| 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 |
428,490 |
343,187 |
$26.38M |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
74,832 |
59,904 |
$1.32M |
| 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 |
14,531 |
13,490 |
$1.23M |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
22,436 |
19,763 |
$771K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
22,427 |
19,698 |
$762K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
9,692 |
9,060 |
$468K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
15,850 |
15,554 |
$319K |
| 84443 |
Thyroid stimulating hormone (TSH) |
22,956 |
22,084 |
$300K |
| 80050 |
General health panel |
10,949 |
10,791 |
$299K |
| 80061 |
Lipid panel |
32,426 |
30,913 |
$299K |
| 80053 |
Comprehensive metabolic panel |
35,296 |
33,440 |
$281K |
| 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 |
3,152 |
2,980 |
$205K |
| 87507 |
|
604 |
590 |
$180K |
| 86235 |
|
1,852 |
1,818 |
$172K |
| 86480 |
|
2,986 |
2,949 |
$167K |
| 86780 |
|
12,442 |
12,221 |
$146K |
| 86803 |
|
12,513 |
12,284 |
$137K |
| 83013 |
|
2,191 |
2,148 |
$133K |
| 82728 |
|
12,500 |
12,136 |
$129K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19,270 |
18,153 |
$123K |
| 82607 |
|
9,100 |
8,764 |
$112K |
| 84403 |
|
4,847 |
4,707 |
$104K |
| 86038 |
|
8,124 |
7,962 |
$90K |
| 85027 |
|
16,371 |
15,700 |
$86K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
8,111 |
7,960 |
$85K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
11,663 |
10,901 |
$78K |
| 82746 |
|
6,411 |
6,186 |
$78K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
10,552 |
9,907 |
$75K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
2,886 |
2,826 |
$74K |
| 83516 |
|
3,647 |
3,569 |
$66K |
| 84270 |
|
3,376 |
3,282 |
$64K |
| 87536 |
|
838 |
811 |
$62K |
| 87529 |
|
985 |
958 |
$61K |
| 82274 |
|
4,345 |
4,178 |
$59K |
| 84466 |
|
5,679 |
5,508 |
$57K |
| 87522 |
Neg quan hep c or qual rna |
1,447 |
1,402 |
$55K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,113 |
1,084 |
$54K |
| 82670 |
|
2,097 |
2,054 |
$53K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
9,586 |
9,174 |
$52K |
| 36415 |
Collection of venous blood by venipuncture |
12,092 |
11,386 |
$45K |
| 83655 |
|
3,828 |
3,798 |
$45K |
| 86706 |
|
5,277 |
5,157 |
$44K |
| 87340 |
|
4,831 |
4,719 |
$40K |
| 84439 |
|
5,104 |
4,851 |
$38K |
| 86481 |
|
459 |
446 |
$35K |
| 83520 |
|
1,502 |
1,454 |
$34K |
| 82043 |
|
6,801 |
6,418 |
$32K |
| 86696 |
|
1,911 |
1,887 |
$31K |
| 82570 |
|
7,317 |
6,903 |
$30K |
| 87186 |
|
3,428 |
3,283 |
$29K |
| 83540 |
|
5,714 |
5,541 |
$29K |
| 86141 |
|
2,274 |
2,227 |
$29K |
| 82542 |
|
1,505 |
1,460 |
$28K |
| 84630 |
|
2,810 |
2,730 |
$26K |
| 84702 |
|
2,052 |
1,855 |
$26K |
| 83001 |
|
1,530 |
1,506 |
$26K |
| 82525 |
|
2,413 |
2,314 |
$25K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
370 |
360 |
$23K |
| 86695 |
|
1,915 |
1,890 |
$23K |
| 87081 |
|
3,667 |
3,618 |
$23K |
| 86225 |
|
2,029 |
1,981 |
$22K |
| 84146 |
|
1,247 |
1,220 |
$22K |
| 84153 |
|
1,704 |
1,593 |
$22K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
476 |
471 |
$22K |
| 86787 |
|
1,930 |
1,896 |
$21K |
| 87077 |
|
2,409 |
2,289 |
$21K |
| 86200 |
|
1,687 |
1,657 |
$20K |
| 87205 |
|
4,440 |
4,325 |
$18K |
| 84590 |
|
1,849 |
1,803 |
$18K |
| 82105 |
|
1,153 |
1,083 |
$18K |
| 86769 |
|
611 |
585 |
$17K |
| 84446 |
|
1,473 |
1,436 |
$17K |
| 87631 |
|
141 |
140 |
$17K |
| 83735 |
|
3,031 |
2,790 |
$17K |
| 86762 |
|
1,255 |
1,228 |
$16K |
| 81001 |
|
5,696 |
5,412 |
$15K |
| 83690 |
|
2,405 |
2,342 |
$15K |
| 87147 |
|
1,877 |
1,830 |
$15K |
| 86364 |
|
1,373 |
1,359 |
$15K |
| 87497 |
|
421 |
313 |
$14K |
| 87070 |
|
1,764 |
1,721 |
$14K |
| 80503 |
|
3,742 |
3,284 |
$14K |
| 87088 |
|
1,852 |
1,775 |
$14K |
| 80076 |
|
1,890 |
1,835 |
$14K |
| 86140 |
|
3,116 |
3,003 |
$14K |
| 83014 |
|
2,184 |
2,144 |
$13K |
| 86258 |
|
1,215 |
1,199 |
$13K |
| 83880 |
|
454 |
416 |
$13K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
1,265 |
1,211 |
$13K |
| 85652 |
|
5,130 |
4,988 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
149 |
149 |
$12K |
| 80504 |
|
1,377 |
1,262 |
$12K |
| 86431 |
|
1,973 |
1,935 |
$10K |
| 86704 |
|
1,057 |
1,035 |
$10K |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
25 |
25 |
$10K |
| 83970 |
|
286 |
271 |
$9K |
| 84165 |
|
1,682 |
837 |
$9K |
| 87209 |
|
489 |
463 |
$9K |
| 87806 |
|
1,848 |
1,825 |
$9K |
| 84163 |
|
571 |
566 |
$8K |
| 87102 |
|
1,064 |
1,043 |
$8K |
| 83002 |
|
473 |
465 |
$8K |
| 80502 |
|
384 |
372 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
65 |
65 |
$7K |
| 84481 |
|
478 |
465 |
$7K |
| 84202 |
|
510 |
508 |
$7K |
| 80197 |
|
621 |
489 |
$6K |
| 85610 |
|
1,880 |
1,649 |
$6K |
| 86765 |
|
528 |
525 |
$6K |
| 86708 |
|
629 |
607 |
$6K |
| 87046 |
|
769 |
752 |
$6K |
| 80500 |
|
972 |
901 |
$5K |
| 86376 |
|
402 |
393 |
$5K |
| 84550 |
|
1,380 |
1,310 |
$5K |
| 84480 |
|
354 |
345 |
$5K |
| 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 |
84,323 |
64,401 |
$5K |
| 83525 |
|
411 |
409 |
$5K |
| 86160 |
|
201 |
195 |
$4K |
| 86735 |
|
371 |
366 |
$4K |
| 87177 |
|
507 |
480 |
$4K |
| 82248 |
|
1,131 |
1,042 |
$4K |
| 0097U |
|
347 |
343 |
$4K |
| 87338 |
|
296 |
296 |
$4K |
| 86800 |
|
239 |
234 |
$4K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
14 |
13 |
$3K |
| 86850 |
|
384 |
368 |
$3K |
| 82677 |
|
112 |
108 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
206 |
204 |
$3K |
| 86334 |
|
362 |
177 |
$3K |
| 92060 |
|
39 |
39 |
$3K |
| 87593 |
|
18 |
17 |
$3K |
| 83993 |
|
147 |
143 |
$3K |
| 83521 |
|
110 |
101 |
$2K |
| 87799 |
|
173 |
161 |
$2K |
| 86256 |
|
97 |
96 |
$2K |
| 87210 |
|
414 |
405 |
$2K |
| 87252 |
|
55 |
55 |
$2K |
| 85730 |
|
504 |
490 |
$2K |
| 86255 |
|
145 |
139 |
$2K |
| 87999 |
|
52 |
51 |
$2K |
| 84460 |
|
390 |
378 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
26 |
26 |
$2K |
| 86003 |
|
30 |
26 |
$2K |
| 87075 |
|
181 |
177 |
$2K |
| 87530 |
|
26 |
24 |
$2K |
| 86336 |
|
114 |
110 |
$2K |
| 87481 |
|
106 |
103 |
$2K |
| 82150 |
|
244 |
240 |
$1K |
| 82947 |
|
410 |
404 |
$1K |
| 84100 |
|
323 |
290 |
$1K |
| 86147 |
|
14 |
14 |
$1K |
| 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 |
15 |
15 |
$1K |
| 80178 |
|
164 |
152 |
$1K |
| 86900 |
|
387 |
370 |
$947.98 |
| 82550 |
|
178 |
165 |
$947.74 |
| 86901 |
|
358 |
342 |
$897.04 |
| 82977 |
|
130 |
128 |
$793.17 |
| 82627 |
|
41 |
40 |
$784.75 |
| 86146 |
|
14 |
14 |
$750.42 |
| 82365 |
|
92 |
88 |
$737.48 |
| 86665 |
|
24 |
24 |
$736.02 |
| 99072 |
|
74,208 |
59,233 |
$610.30 |
| 92015 |
Determination of refractive state |
93 |
92 |
$590.04 |
| 82950 |
|
134 |
123 |
$561.98 |
| 83498 |
|
26 |
26 |
$547.51 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
17 |
15 |
$547.34 |
| 83010 |
|
42 |
42 |
$545.69 |
| 84425 |
|
28 |
28 |
$542.70 |
| 87184 |
|
97 |
90 |
$522.74 |
| 82103 |
|
42 |
38 |
$479.50 |
| 86592 |
|
139 |
131 |
$471.40 |
| 82247 |
|
88 |
73 |
$406.06 |
| 87106 |
|
39 |
39 |
$384.21 |
| 85245 |
|
15 |
12 |
$348.16 |
| 84156 |
|
116 |
109 |
$319.23 |
| 86664 |
|
24 |
24 |
$310.07 |
| 86036 |
|
30 |
28 |
$302.08 |
| 86381 |
|
12 |
12 |
$265.68 |
| 85046 |
|
57 |
54 |
$246.32 |
| 85246 |
|
14 |
12 |
$224.04 |
| 85384 |
|
25 |
25 |
$223.84 |
| 82172 |
|
14 |
14 |
$219.17 |
| 83883 |
|
13 |
13 |
$185.42 |
| 83020 |
|
20 |
13 |
$180.45 |
| 84450 |
|
37 |
37 |
$176.99 |
| 86015 |
|
15 |
15 |
$150.10 |
| 85379 |
|
13 |
13 |
$133.92 |
| 85060 |
|
13 |
13 |
$128.77 |
| 82565 |
|
27 |
26 |
$120.99 |
| 80069 |
|
13 |
12 |
$80.58 |
| 85670 |
|
12 |
12 |
$78.52 |
| 85390 |
|
12 |
12 |
$70.44 |
| 86308 |
|
13 |
13 |
$67.55 |
| 86593 |
|
13 |
13 |
$47.08 |
| 81511 |
|
502 |
493 |
$0.00 |