| Code | Description | Claims | Beneficiaries | Total Paid |
| 80053 |
Comprehensive metabolic panel |
182,056 |
117,371 |
$1.04M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
10,386 |
8,192 |
$530K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
111,772 |
49,946 |
$329K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
292,298 |
150,662 |
$189K |
| 87631 |
|
14,668 |
13,642 |
$189K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35,939 |
29,761 |
$179K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
20,592 |
17,496 |
$151K |
| 87486 |
|
5,394 |
5,202 |
$139K |
| 88307 |
|
2,422 |
2,062 |
$114K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41,803 |
32,545 |
$107K |
| 87070 |
|
27,240 |
23,253 |
$104K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14,577 |
10,706 |
$97K |
| 87040 |
|
39,441 |
31,927 |
$95K |
| 81001 |
|
93,783 |
78,289 |
$71K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
9,286 |
8,487 |
$64K |
| 82948 |
|
51,778 |
14,646 |
$62K |
| 84443 |
Thyroid stimulating hormone (TSH) |
15,861 |
13,541 |
$45K |
| 87507 |
|
1,053 |
941 |
$41K |
| 84702 |
|
17,312 |
13,855 |
$39K |
| 84484 |
|
34,900 |
24,328 |
$38K |
| 83735 |
|
66,704 |
27,173 |
$37K |
| 82803 |
|
4,763 |
1,615 |
$37K |
| 87430 |
|
15,008 |
13,505 |
$33K |
| 83880 |
|
9,137 |
7,058 |
$31K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
47,811 |
41,380 |
$27K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
3,561 |
2,916 |
$22K |
| 82247 |
|
21,116 |
6,946 |
$21K |
| 86850 |
|
36,215 |
28,250 |
$20K |
| 88312 |
|
1,980 |
1,519 |
$19K |
| 85060 |
|
1,860 |
1,489 |
$19K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
7,280 |
6,630 |
$18K |
| 80074 |
|
1,678 |
1,487 |
$18K |
| 83605 |
|
17,974 |
12,783 |
$17K |
| 81003 |
|
4,800 |
4,472 |
$17K |
| 82728 |
|
9,437 |
6,983 |
$16K |
| 85027 |
|
27,076 |
14,880 |
$16K |
| 87186 |
|
14,542 |
12,163 |
$16K |
| 84703 |
|
34,972 |
29,700 |
$15K |
| 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 |
2,247 |
1,995 |
$15K |
| 88304 |
|
1,066 |
914 |
$15K |
| 87420 |
|
4,946 |
4,171 |
$14K |
| 83690 |
|
35,715 |
29,211 |
$14K |
| 80061 |
Lipid panel |
10,702 |
9,388 |
$14K |
| 83020 |
|
3,509 |
2,635 |
$14K |
| 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 |
742 |
704 |
$13K |
| 85730 |
|
36,398 |
26,511 |
$13K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,011 |
1,831 |
$13K |
| 86140 |
|
36,943 |
26,598 |
$13K |
| 86900 |
|
48,056 |
39,102 |
$12K |
| 80202 |
|
4,872 |
2,165 |
$11K |
| 85007 |
|
25,180 |
13,842 |
$11K |
| 88313 |
|
2,591 |
2,056 |
$10K |
| 86880 |
|
7,669 |
6,890 |
$10K |
| 85610 |
|
43,471 |
30,600 |
$10K |
| 86901 |
|
48,032 |
39,099 |
$10K |
| 88189 |
|
301 |
200 |
$9K |
| 84112 |
|
957 |
840 |
$9K |
| 84100 |
|
29,368 |
9,530 |
$9K |
| 87077 |
|
10,337 |
8,638 |
$8K |
| 82550 |
|
19,243 |
13,682 |
$8K |
| 82607 |
|
5,639 |
4,923 |
$8K |
| 84145 |
|
5,548 |
3,295 |
$8K |
| 86902 |
|
2,657 |
1,798 |
$8K |
| 85055 |
|
2,018 |
634 |
$8K |
| 88342 |
|
509 |
420 |
$8K |
| 85046 |
|
19,688 |
12,144 |
$7K |
| 86703 |
|
7,442 |
7,002 |
$7K |
| 87581 |
|
5,387 |
5,194 |
$7K |
| 82330 |
|
2,131 |
665 |
$5K |
| 86762 |
|
3,544 |
3,414 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,875 |
7,131 |
$5K |
| 87147 |
|
3,072 |
2,469 |
$5K |
| 87340 |
|
6,635 |
6,246 |
$5K |
| 85379 |
|
7,633 |
5,536 |
$5K |
| 86592 |
|
13,654 |
12,527 |
$5K |
| 86922 |
|
328 |
228 |
$5K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
3,544 |
3,389 |
$4K |
| 86885 |
|
4,308 |
3,369 |
$4K |
| 87150 |
|
388 |
324 |
$4K |
| 82677 |
|
1,673 |
1,640 |
$4K |
| 81005 |
|
15,778 |
13,718 |
$4K |
| 87088 |
|
7,150 |
6,308 |
$3K |
| 88300 |
|
30 |
29 |
$3K |
| 85384 |
|
4,636 |
3,287 |
$3K |
| 83615 |
|
9,511 |
6,292 |
$3K |
| 87205 |
|
9,293 |
7,133 |
$3K |
| 82105 |
|
1,956 |
1,869 |
$3K |
| 80076 |
|
5,136 |
3,853 |
$3K |
| 87046 |
|
1,743 |
1,529 |
$3K |
| 87045 |
|
1,746 |
1,535 |
$3K |
| 81025 |
|
2,144 |
2,037 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,627 |
2,474 |
$3K |
| 82746 |
|
2,868 |
2,610 |
$3K |
| 87536 |
|
296 |
281 |
$3K |
| 84478 |
|
2,600 |
1,188 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,619 |
2,468 |
$3K |
| 85660 |
|
6,388 |
5,380 |
$2K |
| 87255 |
|
93 |
72 |
$2K |
| 87210 |
|
5,254 |
4,710 |
$2K |
| 86905 |
|
2,043 |
1,541 |
$2K |
| 82378 |
|
991 |
793 |
$2K |
| 87116 |
|
700 |
557 |
$2K |
| 82274 |
|
1,315 |
1,168 |
$2K |
| 83550 |
|
3,609 |
3,095 |
$2K |
| 80164 |
|
1,170 |
812 |
$2K |
| 84439 |
|
3,431 |
2,913 |
$2K |
| 87641 |
|
282 |
249 |
$2K |
| 86803 |
|
842 |
806 |
$2K |
| 83540 |
|
3,904 |
3,340 |
$2K |
| 82010 |
|
1,731 |
1,078 |
$1K |
| 82150 |
|
3,577 |
2,922 |
$1K |
| 82950 |
|
2,632 |
2,609 |
$1K |
| 86644 |
|
365 |
177 |
$1K |
| 85651 |
|
5,089 |
3,835 |
$1K |
| 84550 |
|
4,141 |
2,946 |
$983.77 |
| 88112 |
|
112 |
92 |
$906.29 |
| 82248 |
|
3,367 |
2,300 |
$890.67 |
| 82570 |
|
2,352 |
2,068 |
$848.15 |
| 84132 |
|
3,533 |
2,084 |
$826.01 |
| 82947 |
|
3,457 |
3,143 |
$774.71 |
| 87015 |
|
596 |
484 |
$637.71 |
| 82140 |
|
546 |
322 |
$632.59 |
| 82977 |
|
2,148 |
1,423 |
$630.84 |
| 83970 |
|
48 |
41 |
$591.53 |
| 87075 |
|
527 |
461 |
$512.56 |
| 84156 |
|
1,905 |
1,583 |
$507.69 |
| 80400 |
|
479 |
423 |
$495.88 |
| 82951 |
|
252 |
249 |
$433.54 |
| 87206 |
|
1,160 |
935 |
$430.36 |
| 82533 |
|
329 |
252 |
$429.45 |
| 85652 |
|
1,356 |
1,178 |
$395.51 |
| 87449 |
|
130 |
123 |
$388.72 |
| 80050 |
General health panel |
182 |
173 |
$340.57 |
| 86308 |
|
790 |
689 |
$338.09 |
| 87106 |
|
169 |
140 |
$321.32 |
| 88302 |
|
20 |
19 |
$307.73 |
| 87184 |
|
868 |
760 |
$294.46 |
| 82731 |
|
17 |
13 |
$266.56 |
| 87102 |
|
699 |
593 |
$264.49 |
| 82945 |
|
483 |
361 |
$230.92 |
| 86645 |
|
137 |
125 |
$227.21 |
| 87081 |
|
432 |
408 |
$217.74 |
| 86870 |
|
100 |
76 |
$178.09 |
| 82553 |
|
629 |
479 |
$176.93 |
| 86706 |
|
245 |
236 |
$176.56 |
| 84436 |
|
472 |
422 |
$147.97 |
| 84300 |
|
468 |
367 |
$125.12 |
| 86701 |
|
225 |
215 |
$116.71 |
| 87324 |
|
195 |
181 |
$107.26 |
| 85018 |
|
793 |
510 |
$103.53 |
| 82952 |
|
254 |
251 |
$101.24 |
| 36415 |
Collection of venous blood by venipuncture |
345 |
268 |
$96.55 |
| 84157 |
|
518 |
388 |
$83.38 |
| 86480 |
|
13 |
13 |
$82.60 |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
233 |
228 |
$60.00 |
| 88141 |
|
14 |
14 |
$56.68 |
| 87425 |
|
44 |
41 |
$41.36 |
| 86704 |
|
26 |
26 |
$41.11 |
| 83930 |
|
83 |
26 |
$37.20 |
| 83935 |
|
108 |
65 |
$28.91 |
| 87209 |
|
12 |
12 |
$28.57 |
| 85520 |
|
60 |
39 |
$28.11 |
| 84481 |
|
46 |
39 |
$26.27 |
| 83010 |
|
63 |
53 |
$24.22 |
| 86708 |
|
29 |
27 |
$22.32 |
| 86696 |
|
14 |
13 |
$21.94 |
| 82565 |
|
98 |
54 |
$20.06 |
| 86778 |
|
14 |
13 |
$14.78 |
| 82043 |
|
143 |
138 |
$14.20 |
| 84520 |
|
89 |
51 |
$10.92 |
| 82962 |
|
23 |
19 |
$10.35 |
| 81050 |
|
36 |
35 |
$10.07 |
| 84134 |
|
13 |
12 |
$9.96 |
| 89051 |
|
118 |
81 |
$3.92 |
| 84450 |
|
12 |
12 |
$0.81 |
| 84460 |
|
12 |
12 |
$0.71 |
| 85014 |
|
19 |
12 |
$0.32 |
| 86923 |
|
814 |
500 |
$0.00 |
| 86336 |
|
1,670 |
1,637 |
$0.00 |
| 80329 |
|
272 |
241 |
$0.00 |
| 86780 |
|
42 |
38 |
$0.00 |
| 86985 |
|
20 |
18 |
$0.00 |