| 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 |
4,649 |
3,845 |
$440K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,173 |
3,082 |
$47K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
340 |
311 |
$26K |
| 80061 |
Lipid panel |
3,927 |
3,848 |
$26K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
457 |
342 |
$25K |
| 82607 |
|
2,511 |
2,480 |
$24K |
| 80053 |
Comprehensive metabolic panel |
4,774 |
4,568 |
$19K |
| 82746 |
|
2,119 |
2,095 |
$15K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,216 |
3,115 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,785 |
5,209 |
$13K |
| 84403 |
|
557 |
550 |
$12K |
| 84439 |
|
2,347 |
2,314 |
$11K |
| 84402 |
|
499 |
495 |
$11K |
| 84480 |
|
1,158 |
1,132 |
$10K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
36 |
36 |
$10K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,095 |
1,034 |
$10K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,099 |
1,038 |
$10K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
668 |
625 |
$8K |
| 87481 |
|
222 |
204 |
$8K |
| 86617 |
|
302 |
299 |
$7K |
| 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 |
111 |
107 |
$7K |
| 86769 |
|
185 |
167 |
$7K |
| 84481 |
|
684 |
671 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,796 |
2,749 |
$6K |
| 86803 |
|
710 |
701 |
$6K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
478 |
437 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,252 |
1,158 |
$4K |
| 87390 |
|
778 |
765 |
$4K |
| 86328 |
|
159 |
158 |
$4K |
| 86141 |
|
441 |
438 |
$4K |
| 82043 |
|
1,319 |
1,293 |
$4K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
315 |
299 |
$4K |
| 86702 |
|
779 |
765 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
85 |
84 |
$4K |
| 86800 |
|
379 |
377 |
$4K |
| 82728 |
|
566 |
553 |
$3K |
| 86701 |
|
780 |
766 |
$3K |
| 84153 |
|
355 |
350 |
$3K |
| 87799 |
|
242 |
221 |
$3K |
| 86038 |
|
526 |
506 |
$3K |
| 86780 |
|
297 |
265 |
$3K |
| 87340 |
|
463 |
452 |
$3K |
| 84550 |
|
1,230 |
1,197 |
$3K |
| 81001 |
|
3,075 |
2,958 |
$2K |
| 87512 |
|
244 |
223 |
$2K |
| 86200 |
|
189 |
187 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
457 |
415 |
$2K |
| 83615 |
|
547 |
524 |
$2K |
| 83550 |
|
617 |
606 |
$2K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
28 |
28 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
5,218 |
4,790 |
$2K |
| 87186 |
|
370 |
344 |
$2K |
| 87581 |
|
52 |
52 |
$2K |
| 87529 |
|
79 |
77 |
$1K |
| 86706 |
|
217 |
214 |
$1K |
| 83735 |
|
546 |
516 |
$1K |
| 83540 |
|
717 |
704 |
$1K |
| 86003 |
|
1,626 |
76 |
$1K |
| 87486 |
|
52 |
52 |
$1K |
| 84100 |
|
582 |
558 |
$1K |
| 86431 |
|
320 |
316 |
$1K |
| 87071 |
|
436 |
411 |
$1K |
| 84436 |
|
1,988 |
1,956 |
$922.92 |
| 84146 |
|
112 |
101 |
$807.18 |
| 86618 |
|
95 |
94 |
$806.97 |
| S9529 |
Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient |
574 |
404 |
$799.02 |
| 83921 |
|
43 |
43 |
$722.00 |
| 86480 |
|
37 |
36 |
$665.27 |
| 85651 |
|
868 |
844 |
$645.01 |
| 83001 |
|
113 |
111 |
$640.65 |
| 83002 |
|
101 |
100 |
$598.40 |
| 82670 |
|
71 |
70 |
$554.43 |
| 80164 |
|
60 |
49 |
$550.00 |
| 83655 |
|
132 |
117 |
$504.25 |
| 86696 |
|
165 |
146 |
$497.20 |
| 86704 |
|
69 |
67 |
$474.03 |
| 86708 |
|
66 |
64 |
$434.64 |
| 82652 |
|
53 |
52 |
$373.70 |
| 83090 |
|
38 |
38 |
$369.28 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
41 |
29 |
$353.76 |
| 84702 |
|
300 |
238 |
$344.60 |
| 82785 |
|
105 |
73 |
$327.73 |
| 84479 |
|
518 |
515 |
$309.47 |
| 85027 |
|
260 |
252 |
$245.52 |
| 83525 |
|
53 |
53 |
$233.56 |
| 87088 |
|
214 |
192 |
$230.88 |
| 82627 |
|
30 |
28 |
$225.38 |
| 87084 |
|
521 |
509 |
$218.47 |
| 82248 |
|
139 |
131 |
$216.20 |
| 86762 |
|
84 |
80 |
$211.25 |
| 82570 |
|
115 |
102 |
$204.81 |
| 87653 |
|
71 |
60 |
$192.05 |
| 82105 |
|
60 |
58 |
$177.96 |
| 86709 |
|
72 |
71 |
$173.12 |
| 85045 |
|
48 |
48 |
$172.00 |
| 82465 |
|
165 |
149 |
$164.94 |
| 86695 |
|
111 |
93 |
$156.93 |
| 87081 |
|
144 |
125 |
$135.30 |
| 86592 |
|
249 |
241 |
$121.28 |
| 83880 |
|
16 |
15 |
$120.98 |
| 85610 |
|
138 |
113 |
$116.11 |
| 84144 |
|
14 |
12 |
$113.79 |
| 87077 |
|
145 |
99 |
$95.16 |
| 84154 |
|
12 |
12 |
$93.94 |
| 88141 |
|
14 |
12 |
$86.76 |
| 86140 |
|
103 |
96 |
$85.72 |
| G0471 |
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) |
228 |
141 |
$79.20 |
| 82550 |
|
31 |
28 |
$72.60 |
| 82977 |
|
36 |
36 |
$72.59 |
| 86735 |
|
19 |
19 |
$69.92 |
| 83721 |
|
60 |
60 |
$66.08 |
| 84478 |
|
14 |
13 |
$65.70 |
| 83021 |
|
38 |
38 |
$63.06 |
| 86787 |
|
24 |
20 |
$62.42 |
| 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 |
146 |
98 |
$58.32 |
| 86765 |
|
19 |
19 |
$54.62 |
| 85730 |
|
47 |
45 |
$53.43 |
| 85008 |
|
1,302 |
1,214 |
$48.88 |
| 86705 |
|
49 |
48 |
$47.70 |
| 80076 |
|
28 |
28 |
$45.68 |
| 87147 |
|
47 |
45 |
$43.90 |
| 83718 |
|
84 |
75 |
$42.00 |
| 86376 |
|
45 |
44 |
$37.18 |
| 82950 |
|
59 |
55 |
$34.62 |
| 86901 |
|
83 |
81 |
$33.88 |
| 86900 |
|
83 |
81 |
$33.88 |
| 85007 |
|
222 |
217 |
$31.10 |
| 87205 |
|
29 |
29 |
$30.02 |
| 83690 |
|
43 |
41 |
$27.73 |
| 86850 |
|
40 |
40 |
$20.85 |
| 82947 |
|
12 |
12 |
$17.39 |
| 82150 |
|
35 |
33 |
$11.70 |
| 85660 |
|
38 |
38 |
$11.60 |
| 82677 |
|
15 |
15 |
$0.00 |
| 86336 |
|
21 |
20 |
$0.00 |