| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0482 |
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; 15-21 drug class(es), including metabolite(s) if performed |
1,088,897 |
689,601 |
$54.95M |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
509,138 |
361,097 |
$34.86M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,272,440 |
807,337 |
$33.93M |
| G0483 |
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; 22 or more drug class(es), including metabolite(s) if performed |
422,715 |
248,673 |
$27.22M |
| 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 |
380,518 |
263,818 |
$12.47M |
| 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 |
117,406 |
95,856 |
$8.22M |
| 82542 |
|
341,199 |
235,692 |
$1.99M |
| 84228 |
|
330,928 |
235,447 |
$1.61M |
| 80325 |
|
134,507 |
99,409 |
$978K |
| 80348 |
|
140,600 |
104,321 |
$864K |
| 80373 |
|
133,038 |
99,359 |
$820K |
| 80361 |
|
143,555 |
106,485 |
$777K |
| 80356 |
|
141,871 |
105,241 |
$760K |
| 80323 |
|
81,243 |
57,822 |
$752K |
| 80354 |
|
139,639 |
103,787 |
$676K |
| 80365 |
|
143,615 |
106,528 |
$672K |
| 80366 |
|
114,610 |
84,924 |
$667K |
| 80321 |
|
88,670 |
62,461 |
$644K |
| 80355 |
|
120,921 |
89,610 |
$641K |
| 80358 |
|
141,329 |
104,841 |
$641K |
| 80369 |
|
109,420 |
82,163 |
$636K |
| 80359 |
|
140,140 |
103,294 |
$611K |
| 80337 |
|
46,215 |
35,615 |
$611K |
| 80346 |
|
108,351 |
83,563 |
$609K |
| 80353 |
|
139,928 |
103,520 |
$594K |
| 80344 |
|
47,938 |
35,200 |
$548K |
| 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 |
34,015 |
29,052 |
$540K |
| 80334 |
|
42,866 |
33,187 |
$521K |
| 80338 |
|
54,130 |
39,465 |
$470K |
| 80377 |
|
41,381 |
30,578 |
$449K |
| 80364 |
|
50,514 |
34,345 |
$366K |
| 80362 |
|
62,695 |
49,614 |
$330K |
| 82415 |
|
49,372 |
35,596 |
$327K |
| 80372 |
|
52,031 |
35,893 |
$317K |
| 80357 |
|
39,480 |
26,857 |
$270K |
| 80368 |
|
36,653 |
26,543 |
$256K |
| 80340 |
|
18,562 |
15,132 |
$247K |
| 80347 |
|
34,242 |
23,542 |
$227K |
| 80370 |
|
28,288 |
21,273 |
$226K |
| 80360 |
|
45,929 |
32,355 |
$210K |
| 80345 |
|
32,059 |
26,143 |
$160K |
| 80363 |
|
16,077 |
11,544 |
$139K |
| 80371 |
|
25,265 |
17,014 |
$110K |
| 80349 |
|
27,299 |
20,575 |
$109K |
| 80352 |
|
24,250 |
16,245 |
$98K |
| 80341 |
|
14,760 |
11,863 |
$96K |
| 80375 |
|
6,642 |
5,187 |
$62K |
| 80339 |
|
8,834 |
6,684 |
$58K |
| 80374 |
|
9,232 |
7,014 |
$54K |
| 83992 |
|
10,161 |
5,383 |
$45K |
| 80335 |
|
3,335 |
2,705 |
$38K |
| 80320 |
|
5,005 |
4,126 |
$31K |
| 80324 |
|
4,704 |
4,069 |
$29K |
| 80074 |
|
1,822 |
1,691 |
$26K |
| 80332 |
|
3,736 |
3,097 |
$26K |
| 80376 |
|
5,093 |
3,247 |
$25K |
| 80061 |
Lipid panel |
3,432 |
3,124 |
$17K |
| 80342 |
|
4,584 |
3,508 |
$16K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,207 |
3,540 |
$15K |
| 80053 |
Comprehensive metabolic panel |
5,465 |
4,724 |
$14K |
| 82652 |
|
2,286 |
1,933 |
$14K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,087 |
1,735 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,313 |
2,969 |
$13K |
| 80050 |
General health panel |
451 |
416 |
$12K |
| 84481 |
|
2,057 |
1,925 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,163 |
5,040 |
$11K |
| 80367 |
|
851 |
612 |
$9K |
| 84439 |
|
2,140 |
1,995 |
$9K |
| 84146 |
|
521 |
489 |
$5K |
| 86780 |
|
758 |
693 |
$5K |
| 86696 |
|
671 |
606 |
$4K |
| 82607 |
|
585 |
553 |
$4K |
| 86695 |
|
816 |
674 |
$3K |
| G6056 |
Opiate(s), drug and metabolites, each procedure |
155 |
60 |
$3K |
| 80164 |
|
499 |
465 |
$2K |
| 82746 |
|
294 |
264 |
$2K |
| 86803 |
|
516 |
407 |
$2K |
| 87340 |
|
397 |
341 |
$1K |
| 82248 |
|
582 |
522 |
$1K |
| 85027 |
|
358 |
346 |
$935.12 |
| 80171 |
|
75 |
71 |
$881.47 |
| G6031 |
Benzodiazepines |
95 |
61 |
$837.12 |
| G6053 |
Methadone |
62 |
60 |
$547.46 |
| 80178 |
|
185 |
173 |
$478.45 |
| 86769 |
|
17 |
17 |
$441.90 |
| 84403 |
|
35 |
33 |
$351.35 |
| 87521 |
Neg quan hep c or qual rna |
15 |
15 |
$325.05 |
| G6044 |
Cocaine or metabolite |
47 |
46 |
$295.02 |
| G6042 |
Amphetamine or methamphetamine |
46 |
45 |
$285.77 |
| 86705 |
|
67 |
53 |
$241.17 |
| 84702 |
|
48 |
44 |
$217.75 |
| 82465 |
|
70 |
70 |
$199.20 |
| 84100 |
|
69 |
69 |
$117.42 |
| 86709 |
|
26 |
26 |
$100.54 |
| 82947 |
|
41 |
41 |
$98.31 |
| 80076 |
|
13 |
13 |
$56.96 |
| 84520 |
|
17 |
17 |
$37.23 |
| 84450 |
|
12 |
12 |
$30.25 |
| 81226 |
|
59 |
40 |
$0.00 |
| G6052 |
Meprobamate |
50 |
48 |
$0.00 |
| 82544 |
|
68 |
53 |
$0.00 |
| 81225 |
|
58 |
39 |
$0.00 |
| 81227 |
|
54 |
37 |
$0.00 |
| G0431 |
Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter |
13 |
13 |
$0.00 |