| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
15,060 |
11,009 |
$379K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
9,181 |
7,773 |
$341K |
| 80053 |
Comprehensive metabolic panel |
53,898 |
35,644 |
$273K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
8,915 |
7,540 |
$210K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
68,785 |
41,175 |
$200K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
3,265 |
2,972 |
$160K |
| 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 |
5,355 |
4,423 |
$131K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
31,153 |
14,586 |
$128K |
| 88307 |
|
2,067 |
1,879 |
$126K |
| 83735 |
|
31,837 |
15,111 |
$114K |
| 80185 |
|
14,135 |
7,616 |
$92K |
| 84484 |
|
20,727 |
14,770 |
$91K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,419 |
3,978 |
$90K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,958 |
3,511 |
$85K |
| 82803 |
|
8,480 |
3,673 |
$84K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,198 |
5,627 |
$84K |
| 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 |
1,384 |
1,002 |
$69K |
| 87040 |
|
6,140 |
4,398 |
$68K |
| 83880 |
|
6,012 |
5,053 |
$65K |
| 84443 |
Thyroid stimulating hormone (TSH) |
7,376 |
5,558 |
$61K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
10,012 |
8,562 |
$52K |
| 85027 |
|
17,244 |
9,336 |
$50K |
| 86762 |
|
11,814 |
6,845 |
$50K |
| 83605 |
|
8,785 |
5,610 |
$50K |
| 83690 |
|
14,526 |
12,439 |
$49K |
| 88341 |
|
2,418 |
1,700 |
$48K |
| 82962 |
|
28,792 |
9,763 |
$43K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,407 |
1,325 |
$42K |
| 88342 |
|
3,169 |
2,744 |
$39K |
| 86480 |
|
1,365 |
931 |
$35K |
| 85730 |
|
8,992 |
6,249 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,370 |
4,155 |
$30K |
| 84702 |
|
6,472 |
5,363 |
$29K |
| 80074 |
|
1,614 |
1,279 |
$29K |
| 88304 |
|
1,648 |
1,507 |
$28K |
| 84100 |
|
13,947 |
4,830 |
$27K |
| 86850 |
|
7,648 |
6,369 |
$22K |
| 86901 |
|
9,999 |
8,387 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
640 |
518 |
$22K |
| 85610 |
|
10,307 |
7,217 |
$22K |
| 81003 |
|
19,893 |
16,891 |
$19K |
| 86022 |
|
1,921 |
1,496 |
$18K |
| 80061 |
Lipid panel |
6,268 |
5,482 |
$18K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,936 |
5,194 |
$17K |
| 86225 |
|
2,910 |
2,057 |
$17K |
| 86900 |
|
10,002 |
8,382 |
$17K |
| 80202 |
|
2,197 |
1,170 |
$16K |
| 87186 |
|
2,877 |
2,131 |
$16K |
| 81025 |
|
5,948 |
5,497 |
$16K |
| 81001 |
|
8,992 |
8,070 |
$14K |
| 87081 |
|
3,912 |
3,231 |
$13K |
| 87430 |
|
1,506 |
1,381 |
$11K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
982 |
526 |
$11K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
71 |
49 |
$11K |
| 89051 |
|
3,206 |
2,392 |
$11K |
| 85379 |
|
2,875 |
2,306 |
$11K |
| 87480 |
|
1,100 |
986 |
$11K |
| 86780 |
|
1,087 |
523 |
$9K |
| 82607 |
|
1,443 |
1,272 |
$8K |
| 87102 |
|
2,630 |
1,959 |
$8K |
| 82728 |
|
2,023 |
1,562 |
$8K |
| 84439 |
|
1,811 |
1,503 |
$8K |
| 82570 |
|
3,732 |
3,230 |
$7K |
| 81241 |
|
956 |
824 |
$7K |
| 87070 |
|
2,239 |
1,740 |
$7K |
| 82550 |
|
2,790 |
1,896 |
$7K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,704 |
1,485 |
$7K |
| 86920 |
|
1,599 |
1,224 |
$6K |
| 83550 |
|
1,619 |
1,413 |
$6K |
| 88141 |
|
524 |
487 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
176 |
134 |
$6K |
| 86160 |
|
1,266 |
1,085 |
$6K |
| 87631 |
|
114 |
110 |
$6K |
| 83540 |
|
1,793 |
1,550 |
$6K |
| 82784 |
|
1,204 |
1,059 |
$6K |
| 82746 |
|
1,006 |
915 |
$6K |
| 87510 |
|
494 |
467 |
$6K |
| 86304 |
|
476 |
320 |
$5K |
| 87493 |
|
227 |
161 |
$5K |
| 86592 |
|
2,649 |
2,282 |
$5K |
| 86140 |
|
2,163 |
1,671 |
$5K |
| 87340 |
|
950 |
839 |
$5K |
| 80076 |
|
1,594 |
1,100 |
$5K |
| 87116 |
|
771 |
668 |
$5K |
| 87077 |
|
1,967 |
1,452 |
$5K |
| 87205 |
|
2,192 |
1,567 |
$4K |
| 82247 |
|
1,994 |
1,092 |
$4K |
| 87807 |
|
860 |
812 |
$4K |
| 82330 |
|
583 |
302 |
$4K |
| 82248 |
|
2,260 |
1,293 |
$4K |
| 84145 |
|
343 |
248 |
$4K |
| 87184 |
|
817 |
689 |
$4K |
| 87641 |
|
179 |
165 |
$4K |
| 87660 |
|
527 |
483 |
$4K |
| 88312 |
|
205 |
177 |
$4K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
74 |
50 |
$3K |
| 84295 |
|
1,590 |
1,230 |
$3K |
| 81015 |
|
7,470 |
5,902 |
$3K |
| 80164 |
|
670 |
486 |
$3K |
| 85007 |
|
2,190 |
1,335 |
$3K |
| 85652 |
|
2,121 |
1,777 |
$3K |
| 82140 |
|
579 |
432 |
$3K |
| 87420 |
|
334 |
315 |
$3K |
| 85018 |
|
2,490 |
1,846 |
$2K |
| 86803 |
|
382 |
351 |
$2K |
| 83615 |
|
946 |
533 |
$2K |
| 84030 |
|
915 |
792 |
$2K |
| 86787 |
|
405 |
367 |
$2K |
| 87449 |
|
180 |
141 |
$2K |
| 82010 |
|
1,013 |
760 |
$2K |
| 86704 |
|
277 |
144 |
$2K |
| 88313 |
|
208 |
172 |
$2K |
| 85008 |
|
1,527 |
885 |
$2K |
| 83655 |
|
358 |
335 |
$2K |
| 86141 |
|
226 |
184 |
$2K |
| 87075 |
|
272 |
228 |
$2K |
| 84600 |
|
878 |
668 |
$2K |
| 82805 |
|
323 |
73 |
$2K |
| 87486 |
|
81 |
50 |
$2K |
| 87280 |
|
235 |
213 |
$2K |
| 80143 |
|
156 |
148 |
$2K |
| 87088 |
|
312 |
296 |
$2K |
| 80179 |
|
151 |
144 |
$2K |
| 81240 |
|
196 |
115 |
$2K |
| 80170 |
|
273 |
195 |
$2K |
| 84156 |
|
1,436 |
1,178 |
$2K |
| 86880 |
|
516 |
418 |
$2K |
| 88311 |
|
321 |
280 |
$2K |
| 84466 |
|
356 |
206 |
$2K |
| 87581 |
|
72 |
50 |
$2K |
| 88112 |
|
82 |
74 |
$1K |
| 86921 |
|
290 |
218 |
$1K |
| 85014 |
|
1,465 |
1,058 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
108 |
99 |
$1K |
| 84545 |
|
645 |
406 |
$1K |
| 86038 |
|
172 |
145 |
$1K |
| 88360 |
|
27 |
25 |
$1K |
| 84403 |
|
106 |
83 |
$1K |
| 82105 |
|
149 |
143 |
$1K |
| 83001 |
|
124 |
99 |
$1K |
| 84510 |
|
203 |
165 |
$915.20 |
| 84153 |
|
138 |
126 |
$819.35 |
| 82043 |
|
421 |
373 |
$783.09 |
| 82950 |
|
387 |
368 |
$714.45 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
30 |
30 |
$687.00 |
| 84146 |
|
111 |
88 |
$671.00 |
| 86769 |
|
27 |
21 |
$653.11 |
| 87147 |
|
342 |
211 |
$643.58 |
| 87210 |
|
265 |
240 |
$618.05 |
| 84300 |
|
255 |
182 |
$538.36 |
| 84132 |
|
546 |
317 |
$519.70 |
| 84550 |
|
300 |
240 |
$476.72 |
| 83013 |
|
54 |
38 |
$407.64 |
| 82948 |
|
96 |
16 |
$286.90 |
| 82150 |
|
73 |
49 |
$239.73 |
| 86593 |
|
121 |
114 |
$234.00 |
| 82565 |
|
108 |
94 |
$229.50 |
| 88302 |
|
14 |
14 |
$225.02 |
| 88104 |
|
14 |
14 |
$214.80 |
| 84478 |
|
152 |
88 |
$205.22 |
| 86706 |
|
30 |
19 |
$203.00 |
| 87045 |
|
34 |
32 |
$202.95 |
| 84402 |
|
23 |
13 |
$201.74 |
| 85045 |
|
160 |
139 |
$198.62 |
| 82495 |
|
31 |
28 |
$194.59 |
| 86235 |
|
23 |
13 |
$177.00 |
| 82670 |
|
27 |
12 |
$169.82 |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
18 |
18 |
$163.20 |
| 86696 |
|
12 |
12 |
$161.60 |
| 85384 |
|
53 |
36 |
$160.77 |
| 87806 |
|
17 |
15 |
$157.28 |
| 82270 |
|
123 |
91 |
$154.91 |
| 84480 |
|
34 |
33 |
$143.40 |
| 87206 |
|
63 |
60 |
$138.60 |
| 84436 |
|
44 |
20 |
$131.04 |
| 85378 |
|
35 |
27 |
$122.15 |
| 87209 |
|
14 |
13 |
$105.42 |
| 84450 |
|
47 |
36 |
$100.40 |
| 82951 |
|
15 |
13 |
$85.90 |
| 84460 |
|
47 |
36 |
$81.79 |
| 83002 |
|
14 |
14 |
$62.02 |
| 80050 |
General health panel |
1,474 |
1,306 |
$53.25 |
| 82103 |
|
12 |
12 |
$53.16 |
| 87177 |
|
14 |
13 |
$50.40 |
| 84520 |
|
32 |
26 |
$48.25 |
| 84540 |
|
22 |
13 |
$47.52 |
| 83930 |
|
19 |
14 |
$44.27 |
| 87076 |
|
205 |
184 |
$33.32 |
| 82952 |
|
15 |
13 |
$26.06 |
| 87106 |
|
70 |
42 |
$0.00 |
| 80320 |
|
665 |
566 |
$0.00 |
| 80329 |
|
285 |
232 |
$0.00 |