| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
Comprehensive metabolic panel |
12,824 |
9,734 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16,058 |
10,219 |
$21K |
| 87631 |
|
1,340 |
1,314 |
$16K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
272 |
270 |
$13K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
8,368 |
3,258 |
$12K |
| 85027 |
|
8,027 |
3,856 |
$9K |
| 83735 |
|
5,576 |
2,060 |
$7K |
| 84145 |
|
1,343 |
968 |
$6K |
| 82803 |
|
1,914 |
1,489 |
$6K |
| 87040 |
|
1,795 |
1,421 |
$6K |
| 82330 |
|
1,942 |
1,369 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,435 |
916 |
$5K |
| 84484 |
|
2,698 |
2,200 |
$5K |
| 83690 |
|
3,957 |
3,382 |
$5K |
| 83880 |
|
772 |
586 |
$4K |
| 84702 |
|
1,856 |
1,707 |
$4K |
| 82947 |
|
9,420 |
4,070 |
$4K |
| 80061 |
Lipid panel |
1,735 |
1,723 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,335 |
1,287 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,183 |
2,158 |
$4K |
| 84100 |
|
3,849 |
1,604 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,074 |
1,918 |
$3K |
| 83970 |
|
400 |
396 |
$3K |
| 81001 |
|
4,861 |
4,404 |
$3K |
| 87077 |
|
1,101 |
966 |
$2K |
| 80202 |
|
843 |
373 |
$2K |
| 86901 |
|
4,086 |
3,249 |
$2K |
| 86900 |
|
4,087 |
3,249 |
$2K |
| 85730 |
|
1,216 |
780 |
$2K |
| 85610 |
|
2,200 |
1,661 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
388 |
384 |
$2K |
| 86850 |
|
2,864 |
2,542 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
231 |
226 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
231 |
225 |
$1K |
| 82570 |
|
1,526 |
1,246 |
$1K |
| 87186 |
|
794 |
737 |
$1K |
| 83605 |
|
759 |
454 |
$1K |
| 86803 |
|
525 |
523 |
$1K |
| 82728 |
|
687 |
607 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
256 |
253 |
$1K |
| 86141 |
|
560 |
414 |
$1K |
| 81003 |
|
3,134 |
2,938 |
$1K |
| 87081 |
|
1,101 |
1,019 |
$1K |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
920 |
919 |
$1K |
| 80076 |
|
881 |
472 |
$1K |
| 83550 |
|
784 |
766 |
$1K |
| 82140 |
|
367 |
173 |
$935.08 |
| 83540 |
|
798 |
778 |
$904.41 |
| 87493 |
|
164 |
160 |
$882.31 |
| 87070 |
|
663 |
551 |
$875.48 |
| 87340 |
|
462 |
449 |
$818.26 |
| 84550 |
|
999 |
836 |
$796.42 |
| 85379 |
|
433 |
416 |
$768.60 |
| 82043 |
|
754 |
747 |
$763.41 |
| 86880 |
|
783 |
778 |
$760.76 |
| 84156 |
|
1,138 |
883 |
$732.64 |
| 82247 |
|
744 |
486 |
$731.10 |
| 87205 |
|
837 |
672 |
$704.10 |
| 84703 |
|
762 |
745 |
$689.83 |
| 80074 |
|
68 |
66 |
$588.69 |
| 88304 |
|
24 |
24 |
$580.49 |
| 87075 |
|
372 |
312 |
$547.71 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
616 |
593 |
$507.97 |
| 87149 |
|
43 |
40 |
$481.00 |
| 87210 |
|
624 |
559 |
$457.24 |
| 84132 |
|
2,418 |
1,601 |
$383.27 |
| 84439 |
|
245 |
222 |
$382.28 |
| 81025 |
|
2,065 |
1,989 |
$374.88 |
| 85652 |
|
653 |
512 |
$310.87 |
| 88342 |
|
12 |
12 |
$301.21 |
| 86140 |
|
314 |
214 |
$288.21 |
| 82550 |
|
202 |
155 |
$281.25 |
| 87015 |
|
206 |
162 |
$259.86 |
| 82040 |
|
481 |
471 |
$235.77 |
| 82150 |
|
206 |
165 |
$234.24 |
| 83615 |
|
212 |
165 |
$221.12 |
| 86038 |
|
30 |
30 |
$189.97 |
| 89051 |
|
46 |
37 |
$171.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
131 |
131 |
$159.79 |
| 87102 |
|
84 |
80 |
$151.57 |
| 86870 |
|
33 |
26 |
$133.32 |
| 87116 |
|
65 |
58 |
$132.64 |
| 85384 |
|
81 |
55 |
$121.96 |
| 84295 |
|
1,778 |
1,352 |
$114.89 |
| 85018 |
|
1,993 |
1,451 |
$91.74 |
| 82607 |
|
59 |
58 |
$87.82 |
| 82435 |
|
1,694 |
1,332 |
$87.27 |
| 87206 |
|
81 |
70 |
$78.99 |
| 84478 |
|
79 |
36 |
$76.00 |
| 82746 |
|
28 |
28 |
$73.08 |
| 84480 |
|
25 |
25 |
$63.00 |
| 86706 |
|
33 |
33 |
$62.70 |
| 86780 |
|
27 |
26 |
$59.05 |
| 82270 |
|
101 |
101 |
$57.89 |
| 80197 |
|
27 |
12 |
$56.12 |
| 82465 |
|
65 |
63 |
$50.05 |
| 82248 |
|
49 |
42 |
$45.40 |
| 84520 |
|
463 |
412 |
$42.21 |
| 85014 |
|
293 |
216 |
$37.92 |
| 84300 |
|
45 |
37 |
$34.73 |
| 80047 |
|
29 |
29 |
$34.23 |
| 84436 |
|
26 |
26 |
$31.46 |
| 85046 |
|
32 |
25 |
$29.44 |
| 84540 |
|
43 |
41 |
$28.38 |
| 82010 |
|
12 |
12 |
$16.48 |
| 87899 |
|
16 |
16 |
$1.56 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
732 |
719 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
66 |
65 |
$0.00 |
| 81050 |
|
32 |
31 |
$0.00 |
| 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 |
89 |
88 |
$0.00 |
| 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 |
104 |
103 |
$0.00 |