| 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 |
46,043 |
38,881 |
$4.08M |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
9,065 |
8,131 |
$568K |
| 80061 |
Lipid panel |
41,719 |
37,388 |
$450K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,250 |
1,186 |
$442K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
20,282 |
18,019 |
$440K |
| 80053 |
Comprehensive metabolic panel |
50,435 |
45,075 |
$439K |
| 84443 |
Thyroid stimulating hormone (TSH) |
30,637 |
28,131 |
$413K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
52,677 |
46,174 |
$333K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
35,786 |
32,184 |
$279K |
| 36415 |
Collection of venous blood by venipuncture |
90,418 |
75,984 |
$191K |
| 0225U |
|
531 |
500 |
$186K |
| 82607 |
|
16,209 |
14,359 |
$182K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,443 |
1,948 |
$170K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
5,858 |
5,425 |
$138K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
6,565 |
5,927 |
$133K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,669 |
2,271 |
$125K |
| 87481 |
|
2,776 |
2,503 |
$120K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,999 |
2,774 |
$117K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
3,714 |
3,453 |
$116K |
| 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 |
9,795 |
7,978 |
$113K |
| 84439 |
|
13,561 |
12,043 |
$100K |
| 87536 |
|
1,473 |
1,190 |
$98K |
| 82728 |
|
7,751 |
6,949 |
$85K |
| 80074 |
|
2,263 |
1,989 |
$83K |
| 86780 |
|
7,318 |
6,481 |
$82K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
2,814 |
2,535 |
$79K |
| 87081 |
|
13,454 |
11,905 |
$79K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
11,176 |
9,967 |
$77K |
| 84466 |
|
7,454 |
6,688 |
$77K |
| 84702 |
|
5,602 |
4,494 |
$72K |
| 87660 |
|
3,689 |
3,327 |
$66K |
| 87480 |
|
3,692 |
3,328 |
$66K |
| 87510 |
|
3,693 |
3,329 |
$65K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
8,924 |
7,847 |
$64K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,593 |
1,424 |
$63K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,021 |
1,866 |
$61K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,017 |
1,864 |
$61K |
| 86480 |
|
1,169 |
1,051 |
$59K |
| 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 |
687 |
392 |
$54K |
| 87522 |
Neg quan hep c or qual rna |
1,400 |
1,260 |
$52K |
| 88342 |
|
1,027 |
952 |
$52K |
| 86003 |
|
1,064 |
877 |
$52K |
| 80050 |
General health panel |
7,620 |
6,093 |
$48K |
| 84153 |
|
3,366 |
3,002 |
$45K |
| 86618 |
|
2,198 |
1,978 |
$45K |
| 83655 |
|
4,197 |
3,747 |
$44K |
| 83540 |
|
8,271 |
7,434 |
$43K |
| 86803 |
|
3,677 |
3,347 |
$43K |
| 84403 |
|
2,077 |
1,814 |
$42K |
| 87902 |
|
196 |
147 |
$42K |
| 85027 |
|
7,475 |
6,778 |
$42K |
| 82746 |
|
3,676 |
3,247 |
$39K |
| 83970 |
|
1,318 |
1,170 |
$39K |
| 82570 |
|
7,979 |
7,194 |
$36K |
| 84481 |
|
2,568 |
2,269 |
$35K |
| 87186 |
|
4,287 |
3,879 |
$33K |
| 86360 |
|
776 |
706 |
$32K |
| 87634 |
|
560 |
496 |
$31K |
| 86850 |
|
4,444 |
3,797 |
$31K |
| 82043 |
|
5,968 |
5,399 |
$29K |
| 86038 |
|
2,793 |
2,500 |
$29K |
| 87340 |
|
3,306 |
2,983 |
$28K |
| 86762 |
|
2,274 |
2,044 |
$28K |
| 86376 |
|
2,284 |
2,026 |
$28K |
| 86355 |
|
790 |
720 |
$26K |
| 86359 |
|
788 |
718 |
$26K |
| 80076 |
|
3,704 |
3,340 |
$25K |
| 81001 |
|
8,739 |
7,839 |
$23K |
| 83001 |
|
1,301 |
1,207 |
$22K |
| 83516 |
|
1,690 |
1,504 |
$22K |
| 84402 |
|
1,100 |
966 |
$21K |
| 84146 |
|
1,209 |
1,112 |
$20K |
| 84425 |
|
1,283 |
1,117 |
$19K |
| 85610 |
|
6,072 |
4,489 |
$19K |
| 86140 |
|
4,424 |
3,921 |
$19K |
| 86706 |
|
2,152 |
1,925 |
$19K |
| 83735 |
|
3,384 |
2,782 |
$18K |
| 82784 |
|
1,480 |
1,322 |
$16K |
| 87147 |
|
2,765 |
2,509 |
$15K |
| 86696 |
|
865 |
751 |
$14K |
| 85730 |
|
2,926 |
2,549 |
$14K |
| 82670 |
|
536 |
498 |
$13K |
| 83525 |
|
1,399 |
1,274 |
$13K |
| 87070 |
|
1,675 |
1,511 |
$13K |
| 81003 |
|
6,664 |
5,975 |
$13K |
| 83002 |
|
761 |
694 |
$12K |
| 85652 |
|
5,291 |
4,682 |
$12K |
| 80069 |
|
1,558 |
1,377 |
$11K |
| 86769 |
|
294 |
271 |
$11K |
| 83690 |
|
1,668 |
1,521 |
$10K |
| 82248 |
|
2,423 |
1,959 |
$10K |
| 86900 |
|
4,018 |
3,428 |
$10K |
| 86901 |
|
4,022 |
3,430 |
$10K |
| 86695 |
|
865 |
750 |
$10K |
| 80164 |
|
955 |
825 |
$9K |
| 86431 |
|
1,991 |
1,783 |
$9K |
| 87077 |
|
1,277 |
1,168 |
$9K |
| 87506 |
|
190 |
161 |
$9K |
| 84154 |
|
631 |
587 |
$9K |
| 84480 |
|
768 |
691 |
$9K |
| 82950 |
|
2,082 |
1,904 |
$9K |
| 82652 |
|
316 |
261 |
$8K |
| 84550 |
|
2,139 |
1,895 |
$8K |
| 87641 |
|
271 |
260 |
$8K |
| 82247 |
|
1,855 |
1,273 |
$7K |
| 84100 |
|
1,850 |
1,533 |
$7K |
| 80306 |
|
479 |
350 |
$7K |
| 87205 |
|
1,803 |
1,638 |
$7K |
| 87428 |
|
100 |
95 |
$7K |
| 84156 |
|
2,094 |
1,860 |
$7K |
| 82550 |
|
1,254 |
1,059 |
$6K |
| 85014 |
|
2,720 |
2,470 |
$5K |
| 85018 |
|
2,711 |
2,465 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
175 |
159 |
$5K |
| 83520 |
|
415 |
333 |
$5K |
| 82105 |
|
446 |
390 |
$5K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
14 |
14 |
$5K |
| 84630 |
|
603 |
511 |
$5K |
| 84460 |
|
1,184 |
1,049 |
$5K |
| 82172 |
|
370 |
285 |
$4K |
| 82977 |
|
700 |
594 |
$4K |
| 86200 |
|
379 |
345 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
93 |
91 |
$4K |
| 88142 |
|
200 |
189 |
$4K |
| 87420 |
|
354 |
203 |
$3K |
| 82947 |
|
1,035 |
926 |
$3K |
| 83615 |
|
671 |
597 |
$3K |
| 83010 |
|
316 |
243 |
$3K |
| 83883 |
|
269 |
199 |
$3K |
| 80178 |
|
548 |
474 |
$3K |
| 82150 |
|
514 |
450 |
$3K |
| 86812 |
|
112 |
105 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
51 |
45 |
$2K |
| 86704 |
|
221 |
193 |
$2K |
| 86160 |
|
139 |
126 |
$2K |
| 82565 |
|
502 |
454 |
$2K |
| 84030 |
|
412 |
358 |
$2K |
| 84165 |
|
196 |
164 |
$2K |
| 82180 |
|
295 |
259 |
$2K |
| 84207 |
|
101 |
78 |
$2K |
| 87338 |
|
129 |
122 |
$2K |
| 88112 |
|
63 |
57 |
$2K |
| 82533 |
|
118 |
109 |
$2K |
| 82951 |
|
134 |
129 |
$2K |
| 83021 |
|
80 |
74 |
$1K |
| 85379 |
|
143 |
122 |
$1K |
| 86787 |
|
84 |
60 |
$1K |
| 84144 |
|
48 |
44 |
$907.70 |
| 81015 |
|
355 |
312 |
$844.37 |
| 86146 |
|
12 |
12 |
$812.56 |
| 84450 |
|
201 |
174 |
$794.75 |
| 86592 |
|
195 |
173 |
$686.85 |
| 83880 |
|
25 |
25 |
$666.20 |
| 88341 |
|
13 |
12 |
$646.25 |
| 87075 |
|
71 |
66 |
$640.59 |
| 86665 |
|
27 |
25 |
$579.65 |
| 86147 |
|
12 |
12 |
$550.03 |
| 86317 |
|
34 |
34 |
$547.52 |
| 86308 |
|
117 |
87 |
$533.12 |
| 82952 |
|
135 |
130 |
$478.66 |
| 87177 |
|
66 |
58 |
$468.11 |
| 84134 |
|
37 |
29 |
$451.94 |
| 84255 |
|
39 |
28 |
$451.08 |
| 87493 |
|
15 |
13 |
$447.85 |
| 87329 |
|
42 |
38 |
$400.18 |
| 86255 |
|
43 |
40 |
$386.36 |
| 88304 |
|
14 |
13 |
$380.59 |
| 86664 |
|
27 |
25 |
$338.16 |
| 86617 |
|
12 |
12 |
$336.14 |
| 86800 |
|
27 |
25 |
$320.94 |
| 82627 |
|
15 |
12 |
$244.54 |
| 84681 |
|
15 |
13 |
$189.03 |
| 83090 |
|
12 |
12 |
$183.82 |
| 86735 |
|
14 |
12 |
$166.53 |
| 82140 |
|
13 |
12 |
$158.02 |
| 85041 |
|
67 |
61 |
$151.62 |
| 85613 |
|
12 |
12 |
$136.39 |
| 84520 |
|
36 |
36 |
$120.66 |
| 85045 |
|
34 |
29 |
$106.04 |
| 85651 |
|
18 |
17 |
$54.10 |
| 84436 |
|
15 |
12 |
$53.92 |
| 36416 |
|
1,787 |
1,176 |
$15.00 |
| 86920 |
|
13 |
12 |
$0.00 |
| INVCD |
|
46 |
43 |
$0.00 |