| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
3,774 |
3,627 |
$253K |
| 80053 |
Comprehensive metabolic panel |
39,106 |
21,202 |
$200K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
40,033 |
21,926 |
$114K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
434 |
386 |
$97K |
| 83735 |
|
23,233 |
7,198 |
$79K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
18,266 |
6,322 |
$75K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,044 |
2,661 |
$73K |
| 83880 |
|
5,298 |
2,868 |
$68K |
| 88141 |
|
4,244 |
4,081 |
$53K |
| 85027 |
|
17,754 |
7,021 |
$51K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,423 |
2,375 |
$50K |
| 87507 |
|
220 |
212 |
$37K |
| 84484 |
|
8,455 |
6,774 |
$35K |
| 82803 |
|
3,356 |
1,806 |
$33K |
| 87641 |
|
1,517 |
1,400 |
$30K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,681 |
3,420 |
$30K |
| 85730 |
|
9,212 |
3,854 |
$29K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,195 |
1,069 |
$27K |
| 84100 |
|
13,549 |
3,780 |
$27K |
| 86850 |
|
8,116 |
6,364 |
$26K |
| 87040 |
|
3,279 |
2,642 |
$25K |
| 88112 |
|
1,145 |
1,030 |
$23K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,109 |
1,090 |
$22K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,104 |
1,085 |
$22K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,247 |
4,037 |
$19K |
| 85610 |
|
9,173 |
4,453 |
$18K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
537 |
521 |
$17K |
| 83605 |
|
3,322 |
2,309 |
$16K |
| 84145 |
|
928 |
595 |
$16K |
| 86901 |
|
8,617 |
6,767 |
$16K |
| 83690 |
|
4,577 |
4,109 |
$15K |
| 86900 |
|
8,616 |
6,765 |
$14K |
| 81001 |
|
6,906 |
6,353 |
$10K |
| 88173 |
|
239 |
215 |
$10K |
| 84702 |
|
1,829 |
1,596 |
$9K |
| 82077 |
|
790 |
745 |
$9K |
| G0483 |
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; 22 or more drug class(es), including metabolite(s) if performed |
104 |
81 |
$8K |
| 80061 |
Lipid panel |
1,684 |
1,583 |
$7K |
| 82607 |
|
1,152 |
1,061 |
$7K |
| 80202 |
|
1,001 |
459 |
$7K |
| 86140 |
|
2,880 |
2,404 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,968 |
1,845 |
$6K |
| 82728 |
|
1,447 |
1,327 |
$6K |
| 84439 |
|
1,440 |
1,229 |
$6K |
| 85384 |
|
1,891 |
713 |
$6K |
| 83550 |
|
1,419 |
1,310 |
$6K |
| 83615 |
|
2,184 |
697 |
$6K |
| 87075 |
|
960 |
814 |
$6K |
| 82746 |
|
1,014 |
932 |
$6K |
| 85379 |
|
1,422 |
1,043 |
$5K |
| 82330 |
|
738 |
438 |
$5K |
| 87493 |
|
229 |
215 |
$5K |
| 84703 |
|
1,313 |
1,257 |
$5K |
| 87070 |
|
1,382 |
1,136 |
$5K |
| 80074 |
|
231 |
217 |
$4K |
| 87340 |
|
695 |
639 |
$4K |
| 80143 |
|
336 |
310 |
$4K |
| 80076 |
|
1,028 |
677 |
$4K |
| 80179 |
|
329 |
303 |
$4K |
| 82550 |
|
1,356 |
888 |
$4K |
| 83970 |
|
235 |
209 |
$4K |
| 87205 |
|
1,891 |
1,435 |
$4K |
| 82140 |
|
745 |
456 |
$4K |
| 87806 |
|
321 |
310 |
$3K |
| 86706 |
|
549 |
512 |
$3K |
| 87210 |
|
1,457 |
1,385 |
$3K |
| 86480 |
|
123 |
122 |
$3K |
| 86704 |
|
469 |
443 |
$3K |
| 82248 |
|
1,693 |
1,025 |
$3K |
| 82570 |
|
1,362 |
1,149 |
$3K |
| 86803 |
|
349 |
340 |
$3K |
| 87483 |
|
15 |
12 |
$3K |
| 84132 |
|
1,346 |
845 |
$3K |
| 85046 |
|
952 |
571 |
$3K |
| 87116 |
|
381 |
316 |
$2K |
| 87088 |
|
508 |
497 |
$2K |
| 86592 |
|
1,159 |
1,117 |
$2K |
| 86665 |
|
139 |
133 |
$2K |
| 82533 |
|
326 |
281 |
$2K |
| 81003 |
|
1,869 |
1,694 |
$2K |
| 87015 |
|
518 |
414 |
$2K |
| 82247 |
|
890 |
410 |
$2K |
| 87102 |
|
542 |
462 |
$2K |
| 85652 |
|
1,514 |
1,398 |
$2K |
| 89051 |
|
647 |
525 |
$2K |
| 84481 |
|
363 |
263 |
$2K |
| 86870 |
|
257 |
201 |
$2K |
| 86038 |
|
265 |
248 |
$2K |
| 84478 |
|
724 |
355 |
$2K |
| 80164 |
|
312 |
213 |
$1K |
| 81025 |
|
478 |
452 |
$1K |
| 87653 |
|
62 |
62 |
$1K |
| 84300 |
|
623 |
495 |
$1K |
| 86880 |
|
449 |
444 |
$1K |
| 87206 |
|
530 |
454 |
$1K |
| 84156 |
|
1,067 |
888 |
$1K |
| 82010 |
|
470 |
416 |
$1K |
| 83930 |
|
513 |
308 |
$1K |
| 83655 |
|
210 |
209 |
$1K |
| 82150 |
|
349 |
292 |
$1K |
| 83935 |
|
440 |
300 |
$1K |
| 84550 |
|
477 |
343 |
$896.21 |
| 82565 |
|
420 |
239 |
$877.76 |
| 85018 |
|
732 |
510 |
$725.74 |
| 86920 |
|
176 |
148 |
$725.21 |
| 85014 |
|
667 |
480 |
$673.28 |
| 86308 |
|
291 |
288 |
$669.60 |
| 85520 |
|
130 |
41 |
$581.49 |
| 80177 |
|
120 |
92 |
$569.52 |
| 83010 |
|
126 |
105 |
$553.75 |
| 86762 |
|
105 |
104 |
$474.12 |
| 82945 |
|
283 |
229 |
$437.36 |
| 84157 |
|
298 |
243 |
$395.00 |
| 86985 |
|
94 |
63 |
$381.30 |
| 87081 |
|
134 |
126 |
$374.87 |
| 88342 |
|
58 |
55 |
$351.25 |
| 85240 |
|
62 |
47 |
$349.56 |
| 88172 |
|
31 |
26 |
$328.16 |
| 80069 |
|
66 |
27 |
$281.16 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
16 |
16 |
$250.88 |
| 87496 |
|
13 |
13 |
$238.85 |
| 86922 |
|
26 |
17 |
$211.50 |
| 86645 |
|
21 |
20 |
$174.91 |
| 82043 |
|
78 |
69 |
$155.51 |
| 86945 |
|
31 |
24 |
$102.30 |
| 86664 |
|
12 |
12 |
$94.10 |
| 82272 |
|
62 |
59 |
$90.92 |
| 86800 |
|
15 |
12 |
$88.50 |
| 83993 |
|
14 |
13 |
$86.38 |
| 84681 |
|
13 |
13 |
$83.33 |
| 84153 |
|
13 |
13 |
$82.51 |
| 86765 |
|
14 |
14 |
$65.60 |
| 85670 |
|
27 |
26 |
$62.91 |
| 84630 |
|
12 |
12 |
$60.48 |
| 82270 |
|
44 |
40 |
$59.19 |
| 84540 |
|
29 |
27 |
$51.04 |
| 84436 |
|
12 |
12 |
$39.49 |
| 85461 |
|
13 |
13 |
$34.08 |
| 84133 |
|
13 |
13 |
$27.30 |
| 87077 |
|
261 |
228 |
$0.52 |
| 86923 |
|
85 |
54 |
$0.00 |