| 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 |
1,583 |
1,483 |
$99K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,576 |
1,438 |
$39K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,386 |
1,282 |
$36K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,384 |
1,280 |
$36K |
| 80050 |
General health panel |
603 |
578 |
$17K |
| 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 |
650 |
614 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,990 |
9,002 |
$13K |
| 87088 |
|
2,891 |
2,704 |
$12K |
| 80053 |
Comprehensive metabolic panel |
9,290 |
7,767 |
$12K |
| 86703 |
|
764 |
742 |
$8K |
| 80061 |
Lipid panel |
4,448 |
4,286 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,270 |
3,134 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
582 |
556 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,753 |
2,658 |
$5K |
| 87186 |
|
1,395 |
1,258 |
$5K |
| 87070 |
|
771 |
738 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
115 |
112 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,946 |
3,118 |
$3K |
| 80055 |
|
93 |
91 |
$3K |
| 83880 |
|
716 |
636 |
$3K |
| 82607 |
|
312 |
298 |
$2K |
| 86592 |
|
573 |
554 |
$2K |
| 86780 |
|
158 |
153 |
$2K |
| 84439 |
|
392 |
370 |
$1K |
| 82947 |
|
346 |
336 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
59 |
57 |
$971.04 |
| 81001 |
|
528 |
495 |
$914.28 |
| 85004 |
|
228 |
209 |
$832.13 |
| 83735 |
|
326 |
239 |
$797.70 |
| 85049 |
|
236 |
216 |
$591.52 |
| 85041 |
|
236 |
216 |
$398.92 |
| 85048 |
|
236 |
216 |
$336.06 |
| 86850 |
|
42 |
41 |
$318.07 |
| 86762 |
|
28 |
27 |
$314.58 |
| 85014 |
|
236 |
216 |
$314.11 |
| 85018 |
|
236 |
216 |
$314.04 |
| 86140 |
|
190 |
142 |
$313.67 |
| 87340 |
|
42 |
41 |
$311.59 |
| 80164 |
|
159 |
145 |
$266.78 |
| 84702 |
|
14 |
13 |
$176.96 |
| 85651 |
|
107 |
84 |
$168.13 |
| 86900 |
|
43 |
42 |
$106.90 |
| 86901 |
|
43 |
42 |
$106.90 |
| 81003 |
|
165 |
155 |
$94.28 |
| 82550 |
|
95 |
79 |
$78.59 |
| 85610 |
|
924 |
565 |
$67.96 |
| 82746 |
|
13 |
13 |
$60.86 |
| 82140 |
|
18 |
16 |
$48.96 |
| 84100 |
|
108 |
96 |
$37.83 |
| 81000 |
|
411 |
380 |
$31.77 |
| 82977 |
|
212 |
208 |
$16.32 |
| 82248 |
|
801 |
788 |
$12.79 |
| 84460 |
|
355 |
350 |
$2.31 |
| 84075 |
|
355 |
350 |
$2.28 |
| 84450 |
|
355 |
350 |
$2.27 |
| 82247 |
|
356 |
351 |
$2.22 |
| 82040 |
|
355 |
350 |
$2.20 |
| 80076 |
|
25 |
25 |
$0.00 |
| 84436 |
|
65 |
65 |
$0.00 |