| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
138,884 |
130,629 |
$4.87M |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
138,734 |
130,624 |
$4.87M |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
120,485 |
114,487 |
$4.11M |
| 81513 |
|
30,598 |
29,608 |
$3.20M |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
39,975 |
38,260 |
$3.06M |
| 87481 |
|
64,959 |
37,798 |
$2.53M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
37,442 |
35,093 |
$2.05M |
| 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 |
26,947 |
25,533 |
$1.88M |
| 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 |
22,511 |
20,075 |
$1.86M |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
13,346 |
12,562 |
$1.70M |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
70,660 |
68,496 |
$1.70M |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
64,211 |
62,271 |
$1.60M |
| 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 |
22,320 |
21,116 |
$1.54M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
187,823 |
178,630 |
$1.33M |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
34,241 |
33,358 |
$1.13M |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
137,149 |
128,773 |
$1.07M |
| 84443 |
Thyroid stimulating hormone (TSH) |
58,170 |
56,164 |
$922K |
| 80053 |
Comprehensive metabolic panel |
78,322 |
73,451 |
$872K |
| 86803 |
|
54,316 |
52,635 |
$800K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
2,605 |
2,447 |
$745K |
| 86780 |
|
62,347 |
60,307 |
$677K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
25,454 |
24,771 |
$625K |
| 86481 |
|
6,533 |
6,367 |
$562K |
| 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 |
3,591 |
2,945 |
$560K |
| 87340 |
|
47,041 |
45,591 |
$489K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
8,109 |
7,721 |
$441K |
| 83516 |
|
12,194 |
10,852 |
$424K |
| 87653 |
|
13,009 |
12,799 |
$416K |
| 80074 |
|
10,874 |
10,489 |
$355K |
| 80061 |
Lipid panel |
31,001 |
30,183 |
$348K |
| 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 |
2,764 |
1,822 |
$336K |
| 86762 |
|
22,360 |
21,567 |
$322K |
| 86003 |
|
4,053 |
3,098 |
$314K |
| 88342 |
|
9,268 |
8,662 |
$313K |
| 83021 |
|
17,237 |
16,704 |
$304K |
| 84702 |
|
19,616 |
14,850 |
$298K |
| 87186 |
|
34,897 |
33,202 |
$291K |
| 87070 |
|
28,962 |
27,812 |
$286K |
| 86787 |
|
21,636 |
20,835 |
$280K |
| 86850 |
|
26,141 |
25,281 |
$267K |
| 87077 |
|
33,030 |
31,290 |
$267K |
| 87522 |
Neg quan hep c or qual rna |
6,237 |
5,984 |
$267K |
| 84403 |
|
11,033 |
10,685 |
$266K |
| 36415 |
Collection of venous blood by venipuncture |
72,476 |
66,199 |
$260K |
| 82728 |
|
19,832 |
19,274 |
$255K |
| 88141 |
|
15,919 |
15,474 |
$254K |
| 84439 |
|
29,417 |
28,387 |
$248K |
| 81376 |
|
1,618 |
1,590 |
$234K |
| 87536 |
|
3,273 |
3,006 |
$233K |
| 81383 |
|
1,612 |
1,585 |
$219K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32,836 |
31,933 |
$217K |
| 83001 |
|
11,117 |
10,807 |
$202K |
| 88307 |
|
2,742 |
2,583 |
$200K |
| 84270 |
|
9,825 |
9,512 |
$198K |
| 86235 |
|
2,316 |
2,184 |
$191K |
| 87511 |
|
4,398 |
4,268 |
$191K |
| 82670 |
|
6,756 |
6,562 |
$183K |
| 84146 |
|
9,380 |
9,003 |
$180K |
| 83970 |
|
5,169 |
4,986 |
$180K |
| 83880 |
|
4,490 |
4,265 |
$145K |
| 82950 |
|
28,129 |
22,371 |
$144K |
| 86360 |
|
3,378 |
3,257 |
$144K |
| 82784 |
|
14,249 |
13,113 |
$143K |
| 87529 |
|
3,978 |
3,836 |
$139K |
| 84480 |
|
10,210 |
9,946 |
$133K |
| 83550 |
|
16,060 |
15,583 |
$132K |
| 83002 |
|
7,121 |
6,910 |
$130K |
| 84681 |
|
6,878 |
6,684 |
$128K |
| 86038 |
|
10,921 |
10,570 |
$127K |
| 88341 |
|
1,741 |
1,523 |
$127K |
| 82105 |
|
8,099 |
7,824 |
$126K |
| 86140 |
|
28,308 |
26,228 |
$120K |
| 86706 |
|
11,779 |
11,448 |
$117K |
| 82607 |
|
8,182 |
7,985 |
$114K |
| 85027 |
|
18,123 |
17,262 |
$113K |
| G0482 |
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; 15-21 drug class(es), including metabolite(s) if performed |
701 |
700 |
$111K |
| 87088 |
|
13,778 |
13,300 |
$107K |
| 83540 |
|
16,638 |
16,137 |
$102K |
| 86160 |
|
4,495 |
4,267 |
$101K |
| 86376 |
|
7,368 |
7,154 |
$101K |
| 86147 |
|
1,908 |
1,809 |
$88K |
| 84402 |
|
3,781 |
3,688 |
$81K |
| 86480 |
|
1,119 |
1,075 |
$81K |
| 86146 |
|
1,646 |
1,561 |
$80K |
| 86334 |
|
5,341 |
4,904 |
$79K |
| 82627 |
|
3,763 |
3,650 |
$78K |
| 85652 |
|
31,954 |
29,842 |
$77K |
| 86800 |
|
5,138 |
4,971 |
$76K |
| 87581 |
|
2,618 |
2,461 |
$76K |
| 87486 |
|
2,613 |
2,456 |
$76K |
| 83013 |
|
1,100 |
1,061 |
$74K |
| 84165 |
|
8,435 |
7,720 |
$73K |
| 83655 |
|
6,585 |
6,385 |
$70K |
| 84305 |
|
3,667 |
3,555 |
$70K |
| 86900 |
|
22,958 |
22,215 |
$69K |
| 83498 |
|
2,747 |
2,675 |
$69K |
| 86901 |
|
22,945 |
22,207 |
$69K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
8,417 |
7,906 |
$67K |
| 82570 |
|
14,353 |
13,411 |
$67K |
| 81001 |
|
22,264 |
21,328 |
$63K |
| 88189 |
|
961 |
857 |
$62K |
| 87081 |
|
7,570 |
7,303 |
$59K |
| 88377 |
|
771 |
710 |
$58K |
| 82024 |
|
1,823 |
1,746 |
$57K |
| 84445 |
|
1,310 |
1,266 |
$57K |
| 86704 |
|
5,407 |
5,234 |
$56K |
| 80069 |
|
7,399 |
6,936 |
$55K |
| 86200 |
|
3,964 |
3,837 |
$50K |
| 82533 |
|
3,096 |
2,856 |
$47K |
| 87046 |
|
2,520 |
2,456 |
$46K |
| 86431 |
|
7,433 |
7,196 |
$44K |
| 86665 |
|
1,596 |
1,544 |
$43K |
| 86695 |
|
2,721 |
2,643 |
$42K |
| 84156 |
|
12,432 |
11,550 |
$41K |
| 86696 |
|
2,406 |
2,352 |
$41K |
| 88360 |
|
627 |
556 |
$40K |
| 86664 |
|
1,586 |
1,544 |
$36K |
| 84207 |
|
1,540 |
1,499 |
$36K |
| 85007 |
|
11,418 |
10,842 |
$35K |
| 85610 |
|
8,825 |
7,944 |
$35K |
| 82746 |
|
2,557 |
2,505 |
$35K |
| 84460 |
|
7,426 |
7,209 |
$35K |
| 86769 |
|
1,333 |
1,282 |
$35K |
| 84450 |
|
7,185 |
6,974 |
$33K |
| 84432 |
|
2,190 |
2,123 |
$33K |
| 82565 |
|
6,855 |
6,589 |
$31K |
| 86225 |
|
2,514 |
2,421 |
$31K |
| 86039 |
|
2,657 |
2,560 |
$30K |
| 87427 |
|
2,493 |
2,431 |
$30K |
| 88304 |
|
2,302 |
2,202 |
$30K |
| 85240 |
|
1,643 |
1,552 |
$30K |
| 80076 |
|
3,462 |
3,303 |
$29K |
| 87493 |
|
880 |
862 |
$29K |
| 84144 |
|
1,364 |
1,269 |
$29K |
| 82397 |
|
2,123 |
2,017 |
$28K |
| 86592 |
|
6,785 |
6,558 |
$28K |
| 84481 |
|
1,644 |
1,594 |
$28K |
| 87177 |
|
3,080 |
3,008 |
$26K |
| 83020 |
|
3,114 |
2,732 |
$26K |
| 81241 |
|
504 |
477 |
$25K |
| 87045 |
|
2,642 |
2,577 |
$25K |
| 82638 |
|
1,711 |
1,684 |
$25K |
| 84153 |
|
1,521 |
1,490 |
$24K |
| 82550 |
|
3,779 |
3,365 |
$24K |
| 86708 |
|
2,146 |
2,066 |
$24K |
| 86757 |
|
1,288 |
1,235 |
$23K |
| 81003 |
|
10,854 |
10,559 |
$22K |
| 85730 |
|
4,969 |
4,513 |
$22K |
| 88182 |
|
750 |
685 |
$21K |
| 83735 |
|
3,468 |
2,951 |
$21K |
| 86663 |
|
1,588 |
1,539 |
$21K |
| 82610 |
|
1,281 |
1,230 |
$20K |
| 84425 |
|
1,083 |
1,044 |
$19K |
| 87338 |
|
1,460 |
1,439 |
$19K |
| 80050 |
General health panel |
611 |
494 |
$19K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
161 |
159 |
$19K |
| 86341 |
|
1,035 |
533 |
$18K |
| 86812 |
|
787 |
762 |
$18K |
| 87902 |
|
69 |
64 |
$18K |
| 85613 |
|
1,821 |
1,758 |
$17K |
| 82977 |
|
2,589 |
2,411 |
$17K |
| 86694 |
|
1,163 |
1,124 |
$17K |
| 82947 |
|
4,025 |
3,936 |
$16K |
| 87184 |
|
2,048 |
1,999 |
$15K |
| 81511 |
|
145 |
144 |
$14K |
| 83519 |
|
640 |
581 |
$13K |
| 82677 |
|
470 |
453 |
$13K |
| 86256 |
|
1,032 |
954 |
$13K |
| 82043 |
|
2,557 |
2,454 |
$13K |
| 83520 |
|
623 |
570 |
$13K |
| 83525 |
|
1,379 |
1,229 |
$13K |
| 81240 |
|
349 |
336 |
$13K |
| 82785 |
|
677 |
657 |
$12K |
| 86328 |
|
333 |
288 |
$12K |
| 83690 |
|
1,781 |
1,726 |
$12K |
| 85670 |
|
2,082 |
1,990 |
$12K |
| 82310 |
|
2,574 |
2,478 |
$12K |
| 85390 |
|
1,003 |
937 |
$12K |
| 85244 |
|
600 |
585 |
$12K |
| 85045 |
|
2,642 |
2,495 |
$11K |
| 83921 |
|
689 |
677 |
$11K |
| 85245 |
|
429 |
391 |
$11K |
| 86336 |
|
632 |
478 |
$11K |
| 84100 |
|
2,466 |
2,111 |
$11K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
120 |
116 |
$11K |
| 84550 |
|
2,339 |
2,238 |
$10K |
| 85246 |
|
384 |
349 |
$10K |
| 83615 |
|
1,666 |
1,531 |
$10K |
| 82951 |
|
570 |
539 |
$9K |
| 86617 |
|
393 |
357 |
$9K |
| 82239 |
|
630 |
536 |
$9K |
| 83876 |
|
219 |
212 |
$9K |
| 87205 |
|
2,234 |
2,087 |
$9K |
| 83090 |
|
509 |
492 |
$9K |
| 85018 |
|
3,616 |
3,543 |
$9K |
| 81050 |
|
2,322 |
2,103 |
$9K |
| 86618 |
|
637 |
435 |
$8K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
361 |
340 |
$8K |
| 82150 |
|
1,264 |
1,227 |
$8K |
| 80164 |
|
682 |
656 |
$8K |
| 85014 |
|
3,282 |
3,217 |
$8K |
| 87625 |
|
267 |
243 |
$8K |
| 83993 |
|
513 |
494 |
$7K |
| 86682 |
|
643 |
620 |
$7K |
| 82103 |
|
680 |
645 |
$7K |
| 86593 |
|
1,723 |
1,660 |
$7K |
| 82747 |
|
477 |
457 |
$7K |
| 85247 |
|
283 |
263 |
$7K |
| 87329 |
|
567 |
558 |
$6K |
| 82088 |
|
205 |
196 |
$6K |
| 87535 |
|
135 |
129 |
$6K |
| 86870 |
|
536 |
498 |
$6K |
| 84703 |
|
752 |
735 |
$5K |
| 82157 |
|
224 |
209 |
$5K |
| 82340 |
|
1,065 |
1,035 |
$5K |
| 82652 |
|
198 |
191 |
$5K |
| 86765 |
|
389 |
371 |
$5K |
| 84244 |
|
302 |
290 |
$5K |
| 86666 |
|
326 |
309 |
$5K |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
673 |
617 |
$5K |
| 82085 |
|
532 |
511 |
$5K |
| 84436 |
|
824 |
808 |
$5K |
| 82390 |
|
595 |
564 |
$5K |
| 88112 |
|
95 |
87 |
$4K |
| 87328 |
|
337 |
331 |
$4K |
| 80150 |
|
480 |
456 |
$4K |
| 84630 |
|
407 |
397 |
$4K |
| 82248 |
|
796 |
715 |
$4K |
| 85379 |
|
361 |
352 |
$3K |
| 80299 |
|
347 |
333 |
$3K |
| 87517 |
|
100 |
93 |
$3K |
| 86735 |
|
237 |
228 |
$3K |
| 87075 |
|
354 |
335 |
$3K |
| 85660 |
|
555 |
550 |
$3K |
| 83835 |
|
232 |
190 |
$3K |
| 87324 |
|
208 |
201 |
$3K |
| 86705 |
|
215 |
206 |
$3K |
| 82671 |
|
120 |
114 |
$3K |
| 86359 |
|
73 |
69 |
$2K |
| 86355 |
|
70 |
70 |
$2K |
| 82180 |
|
310 |
304 |
$2K |
| 83721 |
|
193 |
189 |
$2K |
| 80081 |
|
47 |
41 |
$2K |
| 88185 |
|
13 |
12 |
$2K |
| 84110 |
|
180 |
176 |
$2K |
| 84446 |
|
178 |
176 |
$2K |
| 87901 |
|
15 |
14 |
$2K |
| 86141 |
|
125 |
116 |
$2K |
| 86317 |
|
53 |
26 |
$2K |
| 80177 |
|
220 |
208 |
$2K |
| 86644 |
|
121 |
112 |
$2K |
| 82952 |
|
3,392 |
3,285 |
$2K |
| 86255 |
|
226 |
221 |
$2K |
| 86357 |
|
52 |
51 |
$2K |
| 88188 |
|
29 |
25 |
$2K |
| 87350 |
|
123 |
117 |
$2K |
| 84590 |
|
171 |
169 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
47 |
47 |
$2K |
| 80197 |
|
131 |
95 |
$1K |
| 81025 |
|
238 |
233 |
$1K |
| 84484 |
|
148 |
143 |
$1K |
| 80348 |
|
954 |
528 |
$1K |
| 88381 |
|
40 |
37 |
$1K |
| 86645 |
|
73 |
67 |
$1K |
| 82525 |
|
146 |
141 |
$1K |
| 87102 |
|
171 |
158 |
$1K |
| 82164 |
|
87 |
85 |
$1K |
| 81270 |
|
16 |
15 |
$1K |
| 88313 |
|
28 |
26 |
$1K |
| 88142 |
|
58 |
58 |
$1K |
| 87900 |
|
15 |
14 |
$1K |
| 85049 |
|
196 |
185 |
$984.01 |
| 87040 |
|
158 |
69 |
$967.23 |
| 87799 |
|
30 |
26 |
$948.65 |
| 86698 |
|
45 |
29 |
$943.46 |
| 84478 |
|
185 |
139 |
$931.91 |
| 85303 |
|
69 |
65 |
$854.83 |
| 82104 |
|
71 |
70 |
$852.21 |
| 82247 |
|
124 |
100 |
$754.06 |
| 80202 |
|
60 |
26 |
$712.40 |
| 85384 |
|
63 |
61 |
$674.78 |
| 84143 |
|
27 |
26 |
$631.61 |
| 80183 |
|
57 |
55 |
$548.83 |
| 87185 |
|
248 |
244 |
$544.25 |
| 82172 |
|
33 |
32 |
$496.83 |
| 80343 |
|
109 |
59 |
$486.00 |
| 83010 |
|
52 |
50 |
$465.14 |
| 87400 |
|
17 |
17 |
$459.71 |
| 86747 |
|
13 |
12 |
$453.39 |
| 86337 |
|
24 |
24 |
$452.25 |
| 88164 |
|
35 |
33 |
$423.72 |
| 86008 |
|
39 |
39 |
$412.92 |
| 85306 |
|
28 |
27 |
$411.55 |
| 85048 |
|
133 |
130 |
$393.33 |
| 85576 |
|
15 |
13 |
$380.13 |
| 86709 |
|
32 |
29 |
$373.56 |
| 85300 |
|
35 |
34 |
$364.28 |
| 83527 |
|
32 |
32 |
$341.55 |
| 86668 |
|
12 |
12 |
$311.23 |
| 84466 |
|
24 |
24 |
$287.16 |
| 88302 |
|
64 |
62 |
$278.77 |
| 82384 |
|
14 |
12 |
$267.91 |
| 86304 |
|
13 |
13 |
$241.82 |
| 88184 |
|
12 |
12 |
$205.20 |
| 82540 |
|
54 |
50 |
$202.56 |
| 83883 |
|
21 |
20 |
$200.34 |
| 83630 |
|
12 |
12 |
$194.24 |
| 86606 |
|
16 |
13 |
$181.35 |
| 82378 |
|
14 |
13 |
$171.89 |
| 80178 |
|
26 |
26 |
$170.57 |
| 82465 |
|
39 |
38 |
$168.71 |
| 84704 |
|
15 |
13 |
$166.39 |
| 83695 |
|
14 |
14 |
$153.66 |
| 86774 |
|
12 |
12 |
$153.38 |
| 84075 |
|
32 |
30 |
$152.82 |
| 87116 |
|
20 |
17 |
$149.35 |
| 87206 |
|
35 |
29 |
$136.36 |
| 36416 |
|
162 |
157 |
$128.59 |
| 82955 |
|
13 |
13 |
$120.28 |
| 86886 |
|
13 |
13 |
$100.45 |
| 87015 |
|
19 |
16 |
$83.43 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
281 |
261 |
$79.73 |
| 83051 |
|
17 |
13 |
$58.85 |
| 82270 |
|
12 |
12 |
$45.02 |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
417 |
405 |
$29.09 |
| 81479 |
Unlisted molecular pathology procedure |
17 |
12 |
$0.00 |