| 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 |
9,173 |
4,354 |
$447K |
| 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 |
12,036 |
6,171 |
$191K |
| 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 |
2,929 |
1,899 |
$137K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
5,400 |
2,281 |
$46K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
252 |
135 |
$8K |
| 86769 |
|
260 |
171 |
$6K |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
503 |
280 |
$475.51 |
| 82607 |
|
18 |
18 |
$146.84 |
| 82746 |
|
17 |
17 |
$84.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
22 |
22 |
$71.60 |
| 80061 |
Lipid panel |
58 |
58 |
$54.76 |
| 84443 |
Thyroid stimulating hormone (TSH) |
61 |
61 |
$46.06 |
| 36415 |
Collection of venous blood by venipuncture |
714 |
423 |
$45.00 |
| 86803 |
|
18 |
18 |
$44.20 |
| 80053 |
Comprehensive metabolic panel |
87 |
83 |
$34.27 |
| 86705 |
|
16 |
16 |
$28.77 |
| 87340 |
|
16 |
16 |
$28.14 |
| 86708 |
|
16 |
16 |
$28.03 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
17 |
17 |
$27.26 |
| 84480 |
|
14 |
14 |
$26.12 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
19 |
15 |
$10.11 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
148 |
136 |
$9.50 |
| 85610 |
|
102 |
37 |
$6.00 |
| 82043 |
|
12 |
12 |
$4.30 |
| 84436 |
|
13 |
13 |
$4.00 |
| 81003 |
|
40 |
39 |
$2.85 |
| 86592 |
|
18 |
18 |
$1.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
37 |
36 |
$0.00 |
| 86328 |
|
15 |
15 |
$0.00 |