| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
98,767 |
95,211 |
$1.10M |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
96,140 |
92,656 |
$1.03M |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
38,129 |
37,055 |
$487K |
| 80053 |
Comprehensive metabolic panel |
260,520 |
254,127 |
$303K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
326,684 |
315,889 |
$239K |
| 80055 |
|
10,260 |
10,196 |
$207K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
56,563 |
55,529 |
$193K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
113,606 |
111,657 |
$171K |
| 86003 |
|
13,126 |
8,010 |
$154K |
| 80061 |
Lipid panel |
251,165 |
248,151 |
$147K |
| 84443 |
Thyroid stimulating hormone (TSH) |
204,940 |
202,061 |
$145K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
15,788 |
15,411 |
$142K |
| 86480 |
|
10,808 |
10,632 |
$141K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
12,559 |
12,141 |
$123K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
208,484 |
205,461 |
$118K |
| 86703 |
|
14,316 |
14,259 |
$109K |
| 84702 |
|
16,275 |
13,195 |
$106K |
| 82951 |
|
13,956 |
11,527 |
$93K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
6,505 |
6,428 |
$78K |
| 86592 |
|
71,076 |
69,435 |
$77K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
67,269 |
64,052 |
$72K |
| 80306 |
|
10,412 |
10,308 |
$52K |
| 83655 |
|
26,019 |
25,874 |
$49K |
| 88112 |
|
2,149 |
2,043 |
$39K |
| 87070 |
|
26,217 |
25,428 |
$38K |
| 81001 |
|
160,580 |
156,312 |
$38K |
| 84153 |
|
31,134 |
30,446 |
$28K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
29,762 |
28,720 |
$27K |
| 84439 |
|
76,996 |
75,981 |
$27K |
| 80076 |
|
28,089 |
27,493 |
$25K |
| 86803 |
|
21,860 |
21,621 |
$24K |
| 80074 |
|
10,804 |
10,741 |
$21K |
| 87186 |
|
21,107 |
19,114 |
$19K |
| 83013 |
|
2,673 |
2,664 |
$17K |
| 88141 |
|
1,740 |
1,737 |
$17K |
| 87340 |
|
20,534 |
20,252 |
$17K |
| 82607 |
|
22,204 |
21,712 |
$16K |
| 82274 |
|
18,843 |
18,010 |
$15K |
| 83520 |
|
1,067 |
1,051 |
$15K |
| 87210 |
|
7,936 |
7,908 |
$14K |
| 82043 |
|
58,159 |
57,383 |
$13K |
| 86762 |
|
3,638 |
3,437 |
$13K |
| 84481 |
|
24,606 |
24,367 |
$12K |
| 86696 |
|
5,613 |
5,396 |
$11K |
| 83516 |
|
2,309 |
2,108 |
$11K |
| 86706 |
|
16,769 |
16,582 |
$10K |
| 82570 |
|
60,406 |
59,379 |
$10K |
| 87517 |
|
2,084 |
2,053 |
$10K |
| 82728 |
|
18,284 |
17,741 |
$10K |
| 81003 |
|
36,499 |
35,908 |
$10K |
| 83880 |
|
3,290 |
3,116 |
$9K |
| 86695 |
|
5,443 |
5,254 |
$9K |
| 84550 |
|
61,610 |
60,736 |
$9K |
| 82378 |
|
8,047 |
7,546 |
$9K |
| 84436 |
|
40,503 |
40,136 |
$8K |
| 81599 |
|
169 |
169 |
$8K |
| 86901 |
|
5,137 |
4,278 |
$7K |
| 84450 |
|
8,964 |
8,863 |
$7K |
| 84480 |
|
21,301 |
21,189 |
$7K |
| 86235 |
|
1,259 |
801 |
$7K |
| 82105 |
|
5,495 |
5,314 |
$6K |
| 86038 |
|
15,749 |
15,499 |
$6K |
| 83970 |
|
6,511 |
6,444 |
$6K |
| 87081 |
|
1,214 |
1,168 |
$6K |
| 86900 |
|
4,223 |
4,203 |
$6K |
| 82746 |
|
11,096 |
10,847 |
$6K |
| 84479 |
|
26,446 |
26,081 |
$6K |
| 82952 |
|
2,911 |
2,692 |
$6K |
| 80305 |
|
1,161 |
1,148 |
$6K |
| 86708 |
|
9,621 |
9,527 |
$5K |
| 83021 |
|
1,010 |
983 |
$5K |
| 83540 |
|
21,546 |
21,044 |
$5K |
| 86328 |
|
783 |
776 |
$5K |
| 84403 |
|
5,766 |
5,693 |
$5K |
| S5102 |
Day care services, adult; per diem |
62 |
57 |
$5K |
| 85610 |
|
15,112 |
14,326 |
$5K |
| 87338 |
|
4,747 |
4,694 |
$5K |
| 86780 |
|
2,667 |
2,580 |
$5K |
| 86256 |
|
1,521 |
1,503 |
$5K |
| 86300 |
|
2,865 |
1,886 |
$4K |
| 83550 |
|
17,922 |
17,609 |
$4K |
| 86704 |
|
6,434 |
6,385 |
$4K |
| 87522 |
Neg quan hep c or qual rna |
1,017 |
1,003 |
$4K |
| 86677 |
|
4,302 |
4,049 |
$4K |
| 82947 |
|
17,933 |
17,397 |
$4K |
| 83001 |
|
6,278 |
6,213 |
$4K |
| 86039 |
|
1,644 |
1,606 |
$4K |
| 80159 |
|
306 |
255 |
$4K |
| 86301 |
|
3,718 |
3,503 |
$4K |
| 87521 |
Neg quan hep c or qual rna |
967 |
957 |
$4K |
| 87902 |
|
44 |
44 |
$4K |
| 86200 |
|
1,666 |
1,649 |
$3K |
| 83002 |
|
5,574 |
5,537 |
$3K |
| 84144 |
|
2,276 |
2,231 |
$3K |
| 99000 |
|
3,625 |
3,321 |
$3K |
| 83014 |
|
2,639 |
2,631 |
$3K |
| 82652 |
|
711 |
710 |
$3K |
| 85018 |
|
4,697 |
4,614 |
$3K |
| 86769 |
|
1,082 |
1,068 |
$3K |
| 82670 |
|
2,884 |
2,862 |
$3K |
| 86141 |
|
5,175 |
5,090 |
$3K |
| 85651 |
|
25,754 |
25,353 |
$3K |
| 84146 |
|
4,203 |
4,148 |
$3K |
| 82784 |
|
1,888 |
1,779 |
$3K |
| 85730 |
|
12,722 |
12,349 |
$3K |
| 82150 |
|
10,571 |
10,449 |
$3K |
| 82977 |
|
12,613 |
11,739 |
$3K |
| 86376 |
|
4,475 |
4,432 |
$3K |
| 86787 |
|
2,348 |
2,170 |
$2K |
| 86850 |
|
1,272 |
1,260 |
$2K |
| 83735 |
|
7,439 |
7,085 |
$2K |
| 86140 |
|
11,611 |
11,432 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
11,348 |
10,446 |
$2K |
| 82040 |
|
10,297 |
10,177 |
$2K |
| 86304 |
|
2,379 |
2,270 |
$2K |
| 86147 |
|
600 |
586 |
$2K |
| 82785 |
|
3,222 |
3,163 |
$2K |
| 84134 |
|
160 |
157 |
$2K |
| 82310 |
|
9,224 |
9,150 |
$2K |
| 84460 |
|
12,074 |
11,940 |
$2K |
| 84155 |
|
7,877 |
7,742 |
$2K |
| 86707 |
|
1,175 |
954 |
$2K |
| 84075 |
|
7,463 |
7,373 |
$2K |
| 86735 |
|
2,204 |
2,150 |
$2K |
| 86765 |
|
2,231 |
2,174 |
$2K |
| 86431 |
|
10,128 |
10,047 |
$2K |
| 85014 |
|
2,279 |
2,208 |
$2K |
| 84100 |
|
13,580 |
13,230 |
$2K |
| 84445 |
|
318 |
316 |
$2K |
| 82565 |
|
9,405 |
9,304 |
$2K |
| 82247 |
|
7,506 |
7,406 |
$2K |
| 84154 |
|
2,530 |
2,508 |
$2K |
| 87209 |
|
2,154 |
1,819 |
$2K |
| 84402 |
|
2,228 |
2,214 |
$2K |
| 84156 |
|
3,744 |
3,529 |
$1K |
| 87350 |
|
1,652 |
1,642 |
$1K |
| 83090 |
|
1,802 |
1,787 |
$1K |
| 83615 |
|
6,688 |
6,431 |
$1K |
| 84270 |
|
2,383 |
2,370 |
$1K |
| 84520 |
|
8,164 |
8,064 |
$1K |
| 84295 |
|
6,951 |
6,876 |
$1K |
| 84703 |
|
2,636 |
2,547 |
$1K |
| 80164 |
|
366 |
358 |
$1K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
511 |
487 |
$1K |
| 86430 |
|
3,951 |
3,897 |
$1K |
| 87147 |
|
4,140 |
4,110 |
$1K |
| 87177 |
|
2,163 |
1,826 |
$1K |
| 86800 |
|
2,112 |
2,087 |
$1K |
| 83690 |
|
4,616 |
4,551 |
$1K |
| 84132 |
|
7,194 |
7,118 |
$1K |
| 86665 |
|
826 |
456 |
$1K |
| 81025 |
|
1,381 |
1,364 |
$1K |
| 83525 |
|
2,154 |
2,141 |
$989.43 |
| 86381 |
|
449 |
448 |
$977.50 |
| 87077 |
|
1,781 |
1,596 |
$875.98 |
| 87252 |
|
42 |
42 |
$866.50 |
| 86063 |
|
2,194 |
2,185 |
$796.75 |
| 82671 |
|
257 |
257 |
$778.55 |
| 80069 |
|
3,221 |
3,165 |
$756.91 |
| 83721 |
|
7,482 |
7,448 |
$742.75 |
| 82435 |
|
6,462 |
6,392 |
$738.56 |
| 80050 |
General health panel |
247 |
246 |
$732.32 |
| 87205 |
|
741 |
716 |
$649.83 |
| 86060 |
|
3,755 |
3,726 |
$640.01 |
| 85044 |
|
3,861 |
3,729 |
$636.72 |
| 87536 |
|
534 |
522 |
$630.36 |
| 82550 |
|
4,833 |
4,462 |
$618.72 |
| 84160 |
|
520 |
496 |
$577.90 |
| 86705 |
|
1,269 |
1,263 |
$556.99 |
| 82627 |
|
1,372 |
1,363 |
$539.28 |
| 86709 |
|
2,593 |
2,574 |
$531.45 |
| 82465 |
|
2,320 |
2,284 |
$519.90 |
| 82248 |
|
1,666 |
1,632 |
$492.34 |
| 86146 |
|
53 |
51 |
$490.20 |
| 85613 |
|
578 |
559 |
$480.78 |
| 86160 |
|
1,590 |
1,562 |
$450.83 |
| 86593 |
|
847 |
789 |
$446.89 |
| 86161 |
|
1,552 |
1,530 |
$439.15 |
| 86364 |
|
587 |
580 |
$432.13 |
| 82533 |
|
926 |
879 |
$408.73 |
| 86036 |
|
228 |
228 |
$405.44 |
| 87045 |
|
1,275 |
1,225 |
$400.03 |
| 80177 |
|
110 |
108 |
$393.10 |
| 87341 |
|
610 |
602 |
$373.14 |
| 86255 |
|
758 |
734 |
$372.67 |
| 82390 |
|
492 |
488 |
$359.75 |
| 85379 |
|
270 |
270 |
$315.20 |
| 84165 |
|
746 |
724 |
$254.54 |
| 83993 |
|
235 |
235 |
$236.40 |
| 87493 |
|
254 |
249 |
$227.55 |
| 87480 |
|
82 |
81 |
$204.55 |
| 86812 |
|
135 |
134 |
$198.71 |
| 84478 |
|
765 |
699 |
$176.43 |
| 84681 |
|
507 |
505 |
$168.60 |
| 82103 |
|
320 |
318 |
$154.83 |
| 85246 |
|
134 |
130 |
$153.54 |
| 87106 |
|
307 |
304 |
$152.96 |
| 85245 |
|
107 |
104 |
$135.19 |
| 85240 |
|
174 |
170 |
$134.49 |
| 87329 |
|
25 |
25 |
$125.48 |
| 86359 |
|
178 |
175 |
$121.81 |
| 82668 |
|
40 |
37 |
$114.62 |
| 87510 |
|
82 |
81 |
$105.91 |
| 87660 |
|
82 |
81 |
$105.51 |
| 80178 |
|
28 |
26 |
$105.03 |
| 86334 |
|
58 |
58 |
$88.80 |
| 81050 |
|
760 |
707 |
$86.58 |
| 84466 |
|
344 |
344 |
$86.57 |
| 82140 |
|
13 |
12 |
$83.40 |
| 86258 |
|
160 |
124 |
$77.99 |
| 84425 |
|
103 |
103 |
$75.06 |
| 87158 |
|
32 |
30 |
$74.70 |
| 87254 |
|
99 |
99 |
$61.89 |
| 82575 |
|
13 |
13 |
$60.62 |
| 83498 |
|
37 |
36 |
$57.03 |
| 83883 |
|
31 |
26 |
$55.39 |
| 85027 |
|
680 |
676 |
$51.25 |
| 86360 |
|
178 |
175 |
$50.50 |
| 86384 |
|
178 |
176 |
$44.67 |
| 86308 |
|
113 |
113 |
$37.69 |
| 82672 |
|
247 |
247 |
$37.41 |
| 84305 |
|
68 |
68 |
$34.02 |
| 82232 |
|
97 |
90 |
$26.60 |
| 82330 |
|
63 |
63 |
$13.68 |
| 84590 |
|
12 |
12 |
$9.70 |
| 82085 |
|
16 |
14 |
$7.77 |
| 82374 |
|
371 |
368 |
$6.68 |
| 85049 |
|
26 |
24 |
$3.39 |
| 80365 |
|
134 |
133 |
$0.00 |
| 82552 |
|
39 |
38 |
$0.00 |
| 80361 |
|
305 |
295 |
$0.00 |
| 87631 |
|
26 |
25 |
$0.00 |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
15 |
15 |
$0.00 |
| 87102 |
|
29 |
29 |
$0.00 |
| 83718 |
|
26 |
26 |
$0.00 |
| 80373 |
|
12 |
12 |
$0.00 |
| 84207 |
|
12 |
12 |
$0.00 |
| 83010 |
|
12 |
12 |
$0.00 |
| 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 |
51 |
51 |
$0.00 |
| 82270 |
|
50 |
24 |
$0.00 |