| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
731,755 |
354,078 |
$38.43M |
| 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 |
368,711 |
217,995 |
$28.59M |
| 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 |
82,644 |
52,181 |
$8.02M |
| 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 |
44,756 |
31,939 |
$3.08M |
| 80100 |
|
139,550 |
80,221 |
$2.15M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
74,330 |
67,555 |
$709K |
| 80053 |
Comprehensive metabolic panel |
53,889 |
51,291 |
$550K |
| 86803 |
|
29,886 |
29,160 |
$521K |
| 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 |
24,838 |
18,010 |
$453K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
19,112 |
18,643 |
$440K |
| 87521 |
Neg quan hep c or qual rna |
11,195 |
10,918 |
$410K |
| 84443 |
Thyroid stimulating hormone (TSH) |
17,036 |
16,553 |
$367K |
| 80061 |
Lipid panel |
22,787 |
22,320 |
$299K |
| 86781 |
|
15,348 |
14,988 |
$280K |
| 87340 |
|
21,167 |
20,605 |
$274K |
| 86780 |
|
19,359 |
18,943 |
$224K |
| 81025 |
|
51,119 |
43,059 |
$197K |
| 99001 |
|
6,138 |
3,369 |
$179K |
| 80074 |
|
5,076 |
5,013 |
$147K |
| 86704 |
|
8,592 |
8,391 |
$127K |
| 86709 |
|
7,722 |
7,512 |
$113K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,281 |
3,199 |
$109K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,278 |
3,197 |
$109K |
| 82977 |
|
12,337 |
12,155 |
$108K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
10,663 |
8,263 |
$83K |
| 80076 |
|
9,335 |
9,178 |
$83K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12,676 |
12,376 |
$79K |
| 80101 |
|
5,264 |
3,642 |
$79K |
| 84146 |
|
3,414 |
3,321 |
$76K |
| 86481 |
|
1,139 |
1,082 |
$72K |
| 80050 |
General health panel |
2,152 |
2,067 |
$68K |
| 82055 |
|
5,441 |
3,713 |
$60K |
| 86706 |
|
4,992 |
4,894 |
$59K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
7,046 |
5,586 |
$56K |
| 86708 |
|
3,264 |
3,212 |
$48K |
| 80164 |
|
3,162 |
3,006 |
$45K |
| 84436 |
|
4,447 |
4,366 |
$38K |
| 86592 |
|
10,203 |
9,851 |
$35K |
| 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 |
204 |
179 |
$32K |
| 81001 |
|
13,028 |
12,336 |
$29K |
| 86328 |
|
750 |
719 |
$27K |
| 86480 |
|
585 |
576 |
$26K |
| 84550 |
|
8,028 |
7,954 |
$23K |
| 83615 |
|
3,192 |
3,180 |
$13K |
| 80178 |
|
1,850 |
1,746 |
$13K |
| 84479 |
|
1,584 |
1,539 |
$11K |
| 83735 |
|
1,755 |
1,222 |
$10K |
| 82465 |
|
3,165 |
3,158 |
$9K |
| 85610 |
|
3,659 |
1,643 |
$8K |
| 80159 |
|
468 |
450 |
$8K |
| 87902 |
|
29 |
28 |
$8K |
| 86701 |
|
1,058 |
997 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
534 |
502 |
$8K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
76 |
75 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
164 |
143 |
$5K |
| 82248 |
|
1,182 |
1,167 |
$5K |
| 84153 |
|
183 |
181 |
$4K |
| 84439 |
|
560 |
535 |
$3K |
| 87186 |
|
515 |
439 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
651 |
595 |
$3K |
| 87077 |
|
704 |
485 |
$3K |
| 82728 |
|
177 |
171 |
$2K |
| 84481 |
|
141 |
141 |
$2K |
| 87350 |
|
124 |
122 |
$2K |
| 85027 |
|
325 |
292 |
$1K |
| 86705 |
|
125 |
125 |
$1K |
| 84100 |
|
319 |
126 |
$1K |
| 83550 |
|
244 |
235 |
$1K |
| 82105 |
|
127 |
127 |
$1K |
| 84703 |
|
405 |
397 |
$1K |
| 86038 |
|
150 |
148 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
5,204 |
3,666 |
$1K |
| 82103 |
|
128 |
128 |
$982.80 |
| 83540 |
|
249 |
239 |
$967.88 |
| 84702 |
|
57 |
57 |
$649.23 |
| 86376 |
|
94 |
94 |
$613.75 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
2,500 |
1,730 |
$567.68 |
| 82390 |
|
78 |
78 |
$456.00 |
| 86769 |
|
17 |
17 |
$454.16 |
| 85730 |
|
143 |
143 |
$433.50 |
| 82607 |
|
71 |
68 |
$401.54 |
| 87071 |
|
132 |
120 |
$331.60 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
740 |
526 |
$325.02 |
| 84480 |
|
38 |
36 |
$248.48 |
| 82150 |
|
59 |
57 |
$239.16 |
| 80177 |
|
15 |
14 |
$125.27 |
| 87040 |
|
17 |
13 |
$98.12 |
| 82746 |
|
25 |
25 |
$84.51 |
| 80361 |
|
17 |
14 |
$0.00 |
| 80362 |
|
29 |
19 |
$0.00 |
| 80373 |
|
12 |
12 |
$0.00 |
| 80365 |
|
17 |
14 |
$0.00 |
| 80369 |
|
28 |
15 |
$0.00 |
| 80354 |
|
17 |
14 |
$0.00 |
| G0471 |
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) |
49 |
24 |
$0.00 |