| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
3,676 |
1,567 |
$108K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
338 |
265 |
$305.61 |
| 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 |
27 |
20 |
$300.00 |
| 80053 |
Comprehensive metabolic panel |
249 |
208 |
$100.58 |
| 36415 |
Collection of venous blood by venipuncture |
511 |
375 |
$84.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
103 |
86 |
$81.72 |
| 84443 |
Thyroid stimulating hormone (TSH) |
158 |
127 |
$75.14 |
| 80061 |
Lipid panel |
164 |
137 |
$73.49 |
| 82607 |
|
24 |
19 |
$61.21 |
| 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 |
1,268 |
497 |
$50.00 |
| 85027 |
|
201 |
167 |
$30.88 |
| 82565 |
|
111 |
96 |
$10.95 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
219 |
168 |
$0.00 |
| 81001 |
|
18 |
18 |
$0.00 |
| 84479 |
|
15 |
13 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
18 |
16 |
$0.00 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
69 |
47 |
$0.00 |
| 84439 |
|
18 |
16 |
$0.00 |
| 82747 |
|
18 |
14 |
$0.00 |