| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
107,236 |
77,543 |
$6.50M |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
19,444 |
18,654 |
$629K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
19,503 |
18,589 |
$629K |
| 84443 |
Thyroid stimulating hormone (TSH) |
37,649 |
36,339 |
$553K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
23,777 |
22,859 |
$523K |
| 80061 |
Lipid panel |
37,882 |
36,919 |
$413K |
| 80053 |
Comprehensive metabolic panel |
44,955 |
43,335 |
$404K |
| 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 |
38,512 |
27,708 |
$363K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
21,314 |
14,213 |
$338K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
48,086 |
46,070 |
$321K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
30,173 |
29,024 |
$253K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
2,397 |
2,376 |
$247K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,125 |
3,860 |
$229K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
11,388 |
11,002 |
$227K |
| 86003 |
|
1,631 |
1,536 |
$220K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
5,277 |
5,202 |
$172K |
| 87481 |
|
4,664 |
3,617 |
$149K |
| 84439 |
|
19,253 |
18,278 |
$148K |
| 87536 |
|
1,726 |
1,707 |
$140K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
4,011 |
3,951 |
$136K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
754 |
753 |
$131K |
| 86480 |
|
2,196 |
2,168 |
$127K |
| 88142 |
|
5,704 |
5,692 |
$110K |
| 80074 |
|
2,381 |
2,206 |
$100K |
| 84481 |
|
6,238 |
6,142 |
$97K |
| 86803 |
|
6,183 |
6,092 |
$82K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
11,872 |
11,045 |
$81K |
| 88174 |
|
4,214 |
4,210 |
$77K |
| G2024 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source |
4,683 |
3,020 |
$77K |
| 87186 |
|
4,422 |
4,189 |
$69K |
| 83013 |
|
1,047 |
1,040 |
$67K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
850 |
834 |
$63K |
| 82274 |
|
3,979 |
3,922 |
$61K |
| 82607 |
|
4,827 |
4,730 |
$61K |
| 86235 |
|
701 |
680 |
$59K |
| 86696 |
|
2,876 |
2,800 |
$55K |
| 87340 |
|
5,708 |
5,573 |
$53K |
| 86592 |
|
13,214 |
12,445 |
$50K |
| 87077 |
|
6,602 |
6,087 |
$46K |
| 84403 |
|
1,857 |
1,807 |
$46K |
| 82746 |
|
3,589 |
3,507 |
$45K |
| 84153 |
|
2,914 |
2,743 |
$44K |
| 86762 |
|
3,561 |
3,415 |
$44K |
| 87088 |
|
8,086 |
7,512 |
$44K |
| 83540 |
|
6,831 |
6,534 |
$42K |
| 82043 |
|
8,171 |
7,897 |
$39K |
| 82728 |
|
3,238 |
3,095 |
$39K |
| 82570 |
|
8,728 |
8,419 |
$37K |
| 86706 |
|
3,776 |
3,588 |
$37K |
| 84480 |
|
2,849 |
2,679 |
$35K |
| 86708 |
|
2,968 |
2,790 |
$33K |
| 87070 |
|
3,876 |
3,676 |
$32K |
| 86695 |
|
2,467 |
2,402 |
$32K |
| 87522 |
Neg quan hep c or qual rna |
764 |
737 |
$28K |
| 88112 |
|
729 |
552 |
$28K |
| 81001 |
|
8,135 |
7,635 |
$24K |
| 86709 |
|
2,087 |
2,065 |
$22K |
| 86787 |
|
1,828 |
1,802 |
$22K |
| 84146 |
|
1,139 |
1,116 |
$21K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
621 |
610 |
$20K |
| 83001 |
|
1,122 |
1,104 |
$20K |
| 82785 |
|
1,250 |
1,232 |
$19K |
| 83970 |
|
586 |
577 |
$18K |
| 81003 |
|
10,532 |
9,553 |
$18K |
| 86140 |
|
3,831 |
3,722 |
$17K |
| 87511 |
|
610 |
596 |
$17K |
| 83002 |
|
972 |
963 |
$17K |
| 83655 |
|
1,386 |
1,374 |
$17K |
| 88307 |
|
92 |
92 |
$15K |
| 86481 |
|
217 |
216 |
$14K |
| 86038 |
|
1,401 |
1,334 |
$14K |
| 83550 |
|
2,115 |
2,072 |
$14K |
| 82627 |
|
634 |
629 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
286 |
173 |
$13K |
| 84436 |
|
1,989 |
1,967 |
$12K |
| 86780 |
|
1,153 |
1,100 |
$12K |
| 80055 |
|
374 |
374 |
$12K |
| 83735 |
|
1,969 |
1,937 |
$12K |
| 84702 |
|
924 |
684 |
$11K |
| 82951 |
|
883 |
878 |
$11K |
| 87147 |
|
2,469 |
2,317 |
$11K |
| 86850 |
|
3,328 |
3,317 |
$11K |
| 84270 |
|
542 |
529 |
$10K |
| 80076 |
|
1,428 |
1,399 |
$10K |
| 82670 |
|
380 |
374 |
$10K |
| 85652 |
|
4,136 |
4,041 |
$10K |
| 87209 |
|
549 |
517 |
$9K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,351 |
1,311 |
$8K |
| 86704 |
|
691 |
682 |
$8K |
| 87510 |
|
385 |
380 |
$8K |
| 87480 |
|
385 |
380 |
$8K |
| 85730 |
|
1,382 |
1,288 |
$8K |
| 83690 |
|
1,171 |
1,149 |
$8K |
| 83516 |
|
710 |
698 |
$7K |
| 85610 |
|
1,977 |
1,830 |
$7K |
| 86900 |
|
2,738 |
2,725 |
$7K |
| 86376 |
|
513 |
504 |
$7K |
| 86769 |
|
187 |
110 |
$7K |
| 86431 |
|
1,193 |
1,182 |
$6K |
| 80069 |
|
916 |
894 |
$6K |
| 80305 |
|
553 |
548 |
$6K |
| 84402 |
|
210 |
209 |
$5K |
| 86694 |
|
370 |
369 |
$5K |
| 84154 |
|
382 |
369 |
$5K |
| 86677 |
|
361 |
354 |
$5K |
| 87045 |
|
596 |
525 |
$5K |
| 87177 |
|
548 |
515 |
$5K |
| 85045 |
|
1,360 |
1,299 |
$5K |
| 87338 |
|
348 |
335 |
$5K |
| 86255 |
|
393 |
392 |
$4K |
| 82950 |
|
1,082 |
1,054 |
$4K |
| 84550 |
|
1,308 |
1,250 |
$4K |
| 86141 |
|
453 |
301 |
$4K |
| 82150 |
|
716 |
700 |
$4K |
| 88342 |
|
78 |
78 |
$4K |
| 84460 |
|
854 |
847 |
$4K |
| 83880 |
|
172 |
169 |
$4K |
| 84466 |
|
316 |
308 |
$4K |
| 86705 |
|
338 |
336 |
$4K |
| 88304 |
|
93 |
93 |
$4K |
| 82947 |
|
1,181 |
1,129 |
$4K |
| 84450 |
|
754 |
751 |
$4K |
| 86225 |
|
317 |
309 |
$4K |
| 81002 |
|
1,683 |
1,633 |
$4K |
| 87150 |
|
119 |
118 |
$3K |
| 86635 |
|
267 |
265 |
$3K |
| 85060 |
|
246 |
240 |
$3K |
| 82085 |
|
321 |
315 |
$3K |
| 88312 |
|
79 |
79 |
$3K |
| 86901 |
|
1,049 |
1,001 |
$3K |
| 87184 |
|
354 |
347 |
$3K |
| 86160 |
|
130 |
125 |
$3K |
| 86200 |
|
437 |
429 |
$3K |
| 83021 |
|
153 |
141 |
$3K |
| 82550 |
|
546 |
520 |
$2K |
| 82784 |
|
390 |
387 |
$2K |
| 88160 |
|
123 |
97 |
$2K |
| 87205 |
|
514 |
489 |
$2K |
| 86735 |
|
177 |
176 |
$2K |
| 82553 |
|
191 |
187 |
$2K |
| 82977 |
|
271 |
269 |
$2K |
| 84144 |
|
89 |
86 |
$2K |
| 86765 |
|
133 |
133 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,567 |
3,239 |
$2K |
| 87324 |
|
189 |
183 |
$2K |
| 86800 |
|
120 |
120 |
$2K |
| 84425 |
|
70 |
68 |
$1K |
| 87081 |
|
204 |
203 |
$1K |
| 85018 |
|
513 |
509 |
$1K |
| 81000 |
|
386 |
366 |
$1K |
| 86430 |
|
261 |
236 |
$1K |
| 82270 |
|
362 |
293 |
$1K |
| 84156 |
|
346 |
320 |
$1K |
| 83721 |
|
115 |
105 |
$995.46 |
| 88141 |
|
91 |
91 |
$863.52 |
| 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 |
231 |
224 |
$836.29 |
| 86308 |
|
151 |
150 |
$794.95 |
| 85014 |
|
304 |
299 |
$739.20 |
| 88311 |
|
79 |
79 |
$703.10 |
| 81015 |
|
318 |
264 |
$690.93 |
| 84100 |
|
159 |
154 |
$653.55 |
| 83615 |
|
128 |
120 |
$639.26 |
| 86664 |
|
49 |
49 |
$590.68 |
| 87046 |
|
238 |
227 |
$570.26 |
| 82652 |
|
14 |
14 |
$507.36 |
| 84479 |
|
122 |
113 |
$476.90 |
| 86665 |
|
16 |
16 |
$441.44 |
| 85660 |
|
92 |
91 |
$426.69 |
| 82533 |
|
27 |
25 |
$418.60 |
| 86360 |
|
16 |
12 |
$409.20 |
| 83525 |
|
34 |
34 |
$395.15 |
| 84207 |
|
12 |
12 |
$367.08 |
| 82310 |
|
116 |
101 |
$352.03 |
| 89055 |
|
92 |
89 |
$342.40 |
| 86359 |
|
16 |
12 |
$328.56 |
| 82272 |
|
111 |
109 |
$255.30 |
| 84681 |
|
12 |
12 |
$239.52 |
| 82105 |
|
13 |
13 |
$156.39 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
18 |
18 |
$138.64 |
| 83718 |
|
13 |
13 |
$106.92 |
| 86593 |
|
27 |
27 |
$104.40 |
| 82465 |
|
25 |
25 |
$91.10 |
| 85651 |
|
114 |
75 |
$77.68 |
| 86060 |
|
14 |
13 |
$73.64 |
| 81025 |
|
14 |
13 |
$35.70 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
18 |
18 |
$0.00 |