| Code | Description | Claims | Beneficiaries | Total Paid |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
6,399 |
5,630 |
$1.08M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
24,391 |
18,210 |
$671K |
| 80053 |
Comprehensive metabolic panel |
96,690 |
63,267 |
$488K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12,500 |
10,287 |
$422K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
8,026 |
7,093 |
$397K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
135,278 |
81,252 |
$383K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
11,087 |
10,297 |
$234K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
11,097 |
10,310 |
$234K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
51,093 |
25,233 |
$208K |
| 84443 |
Thyroid stimulating hormone (TSH) |
21,990 |
18,678 |
$175K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
4,197 |
3,616 |
$163K |
| 87581 |
|
6,979 |
6,159 |
$154K |
| 87486 |
|
6,975 |
6,156 |
$154K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
28,661 |
24,063 |
$145K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,147 |
3,633 |
$144K |
| 87040 |
|
13,067 |
9,431 |
$143K |
| 83735 |
|
41,888 |
19,475 |
$140K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,553 |
9,797 |
$130K |
| 82805 |
|
5,736 |
4,147 |
$130K |
| 82948 |
|
44,311 |
12,565 |
$121K |
| 84484 |
|
26,582 |
18,723 |
$116K |
| 83880 |
|
9,524 |
7,351 |
$99K |
| 82803 |
|
9,160 |
4,431 |
$96K |
| 87507 |
|
562 |
489 |
$95K |
| 87430 |
|
11,838 |
10,848 |
$89K |
| 83605 |
|
16,036 |
11,206 |
$83K |
| 83690 |
|
24,691 |
19,352 |
$81K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,817 |
1,691 |
$70K |
| 87641 |
|
3,213 |
2,642 |
$70K |
| 82330 |
|
7,056 |
2,353 |
$61K |
| 87480 |
|
5,063 |
4,539 |
$59K |
| 85027 |
|
20,928 |
11,167 |
$59K |
| 87510 |
|
4,920 |
4,413 |
$57K |
| 85610 |
|
28,534 |
16,106 |
$55K |
| 84702 |
|
12,383 |
9,331 |
$55K |
| 87653 |
|
2,365 |
2,204 |
$52K |
| 87186 |
|
8,802 |
7,416 |
$50K |
| 85730 |
|
15,613 |
10,750 |
$49K |
| 86901 |
|
20,347 |
15,871 |
$48K |
| 86850 |
|
15,244 |
11,558 |
$44K |
| 87660 |
|
5,258 |
4,714 |
$40K |
| 81001 |
|
30,666 |
25,041 |
$40K |
| 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 |
1,195 |
1,060 |
$40K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
3,179 |
2,727 |
$39K |
| 81025 |
|
19,322 |
16,160 |
$39K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,922 |
1,402 |
$39K |
| 86900 |
|
20,342 |
15,866 |
$37K |
| 88307 |
|
599 |
520 |
$36K |
| 86780 |
|
4,501 |
3,966 |
$36K |
| 80061 |
Lipid panel |
10,834 |
9,322 |
$36K |
| 84100 |
|
16,295 |
5,429 |
$35K |
| 85379 |
|
9,199 |
7,345 |
$34K |
| 87797 |
|
2,738 |
2,336 |
$33K |
| 86803 |
|
3,945 |
3,498 |
$32K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
2,007 |
1,903 |
$28K |
| 84439 |
|
6,348 |
5,485 |
$27K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,842 |
7,537 |
$27K |
| 80202 |
|
4,051 |
1,701 |
$27K |
| 87340 |
|
3,907 |
3,273 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,234 |
3,085 |
$24K |
| 81003 |
|
23,216 |
19,364 |
$24K |
| 82550 |
|
8,226 |
5,475 |
$24K |
| 80076 |
|
6,772 |
5,051 |
$23K |
| 87081 |
|
8,317 |
7,696 |
$23K |
| 86140 |
|
9,653 |
7,016 |
$22K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,006 |
948 |
$19K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,755 |
2,407 |
$19K |
| 80074 |
|
1,001 |
864 |
$19K |
| 87070 |
|
6,096 |
4,976 |
$18K |
| 82728 |
|
4,724 |
3,545 |
$18K |
| 82607 |
|
3,105 |
2,666 |
$18K |
| 87088 |
|
3,439 |
2,865 |
$17K |
| 82247 |
|
8,069 |
2,624 |
$17K |
| 80306 |
|
2,997 |
2,596 |
$16K |
| 87420 |
|
2,163 |
2,027 |
$16K |
| 85007 |
|
9,490 |
4,904 |
$16K |
| 82248 |
|
7,968 |
2,758 |
$16K |
| 87205 |
|
6,954 |
5,102 |
$14K |
| 83615 |
|
4,636 |
2,815 |
$13K |
| 84703 |
|
3,757 |
3,357 |
$13K |
| 83550 |
|
3,028 |
2,540 |
$12K |
| 83540 |
|
3,584 |
2,973 |
$11K |
| 86880 |
|
3,822 |
3,389 |
$11K |
| 82150 |
|
3,335 |
2,740 |
$10K |
| 84481 |
|
2,204 |
1,892 |
$10K |
| 86762 |
|
2,383 |
1,962 |
$10K |
| 82565 |
|
4,516 |
2,727 |
$9K |
| 82746 |
|
1,664 |
1,382 |
$9K |
| 85014 |
|
7,917 |
3,604 |
$9K |
| 80069 |
|
2,127 |
1,009 |
$9K |
| 87481 |
|
831 |
592 |
$9K |
| 84550 |
|
4,290 |
2,908 |
$9K |
| 84295 |
|
3,805 |
1,326 |
$9K |
| 82140 |
|
1,953 |
1,055 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
217 |
198 |
$8K |
| 86787 |
|
1,137 |
906 |
$8K |
| 86038 |
|
1,080 |
936 |
$8K |
| 84132 |
|
3,978 |
1,491 |
$8K |
| 82570 |
|
3,613 |
2,819 |
$8K |
| 85520 |
|
1,427 |
488 |
$7K |
| 87493 |
|
404 |
320 |
$7K |
| 82553 |
|
1,649 |
1,142 |
$7K |
| 86592 |
|
3,380 |
3,059 |
$7K |
| 85652 |
|
4,870 |
4,006 |
$6K |
| 84460 |
|
2,693 |
1,632 |
$6K |
| 82962 |
|
4,171 |
1,397 |
$6K |
| 84450 |
|
2,639 |
1,587 |
$6K |
| 87184 |
|
1,214 |
970 |
$6K |
| 87075 |
|
756 |
615 |
$5K |
| 82784 |
|
841 |
762 |
$5K |
| 86870 |
|
631 |
433 |
$5K |
| 83970 |
|
325 |
257 |
$5K |
| 85384 |
|
1,612 |
838 |
$5K |
| 86225 |
|
863 |
738 |
$5K |
| 84112 |
|
235 |
197 |
$5K |
| 87077 |
|
3,602 |
2,806 |
$5K |
| 87522 |
Neg quan hep c or qual rna |
186 |
138 |
$5K |
| 87147 |
|
2,188 |
1,866 |
$5K |
| 85046 |
|
1,767 |
1,093 |
$5K |
| 86920 |
|
975 |
666 |
$4K |
| 85018 |
|
4,222 |
2,642 |
$4K |
| 80081 |
|
120 |
114 |
$4K |
| 82010 |
|
1,830 |
1,142 |
$4K |
| 80050 |
General health panel |
201 |
127 |
$4K |
| 86922 |
|
379 |
250 |
$4K |
| 86480 |
|
158 |
149 |
$4K |
| 87807 |
|
819 |
781 |
$4K |
| 84146 |
|
598 |
528 |
$4K |
| 80051 |
|
1,308 |
624 |
$4K |
| 87015 |
|
937 |
628 |
$4K |
| 87400 |
|
451 |
383 |
$4K |
| 83516 |
|
632 |
580 |
$3K |
| 84403 |
|
279 |
247 |
$3K |
| 81513 |
|
106 |
96 |
$3K |
| 82533 |
|
391 |
304 |
$3K |
| 86885 |
|
1,129 |
952 |
$3K |
| 82105 |
|
423 |
371 |
$3K |
| 86706 |
|
478 |
407 |
$3K |
| 87449 |
|
415 |
340 |
$3K |
| 82375 |
|
1,018 |
628 |
$3K |
| 86003 |
|
154 |
146 |
$3K |
| 80164 |
|
683 |
495 |
$3K |
| 84156 |
|
2,823 |
2,165 |
$3K |
| 83001 |
|
314 |
252 |
$3K |
| 84145 |
|
633 |
416 |
$3K |
| 82310 |
|
1,412 |
717 |
$3K |
| 89051 |
|
751 |
549 |
$2K |
| 83021 |
|
395 |
348 |
$2K |
| 82950 |
|
947 |
901 |
$2K |
| 87210 |
|
1,216 |
1,062 |
$2K |
| 87102 |
|
543 |
424 |
$2K |
| 84520 |
|
1,331 |
640 |
$2K |
| 83655 |
|
319 |
303 |
$2K |
| 83050 |
|
898 |
538 |
$2K |
| 84466 |
|
445 |
343 |
$2K |
| 84030 |
|
638 |
532 |
$2K |
| 84300 |
|
749 |
524 |
$2K |
| 87324 |
|
185 |
157 |
$1K |
| 84478 |
|
613 |
289 |
$1K |
| 87116 |
|
197 |
128 |
$1K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
134 |
128 |
$1K |
| 87206 |
|
391 |
262 |
$1K |
| 82043 |
|
598 |
519 |
$1K |
| 86704 |
|
146 |
110 |
$1K |
| 85347 |
|
333 |
248 |
$1K |
| 82785 |
|
241 |
206 |
$1K |
| 86308 |
|
420 |
388 |
$969.60 |
| 83930 |
|
342 |
225 |
$964.28 |
| 88342 |
|
54 |
50 |
$924.31 |
| 88141 |
|
72 |
58 |
$840.02 |
| 87181 |
|
135 |
107 |
$838.68 |
| 86769 |
|
38 |
30 |
$800.62 |
| 88304 |
|
43 |
39 |
$795.33 |
| 82945 |
|
496 |
352 |
$783.44 |
| 83935 |
|
301 |
212 |
$711.17 |
| 84157 |
|
526 |
373 |
$631.35 |
| 87808 |
|
71 |
68 |
$536.44 |
| 81329 |
|
15 |
15 |
$504.00 |
| 87899 |
|
62 |
54 |
$503.95 |
| 86698 |
|
24 |
13 |
$472.70 |
| 86431 |
|
131 |
120 |
$466.98 |
| 83010 |
|
100 |
64 |
$438.57 |
| 83002 |
|
66 |
55 |
$367.46 |
| 85049 |
|
520 |
255 |
$360.50 |
| 80177 |
|
66 |
52 |
$317.40 |
| 84155 |
|
257 |
156 |
$307.78 |
| 87529 |
|
12 |
12 |
$297.70 |
| 85651 |
|
127 |
114 |
$294.40 |
| 86147 |
|
15 |
13 |
$285.75 |
| 82977 |
|
116 |
86 |
$283.75 |
| 86940 |
|
87 |
41 |
$282.56 |
| 82657 |
|
15 |
15 |
$279.30 |
| 87254 |
|
46 |
39 |
$278.40 |
| 86645 |
|
29 |
25 |
$264.48 |
| 83883 |
|
35 |
16 |
$255.78 |
| 81002 |
|
221 |
114 |
$218.40 |
| 82947 |
|
198 |
101 |
$208.40 |
| 85660 |
|
69 |
59 |
$172.42 |
| 83090 |
|
24 |
21 |
$158.40 |
| 84075 |
|
118 |
66 |
$158.22 |
| 86160 |
|
18 |
13 |
$157.09 |
| 86336 |
|
14 |
14 |
$152.18 |
| 80185 |
|
24 |
12 |
$149.27 |
| 82172 |
|
22 |
19 |
$131.84 |
| 87176 |
|
31 |
27 |
$130.90 |
| 82272 |
|
101 |
87 |
$129.20 |
| 86703 |
|
12 |
12 |
$120.12 |
| 82436 |
|
51 |
29 |
$111.78 |
| 85461 |
|
49 |
40 |
$110.29 |
| 87185 |
|
41 |
38 |
$109.80 |
| 84133 |
|
52 |
27 |
$109.14 |
| 83721 |
|
57 |
43 |
$107.41 |
| 86376 |
|
24 |
24 |
$102.82 |
| 83520 |
|
12 |
12 |
$101.44 |
| 85613 |
|
29 |
24 |
$95.30 |
| 86644 |
|
15 |
13 |
$93.38 |
| 87045 |
|
18 |
15 |
$92.25 |
| 87427 |
|
18 |
15 |
$87.50 |
| 83993 |
|
14 |
14 |
$86.38 |
| 84153 |
|
14 |
12 |
$85.80 |
| 82042 |
|
36 |
25 |
$83.32 |
| 87450 |
|
16 |
16 |
$82.40 |
| 83695 |
|
20 |
17 |
$81.40 |
| 82677 |
|
14 |
14 |
$70.84 |
| 80178 |
|
20 |
12 |
$61.37 |
| 84480 |
|
13 |
13 |
$52.58 |
| 85045 |
|
44 |
26 |
$47.16 |
| 84436 |
|
14 |
14 |
$43.68 |
| 84134 |
|
13 |
13 |
$36.27 |
| 82040 |
|
20 |
12 |
$18.95 |
| 87046 |
|
18 |
15 |
$16.80 |
| 80320 |
|
165 |
148 |
$0.00 |
| 86923 |
|
312 |
162 |
$0.00 |
| 87150 |
|
102 |
60 |
$0.00 |