Pathology and laboratory (80047–89398): Federal IDR outcomes by code
| CPT code | Line items | Win % | Median ×QPA | Ratio n | Median days |
|---|---|---|---|---|---|
| 85025 Complete blood cell count (red cells, white blood cell, platelets), automated te | 114,006 | 82.6% | 4.33x | 69,117 | – |
| 80053 Blood test, comprehensive group of blood chemicals | 91,573 | 82.9% | 5.39x | 58,989 | – |
| 81003 Automated urinalysis test | 56,458 | 80.9% | 6.27x | 34,084 | – |
| 84484 Troponin (protein) analysis, quantitative | 45,257 | 82.5% | 3.53x | 27,254 | – |
| 87880 Detection test by immunoassay with direct visual observation for Streptococcus, | 31,888 | 80.8% | 3.85x | 20,903 | – |
| 87804 Detection test by immunoassay with direct visual observation for influenza virus | 29,628 | 84.8% | 3.28x | 21,191 | – |
| 81025 Urine pregnancy test | 26,703 | 81.7% | 4.28x | 16,093 | – |
| 82150 Amylase (enzyme) level | 21,942 | 79.8% | 6.36x | 12,836 | – |
| 84703 Gonadotropin (reproductive hormone) analysis | 19,813 | 82.6% | 5.00x | 12,646 | – |
| 83690 Lipase (fat enzyme) level | 18,770 | 84.2% | 4.06x | 11,589 | – |
| 82550 Creatine kinase (cardiac enzyme) level, total | 18,114 | 78.6% | 5.56x | 9,703 | – |
| 83735 Magnesium level | 17,481 | 82.0% | 4.83x | 10,666 | – |
| 82977 Glutamyltransferase (liver enzyme) level | 17,221 | 80.0% | 5.38x | 10,833 | – |
| 80048 Blood test, basic group of blood chemicals (Calcium, total) | 17,212 | 87.0% | 3.92x | 11,075 | – |
| 81001 Manual urinalysis test with examination using microscope, automated | 16,961 | 84.2% | 3.75x | 9,824 | – |
| 87426 Detection test by immunoassay technique for severe acute respiratory syndrome co | 16,077 | 88.1% | 3.07x | 12,846 | – |
| 83605 Lactic acid level | 15,909 | 82.2% | 4.86x | 9,554 | – |
| 82947 Blood glucose (sugar) level | 15,082 | 77.1% | 5.75x | 7,812 | – |
| 85379 Coagulation function measurement, D-dimer; quantitative | 14,995 | 81.8% | 5.24x | 9,053 | – |
| 82565 Blood creatinine level | 14,222 | 76.6% | 6.13x | 7,302 | – |
| 80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) | 13,987 | 76.5% | 6.91x | 7,037 | – |
| 87428 Detection test by immunoassay technique for severe acute respiratory syndrome co | 13,950 | 80.2% | 5.21x | 8,335 | – |
| 84520 Urea nitrogen level to assess kidney function, quantitative | 13,581 | 76.4% | 6.30x | 6,801 | – |
| 82553 Creatine kinase (cardiac enzyme) level, MB fraction only | 12,862 | 78.4% | 6.50x | 6,534 | – |
| 85027 Complete blood cell count (red cells, white blood cell, platelets), automated te | 12,638 | 86.1% | 5.27x | 11,039 | – |
| 87086 Bacterial colony count, urine | 12,021 | 84.4% | 4.40x | 7,684 | – |
| 83880 Natriuretic peptide (heart and blood vessel protein) level | 11,413 | 82.9% | 3.85x | 6,412 | – |
| 80076 Liver function blood test panel | 10,578 | 84.6% | 5.44x | 7,611 | – |
| 83874 Myoglobin (muscle protein) level | 10,292 | 76.8% | 5.55x | 4,954 | – |
| 87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronav | 7,908 | 80.3% | 2.05x | 4,805 | – |
| 87633 Detection test by nucleic acid for multiple types of respiratory virus, multiple | 7,677 | 78.4% | 4.31x | 4,624 | – |
| 85610 Blood test, clotting time | 7,583 | 82.5% | 4.94x | 3,823 | – |
| 82040 Albumin (protein) level | 7,138 | 75.4% | 5.70x | 3,249 | – |
| 82247 Bilirubin level, total | 6,963 | 73.7% | 6.58x | 2,909 | – |
| 84075 Phosphatase (enzyme) level, alkaline | 6,937 | 73.3% | 6.04x | 2,933 | – |
| 84450 Liver enzyme (SGOT), level | 6,923 | 73.3% | 6.39x | 2,786 | – |
| 84460 Liver enzyme (SGPT), level | 6,859 | 73.1% | 6.60x | 2,732 | – |
| 84155 Total protein level, blood | 6,811 | 73.4% | 6.08x | 2,918 | – |
| 87637 Detection test by multiplex amplified probe technique for severe acute respirato | 6,747 | 78.4% | 3.04x | 3,632 | – |
| 87040 Bacterial blood culture | 6,569 | 82.8% | 4.44x | 4,037 | – |
| 86140 Measurement C-reactive protein for detection of infection or inflammation | 5,900 | 87.8% | 3.88x | 4,537 | – |
| 87798 Detection test by nucleic acid for organism, amplified probe technique | 5,825 | 70.4% | 4.88x | 1,721 | – |
| 87081 Screening test for pathogenic organisms | 5,424 | 91.0% | 4.58x | 4,761 | – |
| 80305 Testing for presence of drug, read by direct observation | 5,399 | 80.1% | 4.85x | 2,682 | – |
| 81420 Test for detecting genes associated with fetal disease, aneuploidy genomic seque | 5,281 | 73.5% | 1.00x | 5,187 | – |
| 84702 Gonadotropin, chorionic (reproductive hormone) level | 5,075 | 86.8% | 4.08x | 3,257 | – |
| 85730 Coagulation assessment blood test, plasma or whole blood | 4,783 | 84.4% | 3.25x | 2,304 | – |
| 80307 Testing for presence of drug, by chemistry analyzers | 4,595 | 86.0% | 1.81x | 2,594 | – |
| 80069 Kidney function blood test panel | 4,105 | 80.8% | 7.33x | 2,880 | – |
| 87631 Detection test by nucleic acid for multiple types of respiratory virus, multiple | 4,067 | 74.1% | 2.35x | 1,643 | – |
| 84100 Phosphate level | 3,886 | 81.1% | 5.36x | 1,662 | – |
| 84443 Blood test, thyroid stimulating hormone (TSH) | 3,659 | 83.7% | 2.90x | 1,968 | – |
| 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), | 3,215 | 81.0% | 3.43x | 1,811 | – |
| 86308 Screening test for mononucleosis (mono) | 3,188 | 86.5% | 4.00x | 2,537 | – |
| 87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe techni | 3,163 | 80.9% | 3.59x | 1,728 | – |
| 87486 Detection test by nucleic acid for Chlamydia pneumoniae, amplified probe techniq | 2,854 | 73.9% | 5.52x | 457 | – |
| 87581 Detection test by nucleic acid for Mycoplasma pneumoniae (bacteria), amplified p | 2,797 | 72.0% | 4.11x | 586 | – |
| 82803 Blood gases measurement | 2,601 | 82.2% | 4.75x | 1,526 | – |
| 87811 Detection test by immunoassay with direct visual observation for severe acute re | 2,509 | 78.5% | 6.03x | 1,503 | – |
| 86901 Blood typing for Rh (D) antigen | 2,438 | 85.6% | 3.58x | 1,394 | – |
| 88305 Pathology examination of tissue using a microscope, intermediate complexity | 2,384 | 78.1% | 4.02x | 2,121 | – |
| 86900 Blood group typing (ABO) | 2,367 | 85.7% | 3.99x | 1,357 | – |
| 82962 Blood glucose (sugar) test performed by hand-held instrument | 2,185 | 82.8% | 4.05x | 1,046 | – |
| 87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilut | 2,023 | 84.7% | 3.90x | 1,303 | – |
| 87088 Bacterial urine culture | 1,963 | 86.0% | 3.77x | 1,440 | – |
| 87651 Detection test by nucleic acid for Strep (Streptococcus, group A), amplified pro | 1,916 | 79.3% | 1.01x | 855 | – |
| 84439 Thyroxine (thyroid chemical), free | 1,851 | 84.1% | 4.23x | 1,137 | – |
| 81002 Urinalysis, manual test | 1,808 | 90.9% | 5.14x | 1,408 | – |
| 84550 Uric acid level, blood | 1,717 | 82.6% | 4.10x | 1,081 | – |
| 80047 Blood test, basic group of blood chemicals (Calcium, ionized) | 1,690 | 89.4% | 5.43x | 1,209 | – |
| 87807 Detection test by immunoassay with direct visual observation for respiratory syn | 1,672 | 83.4% | 3.30x | 1,066 | – |
| 80320 Alcohols levels | 1,585 | 89.7% | 2.64x | 712 | – |
| 86850 Screening test for red blood cell antibodies | 1,532 | 85.5% | 3.65x | 899 | – |
| 85007 Microscopic examination for white blood cells with manual cell count | 1,347 | 88.6% | 2.87x | 705 | – |
| 87077 Bacterial culture for aerobic isolates | 1,335 | 82.5% | 3.39x | 772 | – |
| 87070 Bacterial culture, any other source except urine, blood or stool, aerobic | 1,286 | 83.5% | 4.60x | 835 | – |
| 83036 Hemoglobin A1C level | 1,283 | 84.2% | 3.55x | 737 | – |
| 82948 Blood glucose (sugar) measurement using reagent strip | 1,242 | 81.2% | 4.07x | 915 | – |
| 80061 Blood test, lipids (cholesterol and triglycerides) | 1,201 | 83.7% | 4.06x | 760 | – |
| 87205 Special Gram or Giemsa stain for microorganism | 895 | 84.4% | 4.32x | 647 | – |
| 87507 Detection test by nucleic acid for digestive tract pathogen, multiple types or s | 887 | 82.1% | 5.81x | 473 | – |
| 85652 Red blood cell sedimentation rate, to detect inflammation, automated | 868 | 82.7% | 6.12x | 588 | – |
| 81007 Urinalysis for bacteria | 774 | 73.9% | 5.25x | 459 | – |
| 86677 Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) | 736 | 83.0% | 6.22x | 552 | – |
| 80329 Analgesics levels, 1 or 2 | 722 | 92.8% | 3.21x | 297 | – |
| 87632 Detection test by nucleic acid for multiple types of respiratory virus, multiple | 703 | 73.0% | 4.13x | 616 | – |
| 87661 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amp | 670 | 80.9% | 3.50x | 416 | – |
| 84145 Procalcitonin (hormone) level | 616 | 81.0% | 3.78x | 431 | – |
| 82077 Measurement of alcohol level in specimen other than breath or urine | 596 | 74.2% | 1.10x | 188 | – |
| 87420 Detection test by immunoassay technique for respiratory syncytial virus (RSV) | 580 | 86.6% | 2.50x | 364 | – |
| 80074 Acute hepatitis panel | 579 | 81.5% | 5.65x | 313 | – |
| 86592 Syphilis detection test | 568 | 81.9% | 4.37x | 333 | – |
| 87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) | 535 | 79.1% | 14.84x | 337 | – |
| 82075 Measurement of alcohol level in breath specimen | 526 | 78.3% | 4.78x | 238 | – |
| 87389 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 an | 502 | 81.3% | 3.06x | 260 | – |
| 87076 Bacterial culture for anaerobic isolates | 484 | 80.2% | 4.28x | 282 | – |
| 80050 General health panel | 457 | 81.4% | 3.75x | 259 | – |
| 84481 Thyroid hormone, T3 measurement, free | 453 | 88.1% | 4.62x | 407 | – |
| 81329 Gene analysis (survival of motor neuron 1, telomeric) for dosage/deletion | 414 | 85.7% | 1.00x | 399 | – |
| 82140 Ammonia level | 398 | 80.9% | 3.71x | 186 | – |
| 88307 Pathology examination of tissue using a microscope, moderately high complexity | 397 | 79.8% | 2.38x | 304 | – |
| 82010 Ketone bodies analysis, quantitative | 394 | 87.8% | 3.99x | 281 | – |
| 81220 Gene analysis (cystic fibrosis transmembrane conductance regular) common variant | 377 | 85.7% | 1.00x | 362 | – |
| 82272 Stool analysis for blood, by peroxidase activity | 374 | 81.8% | 4.39x | 165 | – |
| 87210 Smear for infectious agents | 368 | 83.2% | 1.85x | 200 | – |
| 88342 Special stained specimen slides to examine tissue, initial procedure | 367 | 67.0% | 3.57x | 318 | – |
| 88313 Special stained specimen slides to examine tissue including interpretation and r | 325 | 82.2% | 3.61x | 308 | – |
| 82270 Stool analysis for blood to screen for colon tumors | 317 | 84.2% | 4.63x | 207 | – |
| 82607 Cyanocobalamin (vitamin B-12) level | 306 | 85.3% | 4.17x | 204 | – |
| 80143 Measurement of acetaminophen | 305 | 83.6% | 2.00x | 190 | – |
| 85651 Red blood cell sedimentation rate, to detect inflammation, non-automated | 301 | 86.7% | 3.77x | 201 | – |
| 85378 Coagulation function measurement, qualitative or semiquantitative | 299 | 75.6% | 2.80x | 151 | – |
| 83540 Iron level | 291 | 84.5% | 5.56x | 169 | – |
| 85018 Blood count, hemoglobin | 283 | 88.0% | 4.17x | 141 | – |
| 82805 Blood gases measurement, with O2 saturation | 280 | 89.6% | 4.31x | 128 | – |
| 86923 Blood unit compatibility test, electronic | 278 | 84.5% | 9.94x | 161 | – |
| 87529 Detection test by nucleic acid for herpes simplex virus, amplified probe techniq | 277 | 74.4% | 6.67x | 155 | – |
| 82248 Bilirubin level, direct | 274 | 77.7% | 2.78x | 187 | – |
| 87075 Bacterial culture, any source, except blood, anaerobic | 274 | 81.4% | 7.94x | 147 | – |
| 87582 Detection test by nucleic acid for Mycoplasma pneumoniae (bacteria), quantificat | 268 | 91.4% | 4.28x | 243 | – |
| 85380 Coagulation function measurement, ultrasensitive, qualitative or semiquantitativ | 267 | 70.0% | 5.88x | 62 | – |
| 87636 Detection test by multiplex amplified probe technique for severe acute respirato | 259 | 62.5% | 1.83x | 208 | – |
| 86141 Measurement C-reactive protein for detection of infection or inflammation, high | 257 | 80.2% | 2.90x | 155 | – |
| 82554 Creatine kinase (cardiac enzyme) level, isoforms | 243 | 91.8% | 5.57x | 231 | – |
| 87481 Detection test for candida species (yeast), amplified probe technique | 239 | 76.2% | 4.50x | 160 | – |
| 85014 Red blood cell concentration measurement | 237 | 79.7% | 3.24x | 151 | – |
| 87046 Stool culture, additional pathogens | 227 | 82.8% | 4.28x | 178 | – |
| 82728 Ferritin (blood protein) level | 221 | 86.0% | 6.38x | 152 | – |
| 81443 Genomic sequence analysis panel for severe inherited conditions with sequencing | 220 | 93.2% | 1.00x | 219 | – |
| 88304 Pathology examination of tissue using a microscope, moderately low complexity | 214 | 86.9% | 4.22x | 90 | – |
| 83550 Iron binding capacity | 211 | 89.1% | 2.93x | 132 | – |
| 80179 Measurement of salicylate | 210 | 77.1% | 2.14x | 118 | – |
| 87181 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), agar dilut | 210 | 77.1% | 14.35x | 122 | – |
| 84132 Blood potassium level | 203 | 81.8% | 3.02x | 104 | – |
| 87493 Detection test by nucleic acid for clostridium difficile, amplified probe techni | 201 | 85.6% | 3.16x | 122 | – |
| 82746 Folic acid level, serum | 200 | 85.0% | 4.01x | 134 | – |
| 82009 Ketone bodies analysis, qualitative | 194 | 86.6% | 2.46x | 118 | – |
| 81000 Manual urinalysis test with examination using microscope, non-automated | 191 | 93.2% | 4.89x | 79 | – |
| 83615 Lactate dehydrogenase (enzyme) level | 188 | 89.9% | 6.70x | 128 | – |
| 84436 Thyroxine (thyroid chemical), total | 179 | 86.6% | 4.68x | 95 | – |
| 86738 Analysis for antibody to Mycoplasma (bacteria) | 176 | 92.6% | 3.18x | 161 | – |
| 88312 Special stained specimen slides to identify organisms including interpretation a | 174 | 82.8% | 2.68x | 167 | – |
| 86780 Analysis for antibody, Treponema pallidum | 166 | 75.3% | 6.54x | 107 | – |
| 87640 Detection test by nucleic acid for Staphylococcus aureus (bacteria), amplified p | 164 | 79.9% | 6.36x | 85 | – |
| 87045 Stool culture | 161 | 70.8% | 4.75x | 79 | – |
| 87430 Detection test by immunoassay technique for Streptococcus, group A (strep) | 160 | 85.6% | 1.04x | 135 | – |
| 87510 Detection test for gardnerella vaginalis (bacteria), direct probe technique | 160 | 80.6% | 4.64x | 80 | – |
| 87660 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), dir | 158 | 82.3% | 4.77x | 81 | – |
| 87905 Infectious agent enzymatic activity to detect organism | 152 | 80.3% | 5.38x | 71 | – |
| 87480 Detection test for candida species (yeast), direct probe technique | 149 | 81.2% | 4.69x | 77 | – |
| 82306 Vitamin D-3 level | 141 | 91.5% | 6.04x | 90 | – |
| 86803 Hepatitis C antibody measurement | 140 | 80.7% | 6.86x | 81 | – |
| 86703 Analysis for antibody to HIV-1 and HIV-2 virus | 131 | 74.8% | 4.00x | 70 | – |
| 87541 Detection test by nucleic acid for legionella pneumophila (water borne bacteria) | 127 | 81.1% | 9.07x | 64 | – |
| 87490 Detection test by nucleic acid for chlamydia, direct probe technique | 122 | 83.6% | 4.68x | 122 | – |
| 87808 Detection test by immunoassay with direct visual observation for Trichomonas vag | 122 | 82.0% | 4.29x | 60 | – |
| 87511 Detection test for gardnerella vaginalis (bacteria), amplified probe technique | 121 | 76.9% | 8.35x | 77 | – |
| 82375 Carboxyhemoglobin (protein) level | 116 | 84.5% | 2.80x | 70 | – |
| 87177 Smear for parasites | 116 | 71.6% | 5.54x | 62 | – |
| 81162 Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplicat | 115 | 80.0% | 1.00x | 113 | – |
| 86696 Analysis for antibody to Herpes simplex virus, type 2 | 114 | 82.5% | 4.77x | 72 | – |
| 85045 Red blood count, automated test | 110 | 84.5% | 4.73x | 71 | – |
| 82570 Creatinine level to test for kidney function or muscle injury | 108 | 89.8% | 6.90x | 61 | – |
| 86695 Analysis for antibody to Herpes simplex virus, type 1 | 108 | 83.3% | 4.57x | 66 | – |
| 87265 Detection test for bordetella pertussis or parapertussis (respiratory bacteria) | 106 | 64.2% | 8.24x | 48 | – |
| 89055 White blood cell measure, stool specimen | 102 | 80.4% | 5.34x | 59 | – |
| 80306 Testing for presence of drug, read by instrument assisted observation | 101 | 82.2% | – | 28 | – |
| 81513 Measurement of RNA of bacteria in vaginal fluid specimen | 99 | 76.8% | 4.68x | 49 | – |
| 87580 Detection test by nucleic acid for Mycoplasma pneumoniae (bacteria), direct prob | 99 | 65.7% | 1.94x | 43 | – |
| 84480 Thyroid hormone, T3 measurement, total | 98 | 87.8% | 4.29x | 65 | – |
| 89051 Body fluid cell count with cell identification | 94 | 85.1% | 4.11x | 59 | – |
| 82330 Calcium level, ionized | 92 | 88.0% | 4.57x | 56 | – |
| 87563 Detection of Mycoplasma genitalium by DNA or RNA probe | 89 | 73.0% | 9.43x | 44 | – |
| 88341 Special stained specimen slides to examine tissue, each additional procedure | 88 | 76.1% | 2.84x | 74 | – |
| 87340 Detection test by immunoassay technique for hepatitis B surface antigen | 87 | 83.9% | 6.95x | 53 | – |
| 85384 Fibrinogen (factor 1) activity measurement | 85 | 83.5% | 3.98x | 50 | – |
| 84479 Thyroid hormone evaluation | 84 | 89.3% | 9.88x | 33 | – |
| 86480 Tuberculosis test, gamma interferon | 82 | 82.9% | 4.26x | 35 | – |
| 86038 Screening test for autoimmune disorder | 81 | 86.4% | 4.86x | 52 | – |
| 82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay | 77 | 81.8% | 3.12x | 70 | – |
| 84156 Total protein level, urine | 75 | 90.7% | 17.42x | 35 | – |
| 83050 Methemoglobin (hemoglobin) analysis, quantitative | 74 | 82.4% | 3.93x | 47 | – |
| 82310 Calcium level, total | 73 | 89.0% | 3.89x | 34 | – |
| 83930 Blood osmolality (concentration) measurement | 73 | 76.7% | 2.93x | 57 | – |
| 87806 Detection test by immunoassay with direct visual observation for HIV-1 antigen, | 73 | 72.6% | 4.92x | 39 | – |
| 87209 Special stain for parasites | 71 | 71.8% | 4.21x | 31 | – |
| 81432 Test for detecting genes associated with inherited breast cancer-related disorde | 70 | 94.3% | 1.00x | 66 | – |
| 86706 Hepatitis B surface antibody measurement | 70 | 85.7% | 6.79x | 43 | – |
| 86891 Processing and storage of blood unit or component, intra- or postoperative salva | 70 | 97.1% | 11.16x | 69 | – |
| 87324 Detection test by immunoassay technique for Clostridium difficile toxins (stool | 70 | 84.3% | 4.54x | 53 | – |
| 80178 Lithium level | 68 | 83.8% | 2.71x | 41 | – |
| 80164 Valproic acid level, total | 67 | 88.1% | 3.34x | 39 | – |
| 80354 Fentanyl level | 65 | 72.3% | 4.88x | 42 | – |
| 87427 Detection test by immunoassay technique for Shiga-like toxin (bacterial toxin) | 64 | 71.9% | 1.90x | 30 | – |
| 86756 Analysis for antibody to respiratory syncytial virus (RSV) | 63 | 82.5% | – | 9 | – |
| 87641 Detection test by nucleic acid for Staphylococcus aureus, methicillin resistant | 62 | 88.7% | 1.48x | 33 | – |
| 87801 Detection test by nucleic acid for multiple organisms, amplified probe(s) techni | 60 | 85.0% | 5.03x | 40 | – |
| 82945 Glucose (sugar) level on body fluid | 58 | 77.6% | 4.33x | 37 | – |
| 83721 LDL cholesterol level | 57 | 89.5% | 3.36x | 35 | – |
| 86920 Blood unit compatibility test, immediate spin technique | 56 | 87.5% | 1.60x | 34 | – |
| 85347 Coagulation time measurement, activated | 55 | 92.7% | – | 19 | – |
| 86635 Analysis for antibody to Coccidioides (bacteria) | 55 | 72.7% | 4.52x | 32 | – |
| 80177 Levetiracetam level | 53 | 79.2% | 4.50x | 34 | – |
| 84153 PSA (prostate specific antigen) measurement, total | 52 | 80.8% | 6.56x | 34 | – |
| 80202 Vancomycin (antibiotic) level | 51 | 76.5% | 4.02x | 34 | – |
| 84295 Blood sodium level | 51 | 78.4% | 1.21x | 35 | – |
| 88364 Genetic sequencing localization, each additional procedure | 51 | 86.3% | 3.66x | 51 | – |
| 88365 Genetic sequencing localization, initial procedure | 51 | 86.3% | 3.91x | 51 | – |
| 80299 Quantitation of therapeutic drug | 50 | 90.0% | – | 20 | – |
| 84478 Triglycerides level | 49 | 89.8% | 5.81x | 35 | – |
| 84157 Total protein level, body fluid | 47 | 85.1% | – | 29 | – |
| 86593 Syphilis test | 47 | 76.6% | – | 24 | – |
| 87502 Detection test by nucleic acid for multiple types influenza virus | 47 | 78.7% | – | 24 | – |
| 81514 Measurement of DNA of bacteria in vaginal fluid specimen | 46 | 80.4% | 5.74x | 40 | – |
| 86431 Rheumatoid factor level | 46 | 87.0% | – | 29 | – |
| 86704 Hepatitis B core antibody measurement | 45 | 82.2% | – | 26 | – |
| 82435 Blood chloride level | 44 | 79.5% | – | 20 | – |
| 82465 Cholesterol level | 43 | 93.0% | – | 23 | – |
| 82533 Cortisol (hormone) measurement, total | 43 | 88.4% | – | 26 | – |
| 89060 Crystal identification from tissue or body fluid | 43 | 81.4% | – | 29 | – |
| 86003 Measurement of antibody (IgE) to allergic substance, crude allergen extract, eac | 41 | 97.6% | – | 15 | – |
| 87449 Detection test by immunoassay technique for other organism | 41 | 70.7% | 3.16x | 30 | – |
| 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | 40 | 85.0% | – | 28 | – |
| 87150 Identification of organisms by genetic analysis, amplified probe technique | 40 | 70.0% | 1.03x | 30 | – |
| 84300 Urine sodium level | 39 | 79.5% | – | 27 | – |
| 85004 White blood cell count | 39 | 61.5% | – | 16 | – |
| 86870 Identification of red blood cell antibodies | 39 | 87.2% | 3.05x | 33 | – |
| 87015 Concentration of specimen for infectious agents | 39 | 82.1% | – | 29 | – |
| 86885 Red blood cell antibody detection test, indirect | 38 | 92.1% | – | 15 | – |
| 88302 Pathology examination of tissue using a microscope | 38 | 94.7% | – | 8 | – |
| 82784 Gammaglobulin (immune system protein) measurement | 36 | 94.4% | – | 23 | – |
| 85060 Blood smear interpretation by physician with written report | 36 | 83.3% | – | 15 | – |
| 87328 Detection test by immunoassay technique for Cryptosporidium (parasite) | 36 | 86.1% | – | 24 | – |
| 81433 Gene analysis (breast and related cancers), duplication or deletion variants | 35 | 97.1% | 1.00x | 33 | – |
| 84146 Prolactin (milk producing hormone) level | 34 | 88.2% | – | 25 | – |
| 84466 Transferrin (iron binding protein) level | 34 | 67.6% | – | 24 | – |
| 87329 Detection test by immunoassay technique for Giardia (intestinal parasite) | 34 | 85.3% | – | 23 | – |
| 86701 Analysis for antibody to HIV -1 virus | 33 | 87.9% | – | 17 | – |
| 83718 HDL cholesterol level | 32 | 96.9% | – | 17 | – |
| 87634 Detection test by nucleic acid for respiratory syncytial virus, amplified probe | 32 | 87.5% | – | 23 | – |
| 86922 Blood unit compatibility test, antiglobulin technique | 31 | 83.9% | – | 23 | – |
| 83970 Parathormone (parathyroid hormone) level | 30 | 93.3% | – | 20 | – |
2023 Q1–2025 Q4 · rows with n ≥ 30 determined line items · sorted by n.
Dollar amounts by code
| CPT code | Line items with $ | Total awarded | Median award | Median QPA | Award ×QPA |
|---|---|---|---|---|---|
| 85025 Complete blood cell count (red cells, white blood cell, platelets), automated te | 67,507 | $19.1M | $268 | $45 | 4.15x |
| 80053 Blood test, comprehensive group of blood chemicals | 57,134 | $31.5M | $582 | $70 | 4.36x |
| 81003 Automated urinalysis test | 33,182 | $6.4M | $194 | $25 | 4.48x |
| 84484 Troponin (protein) analysis, quantitative | 26,292 | $10.3M | $318 | $79 | 3.81x |
| 87804 Detection test by immunoassay with direct visual observation for influenza virus | 20,748 | $5.5M | $222 | $75 | 3.05x |
| 87880 Detection test by immunoassay with direct visual observation for Streptococcus, | 20,185 | $5.4M | $217 | $61 | 3.67x |
| 81025 Urine pregnancy test | 15,259 | $3.0M | $143 | $34 | 3.48x |
| 87426 Detection test by immunoassay technique for severe acute respiratory syndrome co | 12,500 | $2.6M | $120 | $50 | 3.43x |
| 82150 Amylase (enzyme) level | 12,347 | $4.1M | $318 | $43 | 4.71x |
| 84703 Gonadotropin (reproductive hormone) analysis | 12,183 | $3.9M | $279 | $50 | 4.41x |
| 83690 Lipase (fat enzyme) level | 10,916 | $2.2M | $203 | $48 | 2.40x |
| 85027 Complete blood cell count (red cells, white blood cell, platelets), automated te | 10,710 | $2.2M | $225 | $31 | 4.34x |
| 80048 Blood test, basic group of blood chemicals (Calcium, total) | 10,605 | $4.0M | $408 | $68 | 3.46x |
| 82977 Glutamyltransferase (liver enzyme) level | 10,579 | $1.9M | $117 | $25 | 4.82x |
| 83735 Magnesium level | 10,082 | $2.4M | $201 | $32 | 4.65x |
| 81001 Manual urinalysis test with examination using microscope, automated | 9,286 | $1.3M | $129 | $24 | 2.97x |
| 82550 Creatine kinase (cardiac enzyme) level, total | 9,137 | $2.5M | $252 | $41 | 4.46x |
| 83605 Lactic acid level | 8,885 | $1.6M | $116 | $31 | 3.73x |
| 85379 Coagulation function measurement, D-dimer; quantitative | 8,383 | $3.5M | $414 | $60 | 4.58x |
| 87428 Detection test by immunoassay technique for severe acute respiratory syndrome co | 7,759 | $5.0M | $750 | $95 | 4.83x |
| 82947 Blood glucose (sugar) level | 7,370 | $1.5M | $167 | $26 | 5.43x |
| 80076 Liver function blood test panel | 7,224 | $3.2M | $430 | $61 | 4.52x |
| 87086 Bacterial colony count, urine | 7,126 | $1.8M | $254 | $45 | 3.55x |
| 82565 Blood creatinine level | 6,997 | $1.6M | $221 | $32 | 4.38x |
| 80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) | 6,785 | $3.0M | $421 | $55 | 5.72x |
| 84520 Urea nitrogen level to assess kidney function, quantitative | 6,562 | $1.4M | $193 | $29 | 3.31x |
| 82553 Creatine kinase (cardiac enzyme) level, MB fraction only | 6,129 | $3.2M | $398 | $59 | 4.19x |
| 83880 Natriuretic peptide (heart and blood vessel protein) level | 5,741 | $2.4M | $421 | $82 | 3.92x |
| 87081 Screening test for pathogenic organisms | 4,659 | $1.2M | $265 | $56 | 3.69x |
| 83874 Myoglobin (muscle protein) level | 4,588 | $1.8M | $317 | $50 | 1.81x |
| 81420 Test for detecting genes associated with fetal disease, aneuploidy genomic seque | 4,558 | $5.1M | $650 | $650 | 0.98x |
| 87633 Detection test by nucleic acid for multiple types of respiratory virus, multiple | 4,441 | $7.3M | $1,275 | $281 | 3.87x |
| 87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronav | 4,411 | $801,730 | $125 | $63 | 2.16x |
| 86140 Measurement C-reactive protein for detection of infection or inflammation | 4,237 | $201,990 | $29 | $10 | 2.28x |
| 87637 Detection test by multiplex amplified probe technique for severe acute respirato | 3,468 | $2.3M | $750 | $200 | 2.94x |
| 87040 Bacterial blood culture | 3,376 | $1.5M | $398 | $81 | 4.00x |
| 85610 Blood test, clotting time | 3,253 | $598,924 | $146 | $28 | 4.44x |
| 82040 Albumin (protein) level | 3,135 | $388,769 | $122 | $15 | 5.18x |
| 84702 Gonadotropin, chorionic (reproductive hormone) level | 2,880 | $959,698 | $274 | $81 | 3.42x |
| 84075 Phosphatase (enzyme) level, alkaline | 2,850 | $538,826 | $163 | $19 | 6.77x |
| 82247 Bilirubin level, total | 2,826 | $527,849 | $187 | $24 | 5.65x |
| 84155 Total protein level, blood | 2,819 | $454,402 | $175 | $19 | 5.85x |
| 80069 Kidney function blood test panel | 2,757 | $634,494 | $123 | $18 | 5.52x |
| 84450 Liver enzyme (SGOT), level | 2,707 | $676,829 | $226 | $31 | 5.64x |
| 84460 Liver enzyme (SGPT), level | 2,647 | $582,130 | $196 | $28 | 3.20x |
| 80305 Testing for presence of drug, read by direct observation | 2,361 | $946,525 | $345 | $41 | 5.67x |
| 86308 Screening test for mononucleosis (mono) | 2,238 | $354,889 | $139 | $37 | 3.53x |
| 80307 Testing for presence of drug, by chemistry analyzers | 2,202 | $665,330 | $222 | $118 | 2.15x |
| 85730 Coagulation assessment blood test, plasma or whole blood | 1,918 | $298,994 | $124 | $35 | 2.97x |
| 87798 Detection test by nucleic acid for organism, amplified probe technique | 1,592 | $1.3M | $570 | $121 | 5.70x |
| 87631 Detection test by nucleic acid for multiple types of respiratory virus, multiple | 1,581 | $1.4M | $713 | $310 | 2.94x |
| 88305 Pathology examination of tissue using a microscope, intermediate complexity | 1,562 | $2.2M | $195 | $49 | 9.99x |
| 84443 Blood test, thyroid stimulating hormone (TSH) | 1,545 | $379,680 | $170 | $56 | 2.87x |
| 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), | 1,445 | $490,596 | $314 | $84 | 3.50x |
| 87811 Detection test by immunoassay with direct visual observation for severe acute re | 1,431 | $232,325 | $111 | $19 | 5.00x |
| 84100 Phosphate level | 1,415 | $246,309 | $170 | $26 | 4.59x |
| 87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe techni | 1,342 | $522,598 | $317 | $89 | 2.32x |
| 81002 Urinalysis, manual test | 1,323 | $162,911 | $122 | $19 | 5.57x |
| 87088 Bacterial urine culture | 1,168 | $161,750 | $92 | $25 | 3.75x |
| 80047 Blood test, basic group of blood chemicals (Calcium, ionized) | 1,161 | $383,656 | $334 | $59 | 3.87x |
| 82803 Blood gases measurement | 1,126 | $558,784 | $467 | $65 | 4.68x |
| 86901 Blood typing for Rh (D) antigen | 1,038 | $166,350 | $183 | $40 | 3.15x |
| 86900 Blood group typing (ABO) | 1,014 | $227,938 | $222 | $49 | 3.43x |
| 87807 Detection test by immunoassay with direct visual observation for respiratory syn | 922 | $230,194 | $102 | $49 | 3.48x |
| 87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilut | 910 | $253,718 | $96 | $30 | 4.84x |
| 84550 Uric acid level, blood | 907 | $210,506 | $164 | $37 | 2.60x |
| 82962 Blood glucose (sugar) test performed by hand-held instrument | 857 | $82,720 | $83 | $15 | 3.26x |
| 84439 Thyroxine (thyroid chemical), free | 853 | $181,295 | $210 | $42 | 3.44x |
| 87651 Detection test by nucleic acid for Strep (Streptococcus, group A), amplified pro | 693 | $72,032 | $90 | $99 | 1.13x |
| 82948 Blood glucose (sugar) measurement using reagent strip | 666 | $67,031 | $98 | $14 | 4.02x |
| 86850 Screening test for red blood cell antibodies | 653 | $132,769 | $238 | $45 | 3.36x |
| 85007 Microscopic examination for white blood cells with manual cell count | 569 | $52,595 | $107 | $31 | 2.54x |
| 87632 Detection test by nucleic acid for multiple types of respiratory virus, multiple | 562 | $841,995 | $2,181 | $254 | 4.41x |
| 80320 Alcohols levels | 534 | $154,519 | $244 | $75 | 2.89x |
| 87070 Bacterial culture, any other source except urine, blood or stool, aerobic | 481 | $164,814 | $250 | $61 | 3.81x |
| 87077 Bacterial culture for aerobic isolates | 472 | $179,307 | $134 | $34 | 5.74x |
| 87581 Detection test by nucleic acid for Mycoplasma pneumoniae (bacteria), amplified p | 456 | $104,671 | $217 | $50 | 2.42x |
| 83036 Hemoglobin A1C level | 442 | $66,583 | $185 | $31 | 3.40x |
| 81007 Urinalysis for bacteria | 426 | $68,737 | $95 | $22 | 4.09x |
| 87205 Special Gram or Giemsa stain for microorganism | 408 | $61,471 | $153 | $26 | 3.77x |
| 85652 Red blood cell sedimentation rate, to detect inflammation, automated | 400 | $100,252 | $104 | $17 | 1.34x |
| 80061 Blood test, lipids (cholesterol and triglycerides) | 396 | $127,888 | $238 | $40 | 4.61x |
| 87507 Detection test by nucleic acid for digestive tract pathogen, multiple types or s | 359 | $874,356 | $1,370 | $249 | 5.55x |
| 87486 Detection test by nucleic acid for Chlamydia pneumoniae, amplified probe techniq | 347 | $57,717 | $39 | $14 | 1.72x |
| 86677 Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) | 346 | $99,355 | $239 | $35 | 5.67x |
| 84481 Thyroid hormone, T3 measurement, free | 310 | $84,372 | $268 | $56 | 3.27x |
| 87420 Detection test by immunoassay technique for respiratory syncytial virus (RSV) | 305 | $69,345 | $129 | $52 | 2.35x |
| 87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) | 293 | $98,238 | $424 | $19 | 6.22x |
| 84145 Procalcitonin (hormone) level | 282 | $119,177 | $589 | $60 | 4.82x |
| 88313 Special stained specimen slides to examine tissue including interpretation and r | 278 | $1.3M | $915 | $127 | 27.85x |
| 87582 Detection test by nucleic acid for Mycoplasma pneumoniae (bacteria), quantificat | 219 | $65,465 | $322 | $69 | 3.70x |
| 82554 Creatine kinase (cardiac enzyme) level, isoforms | 214 | $58,523 | $268 | $48 | 4.78x |
| 87661 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amp | 209 | $67,620 | $277 | $79 | 3.72x |
| 86592 Syphilis detection test | 198 | $44,950 | $218 | $42 | 3.39x |
| 80329 Analgesics levels, 1 or 2 | 192 | $79,560 | $458 | $86 | 3.22x |
| 82075 Measurement of alcohol level in breath specimen | 192 | $39,240 | $142 | $29 | 4.04x |
| 88342 Special stained specimen slides to examine tissue, initial procedure | 191 | $846,340 | $945 | $162 | 20.53x |
| 81329 Gene analysis (survival of motor neuron 1, telomeric) for dosage/deletion | 189 | $19,078 | $74 | $74 | 1.01x |
| 87076 Bacterial culture for anaerobic isolates | 189 | $60,292 | $441 | $24 | 5.52x |
| 87389 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 an | 171 | $33,278 | $191 | $44 | 3.09x |
| 80074 Acute hepatitis panel | 169 | $121,984 | $529 | $95 | 4.06x |
| 81220 Gene analysis (cystic fibrosis transmembrane conductance regular) common variant | 154 | $71,120 | $373 | $373 | 1.02x |
| 88312 Special stained specimen slides to identify organisms including interpretation a | 148 | $249,453 | $596 | $115 | 11.61x |
| 82010 Ketone bodies analysis, quantitative | 133 | $19,522 | $156 | $37 | 3.54x |
| 86738 Analysis for antibody to Mycoplasma (bacteria) | 129 | $15,955 | $110 | $35 | 2.93x |
| 80050 General health panel | 117 | $67,131 | $433 | $124 | 3.12x |
| 81443 Genomic sequence analysis panel for severe inherited conditions with sequencing | 115 | $166,407 | $1,462 | $1,462 | 0.99x |
| 86923 Blood unit compatibility test, electronic | 110 | $26,104 | $238 | $24 | 5.87x |
| 82248 Bilirubin level, direct | 96 | $9,930 | $110 | $34 | 3.28x |
| 87210 Smear for infectious agents | 95 | $8,864 | $78 | $37 | 1.92x |
| 82270 Stool analysis for blood to screen for colon tumors | 85 | $12,259 | $102 | $14 | 5.35x |
| 88307 Pathology examination of tissue using a microscope, moderately high complexity | 82 | $11,461 | $62 | $53 | 1.64x |
| 82607 Cyanocobalamin (vitamin B-12) level | 79 | $16,507 | $216 | $26 | 4.44x |
| 86141 Measurement C-reactive protein for detection of infection or inflammation, high | 78 | $14,148 | $222 | $41 | 3.64x |
| 87481 Detection test for candida species (yeast), amplified probe technique | 74 | $12,672 | $39 | $23 | 4.98x |
| 82140 Ammonia level | 71 | $19,079 | $272 | $70 | 3.34x |
| 87636 Detection test by multiplex amplified probe technique for severe acute respirato | 71 | $65,353 | $970 | $163 | 3.52x |
| 85014 Red blood cell concentration measurement | 69 | $6,264 | $95 | $11 | 3.89x |
| 87046 Stool culture, additional pathogens | 69 | $11,848 | $184 | $24 | 4.52x |
| 85378 Coagulation function measurement, qualitative or semiquantitative | 64 | $9,772 | $161 | $49 | 2.34x |
| 85651 Red blood cell sedimentation rate, to detect inflammation, non-automated | 64 | $7,143 | $99 | $33 | 2.99x |
| 85018 Blood count, hemoglobin | 63 | $5,404 | $79 | $9 | 5.02x |
| 82077 Measurement of alcohol level in specimen other than breath or urine | 62 | $9,611 | $129 | $81 | 1.75x |
| 87075 Bacterial culture, any source, except blood, anaerobic | 59 | $27,149 | $433 | $24 | 6.25x |
| 81000 Manual urinalysis test with examination using microscope, non-automated | 56 | $5,453 | $58 | $18 | 4.95x |
| 87181 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), agar dilut | 54 | $3,371 | $61 | $7 | 4.12x |
| 85380 Coagulation function measurement, ultrasensitive, qualitative or semiquantitativ | 51 | $33,856 | $788 | $102 | 3.38x |
| 80143 Measurement of acetaminophen | 50 | $6,811 | $75 | $37 | 2.78x |
| 82805 Blood gases measurement, with O2 saturation | 48 | $19,794 | $360 | $140 | 3.10x |
| 82746 Folic acid level, serum | 47 | $10,058 | $216 | $45 | 3.38x |
| 87529 Detection test by nucleic acid for herpes simplex virus, amplified probe techniq | 45 | $37,759 | $702 | $61 | 7.53x |
| 83615 Lactate dehydrogenase (enzyme) level | 40 | $5,876 | $159 | $16 | 6.27x |
| 83540 Iron level | 39 | $5,253 | $107 | $13 | 5.82x |
| 87490 Detection test by nucleic acid for chlamydia, direct probe technique | 39 | $12,591 | $330 | $49 | 4.90x |
| 87430 Detection test by immunoassay technique for Streptococcus, group A (strep) | 38 | $8,075 | $109 | $109 | 1.59x |
| 82306 Vitamin D-3 level | 37 | $7,517 | $250 | $22 | 5.64x |
| 82728 Ferritin (blood protein) level | 36 | $7,428 | $202 | $25 | 5.18x |
| 83550 Iron binding capacity | 36 | $3,570 | $81 | $29 | 3.37x |
| 88304 Pathology examination of tissue using a microscope, moderately low complexity | 34 | $12,804 | $458 | $57 | 4.12x |
| 81514 Measurement of DNA of bacteria in vaginal fluid specimen | 31 | $35,096 | $1,420 | $62 | 6.78x |
2024 Q3–2025 Q4 · CMS QPA and Offers file · rows with n ≥ 30 line items with dollar amounts · sorted by n · Award ×QPA = total awarded ÷ total QPA.