| 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 |
2,258 |
1,600 |
$10K |
| 87900 |
|
1,700 |
1,216 |
$6K |
| 87799 |
|
2,036 |
1,217 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,434 |
12,429 |
$4K |
| 80053 |
Comprehensive metabolic panel |
11,958 |
9,328 |
$3K |
| 87481 |
|
2,679 |
2,133 |
$2K |
| 87653 |
|
2,555 |
2,059 |
$2K |
| 87640 |
|
2,686 |
2,137 |
$2K |
| 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 |
2,255 |
1,598 |
$2K |
| 87500 |
|
1,700 |
1,216 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,794 |
4,263 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,892 |
3,937 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
5,636 |
2,138 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,712 |
1,545 |
$1K |
| 87641 |
|
1,568 |
1,136 |
$1K |
| 87652 |
|
1,696 |
1,214 |
$1K |
| 83880 |
|
1,024 |
765 |
$1K |
| 87482 |
|
1,698 |
1,215 |
$1K |
| 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 |
32,736 |
18,156 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,750 |
4,277 |
$1K |
| 85610 |
|
4,466 |
1,219 |
$783.63 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
987 |
923 |
$582.40 |
| 87529 |
|
982 |
923 |
$582.40 |
| 87496 |
|
982 |
922 |
$582.40 |
| 87556 |
|
986 |
924 |
$582.40 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
982 |
921 |
$582.40 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
987 |
925 |
$582.40 |
| 80061 |
Lipid panel |
3,895 |
3,486 |
$521.84 |
| 82607 |
|
1,082 |
969 |
$491.52 |
| 80177 |
|
891 |
731 |
$445.83 |
| 87493 |
|
265 |
147 |
$396.32 |
| 80164 |
|
1,935 |
1,630 |
$382.31 |
| 82140 |
|
374 |
256 |
$372.73 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,133 |
1,954 |
$368.28 |
| 81001 |
|
4,602 |
4,153 |
$348.13 |
| 80185 |
|
774 |
574 |
$348.12 |
| 84134 |
|
1,067 |
898 |
$324.25 |
| Q0092 |
Set-up portable x-ray equipment |
13 |
12 |
$315.38 |
| 36415 |
Collection of venous blood by venipuncture |
3,936 |
3,066 |
$219.00 |
| 82274 |
|
204 |
152 |
$216.30 |
| 87186 |
|
1,844 |
1,587 |
$211.08 |
| 87070 |
|
319 |
290 |
$180.75 |
| 87088 |
|
1,149 |
1,051 |
$173.38 |
| 87400 |
|
145 |
139 |
$138.10 |
| 83735 |
|
1,471 |
1,003 |
$135.90 |
| 87077 |
|
817 |
754 |
$130.25 |
| 82746 |
|
353 |
326 |
$110.13 |
| 80069 |
|
1,590 |
990 |
$100.00 |
| 83540 |
|
574 |
506 |
$90.98 |
| 86140 |
|
418 |
247 |
$86.45 |
| 83970 |
|
76 |
71 |
$85.62 |
| 80156 |
|
328 |
283 |
$80.54 |
| 87205 |
|
176 |
162 |
$76.27 |
| 82550 |
|
203 |
183 |
$75.75 |
| 82728 |
|
354 |
314 |
$75.41 |
| 87075 |
|
95 |
92 |
$75.28 |
| 84436 |
|
476 |
436 |
$65.66 |
| 80076 |
|
576 |
522 |
$62.01 |
| 84439 |
|
337 |
299 |
$58.18 |
| 84479 |
|
422 |
391 |
$55.10 |
| 85652 |
|
404 |
261 |
$54.12 |
| 80178 |
|
183 |
146 |
$35.79 |
| 80162 |
|
352 |
298 |
$30.60 |
| 83550 |
|
215 |
188 |
$27.18 |
| 87449 |
|
12 |
12 |
$24.86 |
| 84132 |
|
155 |
105 |
$14.31 |
| 82040 |
|
14 |
14 |
$10.26 |
| 84550 |
|
381 |
318 |
$10.16 |
| 84100 |
|
320 |
242 |
$7.64 |
| 82043 |
|
92 |
87 |
$6.42 |
| 82570 |
|
58 |
57 |
$5.37 |
| 85014 |
|
196 |
110 |
$5.19 |
| 85032 |
|
36 |
33 |
$4.47 |
| 84156 |
|
16 |
16 |
$3.81 |
| 85018 |
|
164 |
94 |
$2.73 |
| 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 |
757 |
554 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
34 |
$0.00 |
| 84481 |
|
28 |
27 |
$0.00 |
| 80184 |
|
128 |
101 |
$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) |
30,025 |
17,780 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
49 |
46 |
$0.00 |
| 84153 |
|
29 |
25 |
$0.00 |
| 87046 |
|
12 |
12 |
$0.00 |