| 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 |
1,625 |
1,306 |
$31K |
| 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 |
763 |
550 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
666 |
383 |
$792.42 |
| 36415 |
Collection of venous blood by venipuncture |
1,656 |
756 |
$717.56 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
212 |
195 |
$368.49 |
| 85027 |
|
294 |
182 |
$236.87 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
316 |
185 |
$195.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
162 |
97 |
$157.92 |
| 80053 |
Comprehensive metabolic panel |
114 |
63 |
$64.87 |
| 87807 |
|
102 |
85 |
$51.01 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
75 |
56 |
$43.70 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
48 |
29 |
$26.64 |
| 84443 |
Thyroid stimulating hormone (TSH) |
52 |
37 |
$15.12 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
18 |
14 |
$7.26 |
| 81001 |
|
17 |
13 |
$2.85 |
| 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 |
162 |
82 |
$-4.51 |