| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
6,747 |
6,200 |
$165K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
8,504 |
7,818 |
$153K |
| 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 |
2,383 |
1,580 |
$101K |
| 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 |
793 |
746 |
$34K |
| 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 |
1,936 |
1,326 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,127 |
1,569 |
$6K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,522 |
1,258 |
$5K |
| 80061 |
Lipid panel |
3,163 |
2,651 |
$5K |
| 80050 |
General health panel |
201 |
183 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,560 |
2,135 |
$3K |
| 80053 |
Comprehensive metabolic panel |
4,011 |
3,334 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,361 |
2,761 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,626 |
2,227 |
$1K |
| 82607 |
|
686 |
580 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
4,022 |
3,067 |
$953.51 |
| 84439 |
|
498 |
414 |
$595.11 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
233 |
178 |
$270.33 |
| 86769 |
|
18 |
13 |
$210.66 |
| 82670 |
|
13 |
13 |
$209.66 |
| 84403 |
|
16 |
15 |
$193.71 |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
543 |
451 |
$193.12 |
| 81001 |
|
469 |
352 |
$192.37 |
| 84402 |
|
14 |
14 |
$191.07 |
| 84550 |
|
595 |
523 |
$166.32 |
| 84270 |
|
14 |
14 |
$163.13 |
| 84481 |
|
143 |
129 |
$161.84 |
| 84311 |
|
428 |
407 |
$157.41 |
| 84144 |
|
14 |
14 |
$156.53 |
| 84146 |
|
15 |
14 |
$145.42 |
| 83001 |
|
13 |
13 |
$126.80 |
| 83002 |
|
13 |
13 |
$126.30 |
| 82570 |
|
435 |
413 |
$123.55 |
| 82533 |
|
13 |
13 |
$122.32 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
15 |
12 |
$119.70 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
15 |
12 |
$119.70 |
| 84153 |
|
202 |
175 |
$112.95 |
| 84436 |
|
142 |
134 |
$112.56 |
| 82728 |
|
47 |
36 |
$111.60 |
| 82746 |
|
33 |
33 |
$100.30 |
| 84480 |
|
15 |
14 |
$87.03 |
| 83540 |
|
66 |
51 |
$62.24 |
| 83021 |
|
71 |
71 |
$61.60 |
| 83735 |
|
35 |
33 |
$50.27 |
| 86140 |
|
17 |
15 |
$35.30 |
| 84100 |
|
15 |
14 |
$32.30 |
| 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 |
4,040 |
2,953 |
$30.93 |
| 87077 |
|
17 |
17 |
$22.08 |
| 83986 |
|
426 |
406 |
$21.96 |
| 81003 |
|
57 |
46 |
$12.24 |
| 84479 |
|
17 |
17 |
$8.84 |
| 84466 |
|
28 |
19 |
$8.71 |
| 82043 |
|
13 |
13 |
$0.00 |
| 85652 |
|
52 |
48 |
$0.00 |
| 84154 |
|
13 |
13 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
15 |
14 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16 |
12 |
$0.00 |
| 99001 |
|
32 |
30 |
$0.00 |