| Code | Description | Claims | Beneficiaries | Total Paid |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
34,347 |
26,976 |
$2.76M |
| 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 |
29,426 |
18,746 |
$1.55M |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
68,812 |
57,209 |
$1.34M |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
68,619 |
57,040 |
$1.34M |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
44,007 |
37,057 |
$957K |
| 80050 |
General health panel |
23,317 |
19,166 |
$778K |
| 80061 |
Lipid panel |
98,916 |
85,438 |
$763K |
| 84443 |
Thyroid stimulating hormone (TSH) |
78,509 |
67,897 |
$741K |
| 80053 |
Comprehensive metabolic panel |
122,035 |
105,178 |
$711K |
| 80081 |
|
11,187 |
9,433 |
$580K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
35,823 |
30,849 |
$530K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
110,495 |
93,645 |
$462K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
18,878 |
17,401 |
$386K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12,405 |
9,889 |
$356K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
64,406 |
54,987 |
$355K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
21,313 |
17,957 |
$328K |
| 36415 |
Collection of venous blood by venipuncture |
225,639 |
178,948 |
$311K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
59,003 |
50,186 |
$305K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
15,854 |
14,573 |
$243K |
| 87088 |
|
46,241 |
39,550 |
$242K |
| 80074 |
|
7,193 |
6,097 |
$207K |
| 86003 |
|
3,721 |
2,838 |
$195K |
| 83013 |
|
4,443 |
3,813 |
$192K |
| 86803 |
|
19,677 |
16,311 |
$179K |
| 82607 |
|
18,164 |
15,585 |
$151K |
| 82728 |
|
17,537 |
14,742 |
$137K |
| 84439 |
|
26,089 |
22,358 |
$137K |
| 88142 |
|
11,456 |
10,442 |
$132K |
| 86480 |
|
3,756 |
3,332 |
$119K |
| 85027 |
|
29,191 |
24,652 |
$113K |
| 82746 |
|
13,290 |
11,285 |
$111K |
| 87081 |
|
22,138 |
19,607 |
$106K |
| 83970 |
|
5,600 |
4,999 |
$100K |
| 87799 |
|
3,523 |
1,382 |
$100K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
26,783 |
22,301 |
$98K |
| 87077 |
|
18,747 |
16,241 |
$97K |
| 87186 |
|
17,510 |
15,253 |
$93K |
| 83550 |
|
15,591 |
13,093 |
$78K |
| 86235 |
|
1,969 |
1,558 |
$72K |
| 87522 |
Neg quan hep c or qual rna |
2,799 |
2,480 |
$72K |
| 86592 |
|
25,116 |
21,025 |
$70K |
| 84153 |
|
6,589 |
5,628 |
$68K |
| 87070 |
|
12,730 |
11,237 |
$67K |
| 83540 |
|
17,625 |
14,823 |
$66K |
| 87536 |
|
1,851 |
1,635 |
$65K |
| 84146 |
|
5,042 |
4,297 |
$64K |
| 84403 |
|
4,289 |
3,676 |
$62K |
| 87902 |
|
342 |
297 |
$62K |
| 82570 |
|
22,136 |
19,095 |
$58K |
| 86787 |
|
6,673 |
5,661 |
$57K |
| 84702 |
|
8,977 |
6,025 |
$56K |
| 83516 |
|
7,487 |
4,113 |
$55K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
274 |
239 |
$52K |
| 86038 |
|
7,322 |
6,173 |
$52K |
| 83001 |
|
4,288 |
3,615 |
$51K |
| 86140 |
|
16,213 |
13,514 |
$50K |
| 82950 |
|
14,552 |
12,155 |
$49K |
| 82043 |
|
16,853 |
15,017 |
$49K |
| 87340 |
|
9,035 |
7,704 |
$46K |
| 82670 |
|
2,475 |
2,095 |
$43K |
| 87209 |
|
2,136 |
1,915 |
$38K |
| 86696 |
|
2,836 |
2,352 |
$38K |
| 84144 |
|
2,714 |
2,150 |
$37K |
| 81001 |
|
21,027 |
18,164 |
$37K |
| 84481 |
|
3,881 |
3,328 |
$36K |
| 82784 |
|
4,611 |
4,001 |
$35K |
| 88174 |
|
2,132 |
1,940 |
$33K |
| 87512 |
|
1,352 |
1,188 |
$32K |
| 86769 |
|
1,024 |
786 |
$30K |
| 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 |
2,947 |
2,723 |
$29K |
| 85652 |
|
17,315 |
14,396 |
$27K |
| 88141 |
|
1,705 |
1,553 |
$26K |
| 83735 |
|
8,091 |
6,589 |
$26K |
| 83021 |
|
2,650 |
2,256 |
$26K |
| 86850 |
|
6,017 |
5,085 |
$25K |
| 83880 |
|
1,608 |
1,422 |
$25K |
| 82785 |
|
2,123 |
1,771 |
$24K |
| 86706 |
|
3,823 |
3,252 |
$24K |
| 84402 |
|
1,646 |
1,441 |
$24K |
| 87255 |
|
1,042 |
903 |
$22K |
| 86160 |
|
1,784 |
1,564 |
$22K |
| 83002 |
|
1,886 |
1,632 |
$22K |
| 86695 |
|
2,751 |
2,300 |
$22K |
| 80076 |
|
5,060 |
4,292 |
$22K |
| 86200 |
|
2,679 |
2,311 |
$21K |
| 83655 |
|
2,283 |
1,987 |
$20K |
| 86376 |
|
2,269 |
1,965 |
$20K |
| 87147 |
|
6,608 |
5,908 |
$20K |
| 83690 |
|
6,052 |
5,046 |
$20K |
| 83525 |
|
2,604 |
2,136 |
$20K |
| 82951 |
|
2,154 |
1,744 |
$19K |
| 87177 |
|
2,138 |
1,914 |
$19K |
| 86665 |
|
732 |
624 |
$19K |
| 85060 |
|
1,500 |
1,250 |
$18K |
| 84425 |
|
1,439 |
1,272 |
$18K |
| 86147 |
|
652 |
514 |
$17K |
| 82274 |
|
2,340 |
2,135 |
$17K |
| 82150 |
|
3,907 |
3,289 |
$17K |
| 80164 |
|
2,505 |
2,237 |
$17K |
| 83014 |
|
3,086 |
2,660 |
$16K |
| 87075 |
|
4,003 |
3,409 |
$16K |
| 86870 |
|
371 |
305 |
$15K |
| 85240 |
|
1,481 |
1,132 |
$15K |
| 86431 |
|
4,358 |
3,863 |
$15K |
| 84134 |
|
3,081 |
2,560 |
$15K |
| 80055 |
|
519 |
449 |
$15K |
| 85610 |
|
6,646 |
4,824 |
$15K |
| 87625 |
|
866 |
798 |
$15K |
| 82105 |
|
1,513 |
1,292 |
$15K |
| 86800 |
|
1,506 |
1,300 |
$14K |
| 86334 |
|
1,447 |
1,249 |
$14K |
| 86704 |
|
1,861 |
1,599 |
$14K |
| 86780 |
|
1,699 |
1,414 |
$14K |
| 86146 |
|
549 |
426 |
$14K |
| 82652 |
|
760 |
697 |
$14K |
| 86225 |
|
1,793 |
1,543 |
$14K |
| 84550 |
|
5,705 |
4,823 |
$13K |
| 86708 |
|
1,749 |
1,510 |
$13K |
| 84480 |
|
1,971 |
1,650 |
$13K |
| 82627 |
|
880 |
765 |
$13K |
| 82533 |
|
1,493 |
1,215 |
$13K |
| 87493 |
|
579 |
500 |
$13K |
| 84703 |
|
2,288 |
1,779 |
$13K |
| 82550 |
|
3,882 |
3,194 |
$13K |
| 86762 |
|
1,341 |
1,116 |
$12K |
| 82977 |
|
2,490 |
2,102 |
$11K |
| 87427 |
|
1,454 |
1,318 |
$11K |
| 85730 |
|
2,874 |
2,306 |
$10K |
| 84165 |
|
2,138 |
1,893 |
$10K |
| 87205 |
|
4,383 |
3,684 |
$10K |
| 82248 |
|
3,798 |
3,245 |
$9K |
| 80069 |
|
2,964 |
2,493 |
$9K |
| 84460 |
|
3,530 |
3,050 |
$9K |
| 84100 |
|
4,195 |
3,338 |
$9K |
| 87045 |
|
1,464 |
1,325 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
287 |
200 |
$8K |
| 85245 |
|
619 |
425 |
$8K |
| 85246 |
|
624 |
425 |
$8K |
| 86039 |
|
1,100 |
941 |
$8K |
| 83615 |
|
2,193 |
1,745 |
$8K |
| 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 |
17,553 |
9,546 |
$8K |
| 86361 |
|
874 |
796 |
$8K |
| 83721 |
|
2,117 |
1,786 |
$7K |
| 83993 |
|
597 |
505 |
$7K |
| 86255 |
|
966 |
683 |
$7K |
| 85045 |
|
3,763 |
3,115 |
$7K |
| 84450 |
|
2,714 |
2,354 |
$7K |
| 87046 |
|
1,478 |
1,322 |
$7K |
| 84156 |
|
3,684 |
3,001 |
$6K |
| 86664 |
|
525 |
445 |
$6K |
| 82952 |
|
2,037 |
1,647 |
$5K |
| 82947 |
|
2,289 |
1,998 |
$5K |
| 82465 |
|
1,748 |
1,430 |
$5K |
| 80178 |
|
1,650 |
1,393 |
$5K |
| 81003 |
|
3,569 |
3,106 |
$5K |
| 83921 |
|
547 |
509 |
$4K |
| 80197 |
|
954 |
618 |
$4K |
| 84478 |
|
1,172 |
834 |
$4K |
| 84436 |
|
1,460 |
1,258 |
$4K |
| 86304 |
|
320 |
280 |
$4K |
| 87481 |
|
1,149 |
355 |
$4K |
| 84590 |
|
527 |
482 |
$4K |
| 83520 |
|
1,775 |
963 |
$4K |
| 82565 |
|
1,756 |
1,530 |
$4K |
| 83090 |
|
473 |
427 |
$4K |
| 82525 |
|
499 |
454 |
$4K |
| 84681 |
|
278 |
260 |
$4K |
| 85384 |
|
641 |
524 |
$4K |
| 82677 |
|
412 |
327 |
$4K |
| 86900 |
|
1,769 |
1,527 |
$3K |
| 86901 |
|
1,729 |
1,491 |
$3K |
| 85576 |
|
162 |
128 |
$3K |
| 85379 |
|
483 |
387 |
$3K |
| 82747 |
|
345 |
314 |
$3K |
| 86021 |
|
587 |
480 |
$3K |
| 86705 |
|
379 |
340 |
$3K |
| 87510 |
|
931 |
876 |
$3K |
| 87480 |
|
931 |
876 |
$3K |
| 84630 |
|
776 |
701 |
$3K |
| 82310 |
|
1,005 |
857 |
$3K |
| 82330 |
|
498 |
429 |
$3K |
| 83883 |
|
378 |
223 |
$3K |
| 86618 |
|
317 |
294 |
$3K |
| 86765 |
|
186 |
107 |
$3K |
| 85613 |
|
417 |
338 |
$3K |
| 87660 |
|
850 |
801 |
$3K |
| 82542 |
|
167 |
138 |
$2K |
| 85335 |
|
288 |
260 |
$2K |
| 85018 |
|
1,628 |
1,403 |
$2K |
| 86336 |
|
413 |
328 |
$2K |
| 81015 |
|
1,470 |
1,282 |
$2K |
| 84155 |
|
1,374 |
1,205 |
$2K |
| 84270 |
|
110 |
104 |
$2K |
| 87324 |
|
254 |
230 |
$2K |
| 82140 |
|
226 |
186 |
$2K |
| 82247 |
|
700 |
559 |
$2K |
| 86812 |
|
94 |
83 |
$2K |
| 85014 |
|
1,167 |
993 |
$2K |
| 87149 |
|
94 |
87 |
$2K |
| 86008 |
|
153 |
138 |
$2K |
| 84445 |
|
53 |
49 |
$1K |
| 86300 |
|
124 |
118 |
$1K |
| 84075 |
|
530 |
462 |
$1K |
| 84432 |
|
113 |
105 |
$1K |
| 82040 |
|
520 |
467 |
$1K |
| 82103 |
|
108 |
104 |
$1K |
| 81513 |
|
3,796 |
3,197 |
$1K |
| 82731 |
|
14 |
13 |
$1K |
| 87517 |
|
25 |
25 |
$1K |
| 86317 |
|
79 |
79 |
$994.58 |
| 85046 |
|
225 |
196 |
$923.60 |
| 86645 |
|
74 |
70 |
$844.11 |
| 86593 |
|
274 |
224 |
$782.21 |
| 85670 |
|
204 |
168 |
$777.63 |
| 82397 |
|
146 |
112 |
$753.89 |
| 85397 |
|
53 |
40 |
$732.23 |
| 86702 |
|
72 |
65 |
$730.06 |
| 87184 |
|
134 |
106 |
$722.58 |
| 86148 |
|
94 |
35 |
$642.39 |
| 85041 |
|
334 |
271 |
$601.87 |
| 83020 |
|
136 |
106 |
$589.60 |
| 84132 |
|
180 |
148 |
$550.02 |
| 87102 |
|
86 |
74 |
$482.19 |
| 85250 |
|
43 |
38 |
$480.02 |
| 86701 |
|
71 |
64 |
$479.85 |
| 82378 |
|
65 |
51 |
$473.46 |
| 85004 |
|
132 |
104 |
$471.42 |
| 86644 |
|
45 |
40 |
$460.44 |
| 99001 |
|
659 |
580 |
$426.50 |
| 82390 |
|
42 |
40 |
$411.04 |
| 83718 |
|
62 |
57 |
$406.24 |
| 86308 |
|
88 |
83 |
$405.23 |
| 84520 |
|
220 |
207 |
$398.14 |
| 85007 |
|
193 |
152 |
$395.82 |
| 87206 |
|
105 |
89 |
$378.81 |
| 81025 |
|
68 |
56 |
$349.21 |
| 80156 |
|
135 |
125 |
$328.37 |
| 85049 |
|
124 |
94 |
$319.74 |
| 85048 |
|
183 |
140 |
$280.00 |
| 82164 |
|
34 |
30 |
$253.41 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
18 |
$247.52 |
| 84305 |
|
18 |
15 |
$245.84 |
| 80185 |
|
55 |
50 |
$229.95 |
| 84482 |
|
20 |
16 |
$219.74 |
| 84207 |
|
14 |
13 |
$206.58 |
| 87101 |
|
49 |
37 |
$174.08 |
| 80177 |
|
87 |
81 |
$137.88 |
| 84154 |
|
13 |
13 |
$136.57 |
| 36416 |
|
65 |
59 |
$136.33 |
| 82672 |
|
14 |
13 |
$136.28 |
| 87040 |
|
35 |
25 |
$135.83 |
| 86709 |
|
13 |
12 |
$120.61 |
| 87140 |
|
15 |
13 |
$106.56 |
| 87220 |
|
48 |
36 |
$91.73 |
| 80175 |
|
12 |
12 |
$90.90 |
| 85660 |
|
18 |
15 |
$85.14 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
1,011 |
1,000 |
$80.19 |
| 84295 |
|
12 |
12 |
$44.03 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
1,105 |
1,098 |
$16.18 |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
451 |
447 |
$0.00 |
| 81596 |
|
72 |
70 |
$0.00 |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
31 |
31 |
$0.00 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
12 |
12 |
$0.00 |