| 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 |
1,267,341 |
1,143,759 |
$95.01M |
| 80307 |
|
1,202,543 |
697,215 |
$32.17M |
| 87491 |
|
1,657,300 |
1,603,761 |
$31.67M |
| 87591 |
|
1,635,831 |
1,582,880 |
$30.95M |
| 82306 |
|
1,372,815 |
1,346,507 |
$21.80M |
| 80061 |
|
2,911,844 |
2,864,674 |
$18.60M |
| 80050 |
|
957,685 |
949,479 |
$17.65M |
| 86480 |
|
507,071 |
500,092 |
$17.21M |
| 80053 |
|
2,795,608 |
2,709,453 |
$15.49M |
| 86769 |
|
402,695 |
399,860 |
$14.83M |
| 84443 |
|
1,626,303 |
1,596,772 |
$13.03M |
| 87389 |
|
895,936 |
880,014 |
$10.65M |
| 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 |
315,169 |
204,528 |
$10.60M |
| 87661 |
|
648,362 |
629,054 |
$10.24M |
| 85025 |
|
2,769,243 |
2,686,502 |
$10.17M |
| 83036 |
|
2,279,611 |
2,243,159 |
$9.84M |
| 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 |
429,034 |
398,198 |
$9.23M |
| 87624 |
|
399,794 |
396,855 |
$7.83M |
| 81420 |
|
24,697 |
24,162 |
$6.70M |
| 87801 |
|
200,865 |
194,448 |
$6.67M |
| 81220 |
|
29,409 |
28,986 |
$6.54M |
| 82607 |
|
835,243 |
820,448 |
$6.53M |
| 86003 |
|
137,113 |
115,147 |
$6.44M |
| 87799 |
|
140,074 |
111,505 |
$6.05M |
| 88175 |
|
372,948 |
369,900 |
$5.69M |
| 87633 |
|
42,049 |
40,665 |
$5.50M |
| 86803 |
|
724,964 |
711,799 |
$5.42M |
| 88305 |
|
101,540 |
78,661 |
$4.88M |
| 82746 |
|
589,144 |
579,290 |
$4.36M |
| 84439 |
|
941,811 |
925,248 |
$4.27M |
| 87636 |
|
34,395 |
32,763 |
$4.17M |
| 81513 |
|
118,531 |
111,672 |
$4.13M |
| 82728 |
|
587,131 |
568,433 |
$3.84M |
| 87631 |
|
53,174 |
52,387 |
$3.82M |
| 87086 |
|
885,525 |
845,451 |
$3.73M |
| 87340 |
|
669,845 |
659,654 |
$3.71M |
| 87635 |
|
86,863 |
84,721 |
$3.57M |
| 84153 |
|
346,540 |
340,739 |
$3.18M |
| 83013 |
|
88,143 |
87,453 |
$3.16M |
| 81001 |
|
1,814,752 |
1,767,291 |
$3.07M |
| 87536 |
|
59,839 |
57,539 |
$3.02M |
| 83655 |
|
432,668 |
429,153 |
$2.98M |
| 87070 |
|
571,680 |
554,924 |
$2.74M |
| 84403 |
|
182,101 |
179,163 |
$2.64M |
| 87088 |
|
542,530 |
520,719 |
$2.28M |
| 86235 |
|
61,753 |
58,320 |
$2.22M |
| 86317 |
|
265,597 |
261,875 |
$2.07M |
| 83550 |
|
553,091 |
536,431 |
$2.05M |
| 86762 |
|
249,210 |
247,142 |
$2.01M |
| 80081 |
|
52,165 |
51,336 |
$1.99M |
| 87512 |
|
108,720 |
107,165 |
$1.98M |
| 86696 |
|
174,829 |
171,588 |
$1.97M |
| 83540 |
|
659,167 |
641,142 |
$1.91M |
| 86765 |
|
258,252 |
256,600 |
$1.89M |
| 86592 |
|
785,538 |
771,235 |
$1.78M |
| 86787 |
|
239,187 |
237,124 |
$1.66M |
| 82670 |
|
106,287 |
100,324 |
$1.64M |
| 86735 |
|
236,918 |
235,494 |
$1.64M |
| 83001 |
|
158,754 |
155,911 |
$1.62M |
| 84146 |
|
141,029 |
138,460 |
$1.58M |
| 85027 |
|
523,874 |
513,143 |
$1.57M |
| 86706 |
|
287,318 |
283,237 |
$1.56M |
| 82652 |
|
114,750 |
112,456 |
$1.54M |
| 87517 |
|
72,681 |
71,732 |
$1.51M |
| 83002 |
|
148,612 |
144,221 |
$1.51M |
| 86780 |
|
200,810 |
197,145 |
$1.50M |
| 83970 |
|
78,727 |
76,969 |
$1.50M |
| 88185 |
|
5,837 |
5,753 |
$1.43M |
| 80074 |
|
75,874 |
74,422 |
$1.43M |
| 82043 |
|
515,691 |
508,123 |
$1.43M |
| 87481 |
|
59,044 |
49,919 |
$1.41M |
| 84702 |
|
183,710 |
160,381 |
$1.37M |
| 82570 |
|
549,412 |
536,543 |
$1.35M |
| 84481 |
|
162,283 |
159,775 |
$1.35M |
| 84402 |
|
94,166 |
92,800 |
$1.33M |
| 86038 |
|
218,436 |
214,979 |
$1.30M |
| 87081 |
|
370,284 |
360,732 |
$1.30M |
| 0241U |
|
9,591 |
8,969 |
$1.24M |
| 86708 |
|
183,395 |
180,983 |
$1.20M |
| 86704 |
|
196,829 |
192,815 |
$1.19M |
| 87522 |
Neg quan hep c or qual rna |
53,540 |
51,556 |
$1.17M |
| 87480 |
|
102,468 |
100,186 |
$1.12M |
| 87510 |
|
102,396 |
100,102 |
$1.11M |
| 86695 |
|
143,865 |
141,162 |
$1.10M |
| 84480 |
|
207,452 |
204,076 |
$1.10M |
| 87798 |
|
54,553 |
51,799 |
$1.10M |
| 87186 |
|
238,728 |
230,568 |
$1.09M |
| 86360 |
|
39,204 |
38,637 |
$1.08M |
| 88142 |
|
96,721 |
95,933 |
$1.03M |
| 84436 |
|
393,572 |
386,899 |
$1.01M |
| 82784 |
|
125,872 |
123,340 |
$997K |
| 86376 |
|
128,486 |
126,775 |
$994K |
| 87077 |
|
222,532 |
215,396 |
$979K |
| 84550 |
|
425,255 |
417,959 |
$954K |
| 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 |
74,950 |
74,879 |
$947K |
| 88112 |
|
31,223 |
24,979 |
$940K |
| 87660 |
|
103,282 |
100,987 |
$930K |
| 80048 |
|
228,006 |
220,590 |
$924K |
| 81329 |
|
24,630 |
24,158 |
$918K |
| 86800 |
|
109,357 |
107,931 |
$917K |
| 82248 |
|
362,056 |
352,897 |
$906K |
| 82105 |
|
119,139 |
117,439 |
$902K |
| 86618 |
|
90,866 |
89,688 |
$889K |
| 82627 |
|
70,464 |
69,484 |
$862K |
| 86617 |
|
54,360 |
52,334 |
$855K |
| 84144 |
|
72,711 |
62,076 |
$822K |
| 84154 |
|
83,005 |
81,999 |
$807K |
| 83520 |
|
64,990 |
59,863 |
$807K |
| 86665 |
|
44,276 |
42,747 |
$780K |
| 87902 |
|
6,324 |
6,097 |
$773K |
| 86364 |
|
51,691 |
50,754 |
$766K |
| 87637 |
|
7,045 |
6,958 |
$754K |
| 82785 |
|
85,761 |
84,950 |
$740K |
| 80349 |
|
128,498 |
80,815 |
$725K |
| 86140 |
|
281,220 |
274,280 |
$721K |
| 36415 |
|
1,166,399 |
1,074,635 |
$663K |
| 86147 |
|
22,315 |
18,732 |
$645K |
| 84479 |
|
266,211 |
261,990 |
$641K |
| 83735 |
|
207,180 |
194,449 |
$629K |
| 80321 |
|
85,563 |
53,549 |
$617K |
| 88304 |
|
28,302 |
25,574 |
$594K |
| 88141 |
|
48,903 |
48,433 |
$579K |
| 87147 |
|
198,003 |
191,340 |
$561K |
| 84270 |
|
53,326 |
52,070 |
$560K |
| 80076 |
|
126,497 |
123,930 |
$544K |
| 86160 |
|
46,288 |
44,025 |
$529K |
| 83516 |
|
69,452 |
58,812 |
$526K |
| 82274 |
|
73,587 |
71,112 |
$507K |
| 86008 |
|
26,225 |
24,489 |
$497K |
| 83021 |
|
47,069 |
46,830 |
$493K |
| 87209 |
|
47,336 |
44,946 |
$490K |
| 80348 |
|
91,311 |
53,642 |
$488K |
| 83020 |
|
71,932 |
70,637 |
$485K |
| 86146 |
|
16,979 |
13,951 |
$484K |
| 83525 |
|
73,498 |
72,330 |
$474K |
| 87650 |
|
45,016 |
42,617 |
$473K |
| 82977 |
|
140,919 |
137,663 |
$464K |
| 80354 |
|
88,536 |
50,378 |
$448K |
| 85652 |
|
328,853 |
321,660 |
$445K |
| 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 |
11,606 |
9,694 |
$434K |
| 88342 |
|
9,573 |
7,780 |
$429K |
| 86200 |
|
64,728 |
63,759 |
$426K |
| 86225 |
|
62,626 |
61,587 |
$424K |
| 81511 |
|
6,774 |
6,704 |
$418K |
| 86431 |
|
135,417 |
133,608 |
$399K |
| 84445 |
|
17,177 |
16,788 |
$398K |
| 81596 |
|
12,764 |
12,482 |
$392K |
| 87901 |
|
2,740 |
2,684 |
$386K |
| 83521 |
|
10,908 |
10,444 |
$386K |
| 81243 |
|
18,698 |
18,349 |
$380K |
| 83498 |
|
24,817 |
24,535 |
$377K |
| 84100 |
|
172,744 |
165,511 |
$372K |
| 85610 |
|
196,926 |
174,541 |
$370K |
| 82533 |
|
40,566 |
39,458 |
$368K |
| 83615 |
|
129,450 |
124,249 |
$363K |
| 86334 |
|
30,716 |
30,034 |
$362K |
| 82378 |
|
40,060 |
36,658 |
$361K |
| 84207 |
|
21,566 |
21,433 |
$346K |
| 82550 |
|
110,529 |
108,165 |
$340K |
| 86481 |
|
6,445 |
6,418 |
$335K |
| 86255 |
|
35,521 |
32,997 |
$332K |
| 87338 |
|
43,132 |
42,323 |
$330K |
| 85730 |
|
129,174 |
124,790 |
$328K |
| 84681 |
|
27,452 |
27,099 |
$326K |
| 87563 |
|
18,421 |
18,073 |
$324K |
| 86359 |
|
16,049 |
15,855 |
$319K |
| 88230 |
|
5,355 |
5,304 |
$308K |
| 83921 |
|
30,491 |
30,178 |
$305K |
| 80346 |
|
61,414 |
43,515 |
$300K |
| 88262 |
|
4,552 |
4,497 |
$300K |
| 80362 |
|
62,631 |
30,894 |
$293K |
| 86747 |
|
20,980 |
20,651 |
$293K |
| 81229 |
|
1,813 |
1,795 |
$290K |
| 86039 |
|
50,582 |
49,628 |
$287K |
| 87255 |
|
16,721 |
16,471 |
$287K |
| 83690 |
|
80,245 |
78,680 |
$286K |
| 83880 |
|
19,969 |
19,221 |
$286K |
| 86141 |
|
43,348 |
42,481 |
$277K |
| 87177 |
|
47,314 |
44,910 |
$273K |
| 82024 |
|
12,749 |
12,438 |
$269K |
| 81003 |
|
245,003 |
239,579 |
$266K |
| 86707 |
|
42,768 |
41,775 |
$260K |
| 87350 |
|
46,237 |
45,191 |
$259K |
| 87625 |
|
16,188 |
16,011 |
$257K |
| 86709 |
|
41,261 |
40,952 |
$252K |
| 80361 |
|
54,944 |
45,899 |
$249K |
| 84305 |
|
20,869 |
20,606 |
$244K |
| 80373 |
|
71,517 |
38,066 |
$243K |
| 87427 |
|
35,743 |
34,765 |
$242K |
| 86664 |
|
26,553 |
26,191 |
$232K |
| 83993 |
|
22,347 |
22,028 |
$231K |
| 87529 |
|
8,070 |
7,530 |
$229K |
| 84425 |
|
24,481 |
24,041 |
$228K |
| 88341 |
|
4,161 |
3,547 |
$222K |
| 86666 |
|
14,098 |
13,671 |
$218K |
| 81443 |
|
323 |
310 |
$218K |
| 82465 |
|
97,343 |
96,517 |
$217K |
| 86645 |
|
24,096 |
23,886 |
$215K |
| 86258 |
|
10,878 |
10,744 |
$214K |
| 86705 |
|
34,295 |
33,238 |
$212K |
| 86901 |
|
122,808 |
121,365 |
$210K |
| 82150 |
|
65,837 |
64,647 |
$210K |
| 82157 |
|
12,675 |
12,547 |
$208K |
| 84165 |
|
37,173 |
36,446 |
$205K |
| 83090 |
|
22,552 |
22,294 |
$202K |
| 86644 |
|
23,362 |
23,128 |
$195K |
| 86753 |
|
17,183 |
14,189 |
$194K |
| 87045 |
|
37,709 |
36,665 |
$194K |
| 82950 |
|
76,007 |
74,912 |
$192K |
| 86021 |
|
26,373 |
25,178 |
$192K |
| 87449 |
|
32,534 |
30,092 |
$190K |
| 86900 |
|
109,570 |
108,216 |
$183K |
| 84156 |
|
100,704 |
95,910 |
$179K |
| 80164 |
|
22,838 |
21,911 |
$179K |
| 80358 |
|
42,540 |
24,493 |
$179K |
| 87506 |
|
1,879 |
1,815 |
$179K |
| 88121 |
|
787 |
784 |
$178K |
| 80353 |
|
40,326 |
31,687 |
$177K |
| 86300 |
|
15,644 |
14,172 |
$176K |
| 88189 |
|
5,206 |
5,153 |
$174K |
| 80371 |
|
22,976 |
10,532 |
$173K |
| 86671 |
|
15,646 |
13,321 |
$173K |
| 84703 |
|
45,352 |
43,744 |
$171K |
| 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 |
2,519 |
2,277 |
$171K |
| 82672 |
|
14,387 |
14,197 |
$169K |
| 82088 |
|
7,852 |
7,585 |
$169K |
| 86850 |
|
41,661 |
40,994 |
$167K |
| 87497 |
|
8,495 |
6,320 |
$166K |
| 84460 |
|
64,509 |
63,082 |
$161K |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
16,719 |
16,696 |
$160K |
| 82107 |
|
4,731 |
4,702 |
$158K |
| 86304 |
|
16,790 |
16,149 |
$158K |
| 87329 |
|
22,061 |
21,308 |
$153K |
| 82626 |
|
11,330 |
11,210 |
$152K |
| 87900 |
|
2,527 |
2,472 |
$147K |
| 82677 |
|
11,782 |
11,722 |
$145K |
| 84432 |
|
19,447 |
19,062 |
$144K |
| 88184 |
|
5,847 |
5,773 |
$142K |
| 82542 |
|
12,251 |
11,592 |
$141K |
| 82951 |
|
21,918 |
21,703 |
$139K |
| 81401 |
|
2,926 |
2,909 |
$139K |
| 80438 |
|
5,921 |
5,854 |
$138K |
| 86355 |
|
7,100 |
6,996 |
$137K |
| 86381 |
|
8,143 |
7,973 |
$134K |
| 82985 |
|
18,986 |
18,772 |
$130K |
| 86301 |
|
13,557 |
12,024 |
$130K |
| 80197 |
|
19,677 |
15,561 |
$130K |
| 87912 |
|
978 |
978 |
$130K |
| 80324 |
|
27,200 |
18,861 |
$129K |
| 86774 |
|
16,903 |
16,716 |
$128K |
| 82565 |
|
56,259 |
55,328 |
$128K |
| 86036 |
|
9,621 |
9,426 |
$125K |
| 86738 |
|
9,091 |
8,978 |
$124K |
| 86060 |
|
30,866 |
30,526 |
$123K |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
9,820 |
9,774 |
$123K |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
7,380 |
7,367 |
$123K |
| 82310 |
|
51,124 |
50,103 |
$123K |
| 86015 |
|
9,578 |
9,397 |
$122K |
| 82947 |
|
66,108 |
64,737 |
$122K |
| 86812 |
|
9,749 |
9,594 |
$121K |
| 84450 |
|
57,319 |
56,046 |
$120K |
| 88120 |
|
699 |
696 |
$120K |
| 83519 |
|
12,289 |
11,398 |
$117K |
| 86341 |
|
8,149 |
6,761 |
$116K |
| 80365 |
|
28,696 |
24,871 |
$116K |
| 81257 |
|
5,986 |
5,889 |
$115K |
| 87906 |
|
1,476 |
1,446 |
$114K |
| 86777 |
|
13,670 |
13,546 |
$110K |
| 86361 |
|
8,457 |
8,216 |
$110K |
| 87324 |
|
16,873 |
16,482 |
$103K |
| 85045 |
|
52,265 |
50,662 |
$103K |
| 85379 |
|
19,420 |
18,953 |
$102K |
| 86335 |
|
6,754 |
6,652 |
$102K |
| 82172 |
|
10,523 |
10,312 |
$101K |
| 84466 |
|
15,450 |
15,190 |
$100K |
| 86648 |
|
12,804 |
12,682 |
$100K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
13,554 |
13,318 |
$99K |
| 82668 |
|
9,969 |
9,808 |
$96K |
| 81206 |
|
2,345 |
2,303 |
$95K |
| 86336 |
|
12,433 |
12,362 |
$94K |
| 87150 |
|
9,838 |
9,650 |
$94K |
| 84630 |
|
16,350 |
16,101 |
$93K |
| 80355 |
|
57,200 |
29,948 |
$93K |
| 82787 |
|
5,878 |
5,786 |
$93K |
| 87493 |
|
5,540 |
5,387 |
$92K |
| 88312 |
|
1,935 |
1,791 |
$91K |
| 86757 |
|
4,935 |
4,781 |
$90K |
| 87101 |
|
20,272 |
19,775 |
$89K |
| 80323 |
|
19,026 |
12,739 |
$89K |
| 86778 |
|
11,141 |
11,049 |
$88K |
| 86215 |
|
11,761 |
11,638 |
$88K |
| 87046 |
|
18,327 |
17,748 |
$88K |
| 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 |
9,540 |
9,436 |
$87K |
| 83704 |
|
6,580 |
6,430 |
$87K |
| 81382 |
|
2,297 |
2,226 |
$85K |
| 82653 |
|
3,991 |
3,929 |
$84K |
| 80159 |
|
8,636 |
6,912 |
$84K |
| 84478 |
|
30,135 |
29,361 |
$83K |
| 82747 |
|
9,770 |
9,704 |
$83K |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
11,264 |
10,818 |
$83K |
| 82040 |
|
41,044 |
40,100 |
$82K |
| 81241 |
|
5,710 |
5,553 |
$81K |
| 82164 |
|
10,755 |
10,620 |
$80K |
| 86357 |
|
4,161 |
4,094 |
$80K |
| 82166 |
|
3,335 |
3,266 |
$80K |
| 83883 |
|
7,600 |
6,783 |
$79K |
| 80178 |
|
20,165 |
19,074 |
$79K |
| 84590 |
|
13,634 |
13,430 |
$78K |
| 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 |
2,991 |
2,840 |
$78K |
| 87075 |
|
15,418 |
14,970 |
$78K |
| 85246 |
|
7,097 |
6,932 |
$78K |
| 80360 |
|
14,937 |
8,842 |
$77K |
| 82390 |
|
13,702 |
13,555 |
$76K |
| 81207 |
|
2,236 |
2,219 |
$76K |
| 80366 |
|
23,463 |
14,042 |
$75K |
| 86870 |
|
5,180 |
4,985 |
$75K |
| 84244 |
|
7,336 |
7,146 |
$75K |
| 86593 |
|
32,025 |
31,197 |
$75K |
| 88271 |
|
1,726 |
1,709 |
$74K |
| 83698 |
|
4,269 |
4,156 |
$73K |
| 82525 |
|
11,136 |
10,945 |
$73K |
| 84520 |
|
45,080 |
44,213 |
$73K |
| 86231 |
|
5,925 |
5,826 |
$71K |
| 83721 |
|
40,018 |
39,054 |
$71K |
| 85245 |
|
6,383 |
6,235 |
$70K |
| 84182 |
|
1,515 |
1,411 |
$70K |
| 80177 |
|
9,649 |
9,397 |
$67K |
| 82530 |
|
6,004 |
5,546 |
$67K |
| 84166 |
|
7,752 |
7,632 |
$66K |
| 83695 |
|
10,924 |
10,723 |
$65K |
| 85613 |
|
12,572 |
12,343 |
$65K |
| 85240 |
|
7,589 |
7,393 |
$64K |
| 83010 |
|
10,004 |
9,746 |
$64K |
| 80069 |
|
16,346 |
15,734 |
$63K |
| 84446 |
|
8,528 |
8,414 |
$63K |
| 85018 |
|
53,689 |
52,767 |
$62K |
| 84075 |
|
26,233 |
25,587 |
$62K |
| 85041 |
|
38,375 |
37,824 |
$62K |
| 85247 |
|
5,184 |
5,097 |
$61K |
| 81508 |
|
2,660 |
2,657 |
$61K |
| 87535 |
|
4,179 |
4,022 |
$61K |
| 85660 |
|
21,796 |
21,491 |
$61K |
| 84482 |
|
7,677 |
7,573 |
$58K |
| 82103 |
|
8,178 |
8,077 |
$58K |
| 87109 |
|
7,090 |
6,995 |
$57K |
| 85014 |
|
48,614 |
47,794 |
$57K |
| 87804 |
|
3,813 |
3,789 |
$57K |
| 82247 |
|
30,320 |
28,735 |
$56K |
| 84378 |
|
9,017 |
8,961 |
$56K |
| 80356 |
|
16,009 |
12,367 |
$56K |
| 80374 |
|
12,643 |
6,382 |
$54K |
| 86631 |
|
4,665 |
4,457 |
$53K |
| 83835 |
|
5,976 |
5,602 |
$53K |
| 86148 |
|
3,683 |
3,173 |
$53K |
| 81240 |
|
4,179 |
4,071 |
$53K |
| 80055 |
|
2,522 |
2,492 |
$52K |
| 86256 |
|
3,379 |
3,357 |
$51K |
| 80299 |
|
3,497 |
3,244 |
$50K |
| 86162 |
|
4,684 |
4,625 |
$49K |
| 80175 |
|
6,632 |
6,308 |
$49K |
| 84163 |
|
6,467 |
6,302 |
$48K |
| 87205 |
|
21,514 |
20,650 |
$48K |
| 87254 |
|
3,163 |
3,135 |
$48K |
| 82330 |
|
8,023 |
7,820 |
$47K |
| 80368 |
|
12,277 |
8,175 |
$47K |
| 82140 |
|
5,851 |
5,650 |
$47K |
| 81376 |
|
2,400 |
2,326 |
$46K |
| 80051 |
|
13,015 |
12,837 |
$46K |
| 82397 |
|
6,549 |
6,504 |
$46K |
| 83992 |
|
10,586 |
8,709 |
$46K |
| 83003 |
|
3,974 |
3,761 |
$46K |
| 84155 |
|
33,247 |
32,567 |
$46K |
| 82955 |
|
8,507 |
8,433 |
$45K |
| 85060 |
|
3,863 |
3,785 |
$45K |
| 87880 |
|
6,519 |
6,399 |
$44K |
| 82180 |
|
8,757 |
8,627 |
$44K |
| 81025 |
|
12,892 |
12,475 |
$43K |
| 86340 |
|
5,276 |
5,226 |
$43K |
| 86382 |
|
2,907 |
2,842 |
$42K |
| 80352 |
|
8,749 |
5,539 |
$41K |
| 85306 |
|
4,742 |
4,667 |
$41K |
| 81279 |
|
1,589 |
1,548 |
$41K |
| 86337 |
|
3,720 |
3,645 |
$40K |
| 81256 |
|
2,753 |
2,684 |
$40K |
| 81339 |
|
1,479 |
1,443 |
$39K |
| 87467 |
|
2,130 |
2,086 |
$39K |
| 87107 |
|
6,318 |
6,200 |
$39K |
| 80357 |
|
32,721 |
11,780 |
$38K |
| 83014 |
|
11,254 |
11,014 |
$37K |
| 86702 |
|
5,816 |
5,567 |
$36K |
| 87106 |
|
5,889 |
5,758 |
$36K |
| 86632 |
|
4,636 |
4,589 |
$35K |
| 80372 |
|
12,184 |
10,495 |
$35K |
| 82952 |
|
18,022 |
17,836 |
$34K |
| 84132 |
|
17,238 |
16,710 |
$34K |
| 88275 |
|
683 |
674 |
$34K |
| 86611 |
|
3,151 |
2,641 |
$33K |
| 84252 |
|
3,723 |
3,649 |
$33K |
| 84134 |
|
4,785 |
4,633 |
$33K |
| 83825 |
|
3,965 |
3,885 |
$33K |
| 81479 |
|
1,786 |
1,696 |
$33K |
| 82232 |
|
4,494 |
4,323 |
$32K |
| 80342 |
|
4,034 |
2,411 |
$32K |
| 87800 |
|
1,348 |
1,323 |
$32K |
| 82085 |
|
6,452 |
6,262 |
$31K |
| 82308 |
|
2,497 |
2,463 |
$31K |
| 81015 |
|
20,418 |
20,018 |
$30K |
| 81270 |
|
2,794 |
2,729 |
$30K |
| 86308 |
|
10,535 |
10,393 |
$30K |
| 80320 |
|
9,441 |
8,042 |
$30K |
| 85598 |
|
3,507 |
3,427 |
$30K |
| 80338 |
|
7,054 |
5,392 |
$30K |
| 85303 |
|
3,950 |
3,886 |
$29K |
| 84255 |
|
2,411 |
2,380 |
$29K |
| 80439 |
|
912 |
909 |
$28K |
| 82610 |
|
4,080 |
3,956 |
$28K |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
3,274 |
3,229 |
$28K |
| 84295 |
|
16,219 |
15,785 |
$27K |
| 83718 |
|
7,675 |
7,548 |
$27K |
| 87102 |
|
5,802 |
5,638 |
$27K |
| 80335 |
|
5,081 |
3,436 |
$27K |
| 82507 |
|
1,704 |
1,694 |
$26K |
| 80369 |
|
8,626 |
7,588 |
$26K |
| 81512 |
|
785 |
779 |
$26K |
| 86701 |
|
5,839 |
5,592 |
$26K |
| 85004 |
|
8,763 |
8,522 |
$26K |
| 82679 |
|
1,921 |
1,887 |
$26K |
| 82384 |
|
1,892 |
1,785 |
$25K |
| 87220 |
|
12,375 |
11,953 |
$25K |
| 87040 |
|
4,604 |
4,059 |
$25K |
| 86880 |
|
8,320 |
8,228 |
$25K |
| 84597 |
|
3,406 |
3,350 |
$24K |
| 80345 |
|
7,297 |
6,393 |
$24K |
| 88313 |
|
595 |
582 |
$24K |
| 82435 |
|
15,559 |
15,173 |
$23K |
| 82175 |
|
2,228 |
2,172 |
$23K |
| 80156 |
|
2,943 |
2,894 |
$23K |
| 84484 |
|
4,087 |
3,970 |
$23K |
| 0001M |
|
780 |
775 |
$23K |
| 85384 |
|
4,918 |
4,804 |
$22K |
| 85300 |
|
3,577 |
3,530 |
$21K |
| 80364 |
|
8,163 |
5,787 |
$21K |
| 81374 |
|
1,055 |
1,040 |
$21K |
| 81219 |
|
1,571 |
1,536 |
$20K |
| 86790 |
|
2,141 |
1,965 |
$20K |
| 86682 |
|
2,584 |
2,292 |
$19K |
| 82671 |
|
1,205 |
1,186 |
$19K |
| 86692 |
|
1,870 |
1,854 |
$19K |
| 86663 |
|
2,508 |
2,480 |
$19K |
| 83951 |
|
589 |
587 |
$19K |
| 84442 |
|
2,608 |
2,585 |
$18K |
| 87116 |
|
3,223 |
2,039 |
$18K |
| 87581 |
|
1,093 |
1,080 |
$18K |
| 87469 |
|
1,145 |
1,122 |
$18K |
| 86684 |
|
1,923 |
1,912 |
$18K |
| 81291 |
|
2,546 |
2,472 |
$18K |
| 80359 |
|
6,900 |
6,304 |
$16K |
| 81162 |
|
42 |
40 |
$16K |
| 99001 |
|
13,887 |
9,581 |
$16K |
| 88274 |
|
745 |
742 |
$16K |
| 87140 |
|
4,002 |
3,946 |
$16K |
| 84591 |
|
2,844 |
2,774 |
$15K |
| 83945 |
|
2,031 |
2,005 |
$15K |
| 84560 |
|
5,651 |
5,608 |
$15K |
| 87530 |
|
394 |
394 |
$15K |
| 85048 |
|
11,362 |
11,049 |
$15K |
| 80183 |
|
2,102 |
2,058 |
$15K |
| 87484 |
|
954 |
936 |
$15K |
| 82239 |
|
1,518 |
1,373 |
$14K |
| 87468 |
|
893 |
877 |
$14K |
| 84300 |
|
5,623 |
5,507 |
$14K |
| 87252 |
|
834 |
830 |
$14K |
| 86619 |
|
967 |
955 |
$14K |
| 85305 |
|
2,073 |
2,052 |
$13K |
| 87807 |
|
2,017 |
1,981 |
$13K |
| 85597 |
|
1,407 |
1,368 |
$13K |
| 82642 |
|
1,827 |
1,781 |
$13K |
| 85007 |
|
7,734 |
7,499 |
$13K |
| 82340 |
|
3,990 |
3,945 |
$13K |
| 87206 |
|
4,561 |
3,274 |
$13K |
| 84080 |
|
1,770 |
1,749 |
$13K |
| 81400 |
|
413 |
405 |
$12K |
| 87486 |
|
739 |
726 |
$12K |
| 88307 |
|
120 |
96 |
$12K |
| 80375 |
|
5,778 |
3,216 |
$12K |
| 86161 |
|
1,737 |
1,707 |
$12K |
| 87015 |
|
3,690 |
2,524 |
$12K |
| 82657 |
|
682 |
637 |
$12K |
| 82374 |
|
7,335 |
7,135 |
$11K |
| 86609 |
|
1,243 |
1,202 |
$11K |
| 87502 |
|
278 |
272 |
$11K |
| 83630 |
|
1,099 |
1,086 |
$11K |
| 82104 |
|
1,510 |
1,499 |
$11K |
| 84140 |
|
1,000 |
978 |
$11K |
| 80165 |
|
1,406 |
1,356 |
$11K |
| 82731 |
|
285 |
260 |
$11K |
| 81517 |
|
149 |
147 |
$11K |
| 81381 |
|
284 |
281 |
$10K |
| 83527 |
|
1,432 |
1,422 |
$10K |
| 82139 |
|
1,024 |
1,003 |
$10K |
| 87521 |
Neg quan hep c or qual rna |
453 |
451 |
$10K |
| 83935 |
|
2,939 |
2,839 |
$10K |
| 80185 |
|
1,440 |
1,377 |
$10K |
| 86316 |
|
887 |
814 |
$10K |
| 83625 |
|
1,552 |
1,537 |
$10K |
| 80367 |
|
3,838 |
3,673 |
$9K |
| 82552 |
|
1,363 |
1,343 |
$9K |
| 86343 |
|
1,730 |
1,701 |
$9K |
| 82365 |
|
1,406 |
1,378 |
$9K |
| 85302 |
|
1,353 |
1,337 |
$9K |
| 86356 |
|
461 |
437 |
$9K |
| 84540 |
|
3,356 |
3,339 |
$9K |
| 89055 |
|
3,876 |
3,807 |
$9K |
| 81403 |
|
259 |
255 |
$9K |
| 83874 |
|
1,414 |
1,353 |
$9K |
| 82375 |
|
1,286 |
1,265 |
$8K |
| 82705 |
|
2,998 |
2,967 |
$8K |
| 84133 |
|
3,533 |
3,478 |
$8K |
| 87328 |
|
1,251 |
1,203 |
$8K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
176 |
161 |
$8K |
| 85049 |
|
3,763 |
3,643 |
$7K |
| 86658 |
|
169 |
165 |
$7K |
| 81402 |
|
193 |
189 |
$7K |
| 87425 |
|
997 |
980 |
$7K |
| 82523 |
|
833 |
810 |
$7K |
| 84143 |
|
492 |
486 |
$7K |
| 83930 |
|
2,023 |
1,972 |
$7K |
| 84238 |
|
467 |
435 |
$6K |
| 86041 |
|
475 |
459 |
$6K |
| 87341 |
|
1,442 |
1,403 |
$6K |
| 87172 |
|
2,772 |
2,680 |
$6K |
| 87207 |
|
1,588 |
1,546 |
$6K |
| 87076 |
|
1,361 |
1,337 |
$6K |
| 86886 |
|
2,093 |
1,972 |
$6K |
| 80330 |
|
3,457 |
3,281 |
$6K |
| 80337 |
|
3,167 |
3,003 |
$6K |
| 84105 |
|
1,997 |
1,977 |
$6K |
| 85307 |
|
702 |
700 |
$6K |
| 80326 |
|
3,169 |
3,005 |
$6K |
| 85250 |
|
514 |
512 |
$6K |
| 86052 |
|
192 |
189 |
$6K |
| 87185 |
|
1,916 |
1,873 |
$5K |
| 88164 |
|
708 |
706 |
$5K |
| 87634 |
|
165 |
161 |
$5K |
| 87662 |
|
121 |
119 |
$5K |
| 80332 |
|
3,404 |
1,917 |
$5K |
| 80377 |
|
3,028 |
2,861 |
$5K |
| 89060 |
|
1,182 |
1,152 |
$5K |
| 80370 |
|
3,162 |
2,996 |
$5K |
| 80158 |
|
573 |
464 |
$5K |
| 80344 |
|
3,144 |
2,978 |
$5K |
| 88300 |
|
1,416 |
1,370 |
$4K |
| 82575 |
|
1,068 |
1,054 |
$4K |
| 80333 |
|
3,123 |
2,960 |
$4K |
| 80235 |
|
355 |
342 |
$4K |
| 88237 |
|
49 |
47 |
$4K |
| 80184 |
|
573 |
552 |
$4K |
| 86596 |
|
195 |
188 |
$4K |
| 83605 |
|
700 |
691 |
$4K |
| 80340 |
|
3,026 |
2,857 |
$4K |
| 86606 |
|
378 |
322 |
$4K |
| 80327 |
|
119 |
118 |
$4K |
| 82681 |
|
221 |
219 |
$4K |
| 87272 |
|
497 |
486 |
$3K |
| 88187 |
|
184 |
182 |
$3K |
| 88264 |
|
41 |
40 |
$3K |
| 80195 |
|
474 |
393 |
$3K |
| 86703 |
|
569 |
563 |
$3K |
| 86622 |
|
353 |
344 |
$3K |
| 85670 |
|
1,007 |
989 |
$3K |
| 86615 |
|
332 |
327 |
$3K |
| 84066 |
|
698 |
685 |
$3K |
| 86362 |
|
92 |
87 |
$3K |
| 81364 |
|
43 |
42 |
$3K |
| 85280 |
|
263 |
259 |
$3K |
| 83631 |
|
281 |
278 |
$3K |
| 89051 |
|
1,130 |
1,105 |
$3K |
| 80162 |
|
495 |
482 |
$3K |
| 83986 |
|
2,042 |
1,999 |
$3K |
| 85270 |
|
268 |
259 |
$3K |
| 82656 |
|
462 |
460 |
$3K |
| 82108 |
|
174 |
171 |
$3K |
| 81222 |
|
184 |
184 |
$2K |
| 86788 |
|
257 |
251 |
$2K |
| 80503 |
|
488 |
467 |
$2K |
| 84392 |
|
921 |
910 |
$2K |
| 82379 |
|
272 |
265 |
$2K |
| 80201 |
|
350 |
331 |
$2K |
| 86043 |
|
203 |
197 |
$2K |
| 85301 |
|
349 |
347 |
$2K |
| 82941 |
|
222 |
212 |
$2K |
| 86023 |
|
274 |
256 |
$2K |
| 86042 |
|
183 |
182 |
$2K |
| 86789 |
|
239 |
233 |
$2K |
| 88173 |
|
73 |
45 |
$2K |
| 81327 |
|
80 |
79 |
$2K |
| 80336 |
|
419 |
415 |
$2K |
| 84260 |
|
106 |
104 |
$2K |
| 87280 |
|
330 |
325 |
$2K |
| 86001 |
|
420 |
396 |
$2K |
| 0346U |
|
76 |
73 |
$2K |
| 80426 |
|
26 |
25 |
$2K |
| 81406 |
|
17 |
17 |
$2K |
| 85097 |
|
42 |
42 |
$2K |
| 86638 |
|
121 |
113 |
$2K |
| 83088 |
|
93 |
89 |
$2K |
| 87168 |
|
2,078 |
2,004 |
$1K |
| 86366 |
|
133 |
133 |
$1K |
| 87276 |
|
185 |
184 |
$1K |
| 87275 |
|
185 |
184 |
$1K |
| 83529 |
|
81 |
78 |
$1K |
| 87300 |
|
241 |
220 |
$1K |
| 87184 |
|
309 |
307 |
$1K |
| 84311 |
|
895 |
869 |
$1K |
| 85651 |
|
543 |
484 |
$1K |
| 80180 |
|
131 |
128 |
$1K |
| 88235 |
|
13 |
13 |
$1K |
| 82595 |
|
340 |
331 |
$1K |
| 81290 |
|
213 |
212 |
$1K |
| 86710 |
|
69 |
67 |
$1K |
| 83018 |
|
68 |
62 |
$930.60 |
| 86226 |
|
135 |
134 |
$924.52 |
| 84585 |
|
92 |
91 |
$881.20 |
| 80414 |
|
39 |
38 |
$796.52 |
| 87478 |
|
56 |
52 |
$786.65 |
| 86794 |
|
85 |
85 |
$784.27 |
| 84376 |
|
252 |
250 |
$771.75 |
| 87118 |
|
101 |
71 |
$723.58 |
| 86668 |
|
49 |
48 |
$711.84 |
| 85385 |
|
100 |
100 |
$648.84 |
| 89321 |
|
261 |
244 |
$627.54 |
| 83876 |
|
28 |
27 |
$596.84 |
| 82300 |
|
46 |
46 |
$577.21 |
| 83918 |
|
42 |
41 |
$575.37 |
| 85415 |
|
63 |
63 |
$571.44 |
| 87230 |
|
52 |
52 |
$562.03 |
| 82436 |
|
240 |
237 |
$553.04 |
| 88311 |
|
45 |
45 |
$502.36 |
| 80202 |
|
62 |
34 |
$466.37 |
| 86905 |
|
193 |
187 |
$464.11 |
| 82017 |
|
43 |
43 |
$415.35 |
| 80203 |
|
54 |
53 |
$410.33 |
| 80230 |
|
26 |
26 |
$407.13 |
| 88289 |
|
25 |
25 |
$405.04 |
| 83497 |
|
39 |
38 |
$318.24 |
| 80145 |
|
29 |
27 |
$312.31 |
| 82553 |
|
61 |
60 |
$300.14 |
| 84206 |
|
25 |
24 |
$273.05 |
| 84145 |
|
18 |
16 |
$268.40 |
| 87110 |
|
28 |
28 |
$257.83 |
| 81405 |
|
18 |
18 |
$241.58 |
| 81269 |
|
212 |
212 |
$196.64 |
| 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 |
289 |
161 |
$196.61 |
| 81332 |
|
24 |
24 |
$190.59 |
| 83050 |
|
44 |
42 |
$185.36 |
| 87149 |
|
19 |
17 |
$180.25 |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
116 |
114 |
$173.04 |
| P3000 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision |
27 |
27 |
$165.00 |
| 86000 |
|
41 |
40 |
$157.79 |
| 81161 |
|
220 |
220 |
$151.36 |
| 82380 |
|
28 |
27 |
$144.98 |
| 82710 |
|
12 |
12 |
$132.55 |
| 86329 |
|
14 |
14 |
$118.55 |
| 86654 |
|
12 |
12 |
$108.51 |
| 84210 |
|
13 |
13 |
$86.93 |
| 84202 |
|
12 |
12 |
$79.98 |
| 86037 |
|
13 |
13 |
$64.27 |
| 87593 |
|
37 |
37 |
$50.00 |
| 83872 |
|
15 |
14 |
$39.14 |
| 82540 |
|
12 |
12 |
$32.48 |
| 99080 |
|
17,459 |
6,546 |
$0.00 |
| 3051F |
|
3,596 |
3,447 |
$0.00 |
| 3050F |
|
16,958 |
16,018 |
$0.00 |
| 3046F |
|
2,493 |
2,377 |
$0.00 |
| 80301 |
|
126 |
117 |
$0.00 |
| 85999 |
|
14 |
14 |
$0.00 |
| 99199 |
|
204 |
163 |
$0.00 |
| 3048F |
|
38,351 |
36,385 |
$0.00 |
| 3049F |
|
24,107 |
22,753 |
$0.00 |
| 3044F |
|
59,590 |
56,030 |
$0.00 |
| 3052F |
|
1,855 |
1,777 |
$0.00 |
| 99213 |
|
1,849 |
974 |
$0.00 |
| 84999 |
|
92 |
88 |
$0.00 |
| G6056 |
Opiate(s), drug and metabolites, each procedure |
26 |
26 |
$0.00 |