| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,088 |
4,088 |
$127K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,088 |
4,088 |
$127K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,914 |
2,914 |
$59K |
| 86592 |
|
2,908 |
2,908 |
$11K |
| 87486 |
|
67 |
67 |
$1K |
| 87507 |
|
36 |
36 |
$1K |
| 80074 |
|
20 |
20 |
$738.16 |
| 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 |
17 |
15 |
$550.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
139 |
135 |
$490.40 |
| 80061 |
Lipid panel |
96 |
93 |
$478.72 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
60 |
60 |
$438.94 |
| 86762 |
|
36 |
36 |
$428.42 |
| 80053 |
Comprehensive metabolic panel |
114 |
110 |
$411.13 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
12 |
12 |
$349.55 |
| 84443 |
Thyroid stimulating hormone (TSH) |
59 |
56 |
$343.18 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
19 |
17 |
$312.34 |
| 87340 |
|
36 |
36 |
$295.56 |
| 84480 |
|
46 |
45 |
$259.63 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
87 |
85 |
$248.12 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
41 |
41 |
$212.84 |
| 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 |
15 |
15 |
$211.20 |
| 84439 |
|
56 |
54 |
$185.05 |
| 81000 |
|
109 |
106 |
$170.91 |
| 87631 |
|
55 |
55 |
$161.07 |
| 86708 |
|
18 |
18 |
$141.82 |
| 86704 |
|
18 |
18 |
$136.50 |
| 82043 |
|
41 |
40 |
$134.08 |
| 86706 |
|
18 |
18 |
$119.84 |
| 82570 |
|
38 |
37 |
$97.32 |
| 82150 |
|
38 |
37 |
$93.30 |
| 87581 |
|
67 |
67 |
$90.85 |
| 87081 |
|
15 |
15 |
$76.65 |
| 83690 |
|
36 |
35 |
$65.65 |
| 87210 |
|
13 |
13 |
$46.28 |
| 84550 |
|
15 |
14 |
$25.58 |
| 80305 |
|
236 |
235 |
$19.05 |
| 85651 |
|
12 |
12 |
$17.04 |
| 0100U |
|
86 |
86 |
$0.00 |
| 86003 |
|
12 |
12 |
$0.00 |
| 0097U |
|
98 |
98 |
$0.00 |
| 87541 |
|
39 |
39 |
$0.00 |