| 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 |
15,393 |
14,192 |
$858K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
9,745 |
9,328 |
$456K |
| 80053 |
Comprehensive metabolic panel |
38,547 |
35,001 |
$303K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
15,764 |
15,003 |
$301K |
| 84443 |
Thyroid stimulating hormone (TSH) |
24,637 |
23,268 |
$289K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,500 |
4,784 |
$279K |
| 80061 |
Lipid panel |
20,825 |
19,910 |
$219K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
7,423 |
6,977 |
$218K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
7,380 |
6,970 |
$213K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
36,815 |
32,947 |
$206K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
6,000 |
5,640 |
$114K |
| 82607 |
|
8,425 |
8,027 |
$91K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12,428 |
11,889 |
$81K |
| 83970 |
|
2,607 |
2,489 |
$79K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12,124 |
11,251 |
$76K |
| 82728 |
|
6,873 |
6,546 |
$74K |
| 84439 |
|
7,117 |
6,756 |
$51K |
| 86780 |
|
4,497 |
4,250 |
$50K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
7,797 |
6,991 |
$49K |
| 86803 |
|
4,113 |
3,835 |
$44K |
| 87081 |
|
7,676 |
7,290 |
$44K |
| 83550 |
|
6,327 |
6,063 |
$43K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
349 |
336 |
$40K |
| 83540 |
|
7,667 |
7,343 |
$39K |
| 83880 |
|
1,191 |
1,088 |
$33K |
| 80074 |
|
920 |
867 |
$32K |
| 85027 |
|
5,540 |
5,186 |
$29K |
| 87186 |
|
4,169 |
3,881 |
$29K |
| 82784 |
|
1,447 |
1,369 |
$26K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
884 |
862 |
$26K |
| 36415 |
Collection of venous blood by venipuncture |
18,821 |
16,385 |
$24K |
| 87340 |
|
3,023 |
2,806 |
$23K |
| 82570 |
|
5,592 |
5,107 |
$22K |
| 86003 |
|
1,192 |
648 |
$22K |
| 84702 |
|
2,905 |
2,070 |
$22K |
| 83735 |
|
4,475 |
3,384 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
361 |
348 |
$21K |
| 84403 |
|
904 |
861 |
$19K |
| 80076 |
|
2,853 |
2,721 |
$19K |
| 87088 |
|
2,730 |
2,534 |
$18K |
| 86038 |
|
1,659 |
1,573 |
$17K |
| 84481 |
|
1,439 |
1,367 |
$17K |
| 87077 |
|
2,368 |
2,204 |
$16K |
| 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 |
785 |
755 |
$16K |
| 84152 |
|
1,321 |
1,266 |
$16K |
| 80050 |
General health panel |
1,184 |
1,180 |
$16K |
| 86320 |
|
384 |
361 |
$16K |
| 87070 |
|
2,440 |
2,288 |
$16K |
| 86140 |
|
3,568 |
3,188 |
$16K |
| 82378 |
|
1,053 |
823 |
$15K |
| 86757 |
|
554 |
532 |
$15K |
| 86618 |
|
1,142 |
1,100 |
$15K |
| 86008 |
|
1,093 |
1,039 |
$14K |
| 87807 |
|
1,332 |
1,274 |
$13K |
| 87147 |
|
2,831 |
2,659 |
$13K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
212 |
201 |
$13K |
| 81001 |
|
5,030 |
4,766 |
$12K |
| 83516 |
|
1,140 |
1,084 |
$11K |
| 86706 |
|
1,551 |
1,478 |
$11K |
| 86704 |
|
1,127 |
1,067 |
$11K |
| 80069 |
|
1,732 |
1,603 |
$11K |
| 85610 |
|
3,366 |
1,955 |
$11K |
| 84550 |
|
3,135 |
2,683 |
$11K |
| 84156 |
|
3,734 |
3,428 |
$11K |
| 85651 |
|
3,155 |
2,855 |
$10K |
| 84146 |
|
601 |
572 |
$10K |
| 84165 |
|
711 |
672 |
$9K |
| 83655 |
|
874 |
851 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
127 |
119 |
$9K |
| 87641 |
|
238 |
233 |
$8K |
| 87205 |
|
2,204 |
2,054 |
$8K |
| 86762 |
|
1,207 |
1,116 |
$7K |
| 83001 |
|
484 |
461 |
$7K |
| 80164 |
|
735 |
694 |
$7K |
| 84153 |
|
535 |
500 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
211 |
203 |
$7K |
| 83690 |
|
1,342 |
1,264 |
$7K |
| 83615 |
|
1,514 |
1,295 |
$7K |
| 80361 |
|
466 |
440 |
$7K |
| 82043 |
|
2,094 |
1,992 |
$7K |
| 86431 |
|
1,332 |
1,263 |
$6K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
159 |
154 |
$6K |
| 82785 |
|
445 |
429 |
$6K |
| 81382 |
|
40 |
40 |
$6K |
| 80197 |
|
630 |
331 |
$5K |
| 84100 |
|
1,591 |
979 |
$5K |
| 87522 |
Neg quan hep c or qual rna |
201 |
151 |
$5K |
| 86592 |
|
1,875 |
1,746 |
$4K |
| 87536 |
|
97 |
89 |
$4K |
| 86850 |
|
1,282 |
1,184 |
$4K |
| 82533 |
|
246 |
207 |
$4K |
| 83525 |
|
427 |
404 |
$3K |
| 86666 |
|
356 |
231 |
$3K |
| 85652 |
|
1,261 |
1,166 |
$3K |
| 83520 |
|
264 |
253 |
$3K |
| 82746 |
|
369 |
327 |
$3K |
| 86900 |
|
1,118 |
1,030 |
$3K |
| 86300 |
|
415 |
391 |
$3K |
| 82550 |
|
512 |
440 |
$3K |
| 82105 |
|
263 |
243 |
$3K |
| 84425 |
|
355 |
343 |
$2K |
| 83020 |
|
234 |
221 |
$2K |
| 86901 |
|
1,140 |
1,051 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
31 |
31 |
$2K |
| 80349 |
|
214 |
193 |
$2K |
| 83021 |
|
167 |
155 |
$2K |
| 87184 |
|
547 |
509 |
$2K |
| 86364 |
|
215 |
208 |
$2K |
| 86376 |
|
145 |
106 |
$2K |
| 88346 |
|
28 |
28 |
$2K |
| 89055 |
|
502 |
487 |
$2K |
| 86200 |
|
151 |
146 |
$2K |
| 86039 |
|
211 |
198 |
$2K |
| 80047 |
|
248 |
208 |
$2K |
| 87045 |
|
508 |
492 |
$2K |
| 86787 |
|
259 |
245 |
$2K |
| 82670 |
|
54 |
54 |
$1K |
| 83521 |
|
195 |
171 |
$1K |
| 83002 |
|
81 |
76 |
$1K |
| 80178 |
|
233 |
217 |
$1K |
| 82947 |
|
477 |
434 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
86 |
84 |
$1K |
| 85045 |
|
321 |
301 |
$1K |
| 86361 |
|
62 |
60 |
$1K |
| 87529 |
|
21 |
16 |
$959.65 |
| 82150 |
|
265 |
257 |
$935.95 |
| 87046 |
|
507 |
491 |
$829.05 |
| 81015 |
|
314 |
301 |
$823.27 |
| 84466 |
|
77 |
75 |
$767.99 |
| 87328 |
|
53 |
50 |
$666.23 |
| 86235 |
|
51 |
50 |
$623.83 |
| 86160 |
|
42 |
41 |
$612.86 |
| 82247 |
|
134 |
83 |
$600.19 |
| 84402 |
|
27 |
25 |
$576.14 |
| 87329 |
|
53 |
50 |
$566.52 |
| 83883 |
|
83 |
80 |
$535.22 |
| 85007 |
|
148 |
138 |
$521.36 |
| 83921 |
|
25 |
25 |
$483.19 |
| 85380 |
|
61 |
54 |
$470.82 |
| 86696 |
|
37 |
33 |
$420.29 |
| 86480 |
|
78 |
76 |
$405.26 |
| 83721 |
|
60 |
54 |
$345.89 |
| 82565 |
|
76 |
72 |
$326.64 |
| 80348 |
|
28 |
24 |
$310.24 |
| 83993 |
|
15 |
15 |
$308.17 |
| 86708 |
|
37 |
37 |
$291.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
25 |
$290.46 |
| 82248 |
|
67 |
61 |
$284.56 |
| 83631 |
|
14 |
13 |
$279.73 |
| 87338 |
|
28 |
26 |
$276.35 |
| 86677 |
|
45 |
43 |
$243.80 |
| 83090 |
|
15 |
14 |
$217.71 |
| 87521 |
Neg quan hep c or qual rna |
15 |
13 |
$203.28 |
| 86231 |
|
24 |
23 |
$189.84 |
| 82950 |
|
47 |
43 |
$179.93 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
27 |
26 |
$178.36 |
| 86800 |
|
14 |
13 |
$172.49 |
| 87425 |
|
18 |
16 |
$166.86 |
| 85018 |
|
80 |
68 |
$155.59 |
| 86695 |
|
22 |
21 |
$152.38 |
| 80373 |
|
12 |
12 |
$145.11 |
| 85730 |
|
26 |
24 |
$120.77 |
| 82272 |
|
28 |
26 |
$100.28 |
| 86694 |
|
23 |
21 |
$95.68 |
| 81003 |
|
19 |
19 |
$38.76 |