| Code | Description | Claims | Beneficiaries | Total Paid |
| 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 |
58,533 |
51,396 |
$4.33M |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
57,944 |
52,875 |
$1.62M |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
52,929 |
49,287 |
$1.47M |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
14,062 |
12,815 |
$1.27M |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
29,257 |
27,079 |
$725K |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
1,610 |
1,480 |
$711K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
27,267 |
25,364 |
$519K |
| 86481 |
|
6,823 |
6,275 |
$456K |
| 80061 |
Lipid panel |
43,875 |
40,886 |
$433K |
| 87536 |
|
5,939 |
5,469 |
$430K |
| 80053 |
Comprehensive metabolic panel |
52,285 |
45,120 |
$403K |
| 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 |
28,554 |
25,700 |
$386K |
| 86480 |
|
7,353 |
6,973 |
$379K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12,033 |
11,413 |
$372K |
| 80050 |
General health panel |
9,565 |
8,621 |
$351K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
17,400 |
16,200 |
$349K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
12,369 |
11,743 |
$336K |
| 84443 |
Thyroid stimulating hormone (TSH) |
28,033 |
25,873 |
$324K |
| 83655 |
|
29,759 |
28,376 |
$321K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
54,348 |
39,238 |
$300K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,931 |
2,716 |
$298K |
| 86803 |
|
24,970 |
23,335 |
$268K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
6,876 |
5,608 |
$246K |
| 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 |
12,713 |
12,003 |
$244K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
37,944 |
26,131 |
$224K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
33,305 |
31,015 |
$223K |
| 87529 |
|
7,709 |
6,190 |
$210K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
31,739 |
29,131 |
$197K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
1,149 |
1,074 |
$189K |
| 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 |
4,868 |
3,740 |
$187K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,541 |
2,339 |
$169K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
8,170 |
7,397 |
$166K |
| 80081 |
|
2,961 |
2,477 |
$158K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
6,116 |
4,811 |
$150K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
5,019 |
3,637 |
$137K |
| 87077 |
|
17,534 |
15,189 |
$130K |
| 82728 |
|
11,600 |
10,931 |
$119K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
4,822 |
4,527 |
$109K |
| 85027 |
|
20,915 |
18,943 |
$105K |
| 82607 |
|
10,098 |
9,430 |
$104K |
| 87088 |
|
16,378 |
15,125 |
$104K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,346 |
2,248 |
$104K |
| 86592 |
|
30,767 |
28,562 |
$103K |
| 86360 |
|
2,494 |
2,290 |
$102K |
| 87186 |
|
12,722 |
11,326 |
$86K |
| 84403 |
|
4,618 |
4,243 |
$84K |
| 83013 |
|
1,656 |
1,596 |
$82K |
| 87522 |
Neg quan hep c or qual rna |
2,615 |
2,388 |
$81K |
| 86359 |
|
2,497 |
2,291 |
$79K |
| 83970 |
|
3,218 |
2,938 |
$79K |
| 87340 |
|
10,360 |
9,590 |
$79K |
| 81329 |
|
1,010 |
960 |
$74K |
| 86762 |
|
6,473 |
6,027 |
$69K |
| 85018 |
|
30,595 |
29,271 |
$66K |
| 84439 |
|
9,676 |
8,964 |
$66K |
| 80074 |
|
2,304 |
2,092 |
$58K |
| 84146 |
|
3,921 |
3,592 |
$58K |
| 83516 |
|
6,180 |
2,970 |
$57K |
| 83880 |
|
2,395 |
2,116 |
$56K |
| 82746 |
|
5,362 |
5,006 |
$54K |
| 84702 |
|
4,594 |
3,623 |
$53K |
| 83001 |
|
3,832 |
3,592 |
$51K |
| 82670 |
|
2,836 |
2,628 |
$50K |
| 82951 |
|
3,941 |
3,695 |
$46K |
| 85610 |
|
15,274 |
6,225 |
$46K |
| 87081 |
|
8,122 |
7,698 |
$45K |
| 86038 |
|
4,637 |
4,287 |
$42K |
| 83550 |
|
6,623 |
6,214 |
$42K |
| 83735 |
|
7,945 |
5,222 |
$38K |
| 83540 |
|
7,962 |
7,434 |
$38K |
| 87563 |
|
2,048 |
1,901 |
$37K |
| 87210 |
|
9,326 |
8,680 |
$37K |
| 82043 |
|
9,473 |
8,873 |
$37K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,225 |
1,135 |
$35K |
| 86140 |
|
8,931 |
6,346 |
$35K |
| 86706 |
|
4,309 |
3,969 |
$35K |
| 87070 |
|
5,193 |
4,787 |
$35K |
| 87493 |
|
1,446 |
1,303 |
$35K |
| 83021 |
|
2,430 |
2,249 |
$35K |
| 87631 |
|
360 |
332 |
$33K |
| 80076 |
|
5,268 |
4,520 |
$32K |
| 81001 |
|
13,575 |
12,348 |
$31K |
| 84481 |
|
2,749 |
2,520 |
$31K |
| 86618 |
|
2,071 |
1,287 |
$31K |
| 82274 |
|
2,386 |
2,219 |
$29K |
| 99001 |
|
9,382 |
4,759 |
$29K |
| 86850 |
|
6,771 |
6,317 |
$28K |
| 86003 |
|
1,050 |
755 |
$28K |
| 82105 |
|
2,340 |
2,188 |
$27K |
| 80197 |
|
3,004 |
1,828 |
$26K |
| 86696 |
|
1,613 |
1,484 |
$25K |
| 86787 |
|
3,167 |
2,773 |
$25K |
| 80164 |
|
2,392 |
1,896 |
$24K |
| 84460 |
|
5,172 |
4,542 |
$24K |
| 83002 |
|
1,783 |
1,650 |
$23K |
| 82533 |
|
1,969 |
1,479 |
$21K |
| 82627 |
|
1,510 |
1,359 |
$20K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
974 |
910 |
$19K |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
6,098 |
5,739 |
$18K |
| 84153 |
|
1,599 |
1,464 |
$18K |
| 82677 |
|
1,008 |
916 |
$18K |
| 82024 |
|
731 |
636 |
$17K |
| 82950 |
|
4,216 |
3,951 |
$17K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
1,300 |
1,193 |
$17K |
| 84100 |
|
4,573 |
3,048 |
$17K |
| 83525 |
|
2,006 |
1,755 |
$16K |
| 86695 |
|
1,345 |
1,254 |
$16K |
| 86376 |
|
1,626 |
1,415 |
$15K |
| 86780 |
|
1,730 |
1,619 |
$15K |
| 87450 |
|
1,852 |
1,669 |
$15K |
| 86900 |
|
6,613 |
6,106 |
$14K |
| 86901 |
|
6,198 |
5,774 |
$14K |
| 82784 |
|
1,781 |
1,136 |
$13K |
| 86336 |
|
1,003 |
910 |
$13K |
| 87521 |
Neg quan hep c or qual rna |
572 |
531 |
$13K |
| 86431 |
|
2,953 |
2,756 |
$12K |
| 87902 |
|
61 |
54 |
$12K |
| 82652 |
|
634 |
583 |
$12K |
| 86235 |
|
851 |
173 |
$12K |
| 86160 |
|
1,102 |
692 |
$11K |
| 88112 |
|
341 |
327 |
$11K |
| 87338 |
|
911 |
859 |
$11K |
| 87209 |
|
845 |
762 |
$11K |
| 86704 |
|
1,198 |
1,105 |
$11K |
| 86800 |
|
1,059 |
910 |
$11K |
| 83090 |
|
880 |
769 |
$10K |
| 83690 |
|
2,006 |
1,873 |
$10K |
| 87046 |
|
1,435 |
1,291 |
$10K |
| 86765 |
|
1,167 |
899 |
$10K |
| 86735 |
|
914 |
681 |
$10K |
| 87045 |
|
1,431 |
1,289 |
$10K |
| 84270 |
|
742 |
692 |
$10K |
| 82947 |
|
3,072 |
2,912 |
$10K |
| 87205 |
|
3,014 |
2,763 |
$10K |
| 84550 |
|
2,987 |
2,747 |
$10K |
| 82565 |
|
2,650 |
1,738 |
$10K |
| 86705 |
|
1,178 |
1,082 |
$10K |
| 82570 |
|
2,408 |
2,171 |
$9K |
| 87634 |
|
249 |
223 |
$9K |
| 80055 |
|
509 |
472 |
$9K |
| 82550 |
|
1,845 |
1,281 |
$9K |
| 85652 |
|
4,286 |
3,342 |
$8K |
| 86708 |
|
787 |
733 |
$8K |
| 86769 |
|
307 |
291 |
$8K |
| 84402 |
|
484 |
446 |
$8K |
| 87808 |
|
794 |
752 |
$7K |
| 84450 |
|
1,727 |
1,593 |
$7K |
| 86694 |
|
553 |
508 |
$7K |
| 86200 |
|
846 |
787 |
$7K |
| 84425 |
|
608 |
575 |
$7K |
| 86225 |
|
763 |
679 |
$7K |
| 82248 |
|
1,563 |
1,121 |
$6K |
| 86334 |
|
492 |
446 |
$6K |
| 84156 |
|
2,308 |
2,099 |
$6K |
| 82785 |
|
745 |
676 |
$6K |
| 85730 |
|
1,251 |
1,176 |
$6K |
| 83520 |
|
560 |
508 |
$5K |
| 85045 |
|
1,806 |
1,686 |
$5K |
| 87177 |
|
814 |
725 |
$5K |
| 80178 |
|
1,062 |
690 |
$5K |
| 84165 |
|
754 |
695 |
$5K |
| 80165 |
|
559 |
410 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
87,356 |
63,798 |
$5K |
| 85651 |
|
1,494 |
972 |
$5K |
| 83993 |
|
343 |
315 |
$4K |
| 83014 |
|
631 |
608 |
$4K |
| 82330 |
|
425 |
373 |
$4K |
| 86593 |
|
1,033 |
932 |
$4K |
| 87101 |
|
420 |
404 |
$3K |
| 87206 |
|
649 |
598 |
$3K |
| 83498 |
|
180 |
174 |
$3K |
| 82977 |
|
489 |
430 |
$3K |
| 87632 |
|
15 |
13 |
$3K |
| 87901 |
|
12 |
12 |
$3K |
| 85007 |
|
1,029 |
886 |
$3K |
| 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 |
10,059 |
5,655 |
$3K |
| 86709 |
|
334 |
318 |
$3K |
| 82465 |
|
588 |
580 |
$2K |
| 87106 |
|
302 |
263 |
$2K |
| 82140 |
|
208 |
133 |
$2K |
| 82247 |
|
512 |
375 |
$2K |
| 84144 |
|
186 |
162 |
$2K |
| 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 |
7,843 |
3,821 |
$2K |
| 80202 |
|
146 |
49 |
$2K |
| 82952 |
|
619 |
597 |
$2K |
| 87147 |
|
460 |
426 |
$2K |
| 84132 |
|
482 |
337 |
$2K |
| 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) |
5,290 |
2,480 |
$2K |
| G0432 |
Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening |
11,383 |
10,783 |
$2K |
| 88342 |
|
105 |
84 |
$2K |
| 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 |
1,669 |
1,559 |
$2K |
| 87497 |
|
64 |
40 |
$2K |
| 87900 |
|
12 |
12 |
$2K |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
77 |
75 |
$1K |
| 87427 |
|
98 |
92 |
$1K |
| 82150 |
|
223 |
195 |
$1K |
| 84154 |
|
79 |
73 |
$993.22 |
| 84630 |
|
167 |
158 |
$935.58 |
| 84134 |
|
150 |
140 |
$912.33 |
| 87184 |
|
158 |
151 |
$898.12 |
| 82239 |
|
89 |
77 |
$838.79 |
| 83615 |
|
178 |
136 |
$774.55 |
| 80175 |
|
65 |
63 |
$699.52 |
| 84480 |
|
59 |
52 |
$652.81 |
| 87107 |
|
48 |
44 |
$641.21 |
| 85246 |
|
24 |
24 |
$500.43 |
| 82610 |
|
42 |
41 |
$496.67 |
| 84145 |
|
25 |
25 |
$495.64 |
| 0352U |
|
597 |
571 |
$490.38 |
| 87269 |
|
43 |
43 |
$487.73 |
| 83921 |
|
49 |
39 |
$474.30 |
| 88304 |
|
34 |
29 |
$467.43 |
| 86870 |
|
13 |
12 |
$426.95 |
| 83721 |
|
58 |
55 |
$422.61 |
| 87593 |
|
15 |
13 |
$406.40 |
| 84436 |
|
95 |
90 |
$398.50 |
| 80177 |
|
41 |
37 |
$391.18 |
| 84445 |
|
13 |
13 |
$387.54 |
| 87272 |
|
31 |
31 |
$383.88 |
| 82088 |
|
14 |
12 |
$365.50 |
| 87799 |
|
15 |
12 |
$348.55 |
| 83521 |
|
25 |
13 |
$336.44 |
| 86677 |
|
48 |
42 |
$309.20 |
| 84478 |
|
63 |
36 |
$297.20 |
| 87075 |
|
41 |
40 |
$250.02 |
| 85014 |
|
145 |
129 |
$239.38 |
| 84080 |
|
35 |
33 |
$237.12 |
| 85245 |
|
12 |
12 |
$234.78 |
| 85247 |
|
12 |
12 |
$234.78 |
| 85240 |
|
24 |
24 |
$228.66 |
| 86039 |
|
32 |
31 |
$223.76 |
| 87350 |
|
20 |
17 |
$219.07 |
| 85379 |
|
30 |
28 |
$191.18 |
| 81025 |
|
27 |
26 |
$163.23 |
| 84207 |
|
15 |
12 |
$161.70 |
| 84202 |
|
14 |
12 |
$160.14 |
| 83010 |
|
20 |
16 |
$156.30 |
| 82166 |
|
84 |
82 |
$122.12 |
| 84466 |
|
13 |
12 |
$121.14 |
| 87328 |
|
13 |
12 |
$121.04 |
| 84075 |
|
38 |
37 |
$109.00 |
| 87329 |
|
13 |
12 |
$106.49 |
| 85004 |
|
14 |
12 |
$103.71 |
| 86255 |
|
28 |
12 |
$97.61 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
151 |
137 |
$95.31 |
| 80156 |
|
14 |
12 |
$90.35 |
| 82040 |
|
29 |
24 |
$73.77 |
| 85660 |
|
14 |
14 |
$57.29 |
| G0499 |
Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result |
149 |
140 |
$56.93 |
| 86880 |
|
13 |
12 |
$54.76 |
| 82525 |
|
12 |
12 |
$44.43 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
339 |
333 |
$21.86 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
127 |
125 |
$0.00 |