 87481 |
|
47 |
40 |
$513.11 |
| 81226 |
|
153 |
138 |
$241.24 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
49 |
48 |
$174.52 |
| 87483 |
|
38 |
38 |
$174.15 |
| 81225 |
|
153 |
138 |
$155.88 |
| 81350 |
|
153 |
138 |
$125.19 |
| 81335 |
|
151 |
137 |
$93.52 |
| 81328 |
|
153 |
138 |
$93.52 |
| 81232 |
|
153 |
138 |
$93.52 |
| 81227 |
|
153 |
138 |
$93.52 |
| 81231 |
|
152 |
137 |
$93.52 |
| 81230 |
|
153 |
138 |
$93.52 |
| 81381 |
|
153 |
138 |
$90.90 |
| 81401 |
|
153 |
138 |
$73.30 |
| 87181 |
|
44 |
36 |
$64.58 |
| 87581 |
|
254 |
215 |
$60.20 |
| 87641 |
|
265 |
216 |
$50.27 |
| 87498 |
|
51 |
50 |
$50.27 |
| 87110 |
|
35 |
35 |
$44.33 |
| 87496 |
|
203 |
161 |
$42.12 |
| 81251 |
|
17 |
17 |
$40.80 |
| 81241 |
|
153 |
138 |
$39.25 |
| 87184 |
|
35 |
35 |
$39.02 |
| 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 |
232 |
193 |
$35.00 |
| 81291 |
|
153 |
138 |
$34.96 |
| 81400 |
|
153 |
138 |
$34.22 |
| 87070 |
|
35 |
35 |
$29.24 |
| 87427 |
|
36 |
36 |
$27.14 |
| 87486 |
|
270 |
218 |
$22.20 |
| 87541 |
|
243 |
207 |
$22.20 |
| 87140 |
|
42 |
35 |
$18.93 |
| 86403 |
|
35 |
35 |
$18.00 |
| 87081 |
|
35 |
35 |
$14.99 |
| 87631 |
|
202 |
161 |
$0.00 |
| 87653 |
|
14 |
13 |
$0.00 |
| 81403 |
|
16 |
14 |
$0.00 |
| 86780 |
|
37 |
37 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
14 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
104 |
25 |
$0.00 |
| 87532 |
|
202 |
161 |
$0.00 |
| 81407 |
|
27 |
18 |
$0.00 |