| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
319,874 |
113,643 |
$19.54M |
| G0480 |
Drug test def 1-7 classes |
139,738 |
74,675 |
$5.45M |
| U0005 |
Infec agen detec ampli probe |
215,060 |
75,952 |
$3.85M |
| 80307 |
|
59,918 |
45,234 |
$2.53M |
| G2024 |
Spec coll snf/lab covid-19 |
94,403 |
26,657 |
$1.75M |
| 87798 |
|
9,680 |
4,470 |
$1.11M |
| 87635 |
|
28,992 |
7,276 |
$1.09M |
| 87389 |
|
17,743 |
15,442 |
$941K |
| 87591 |
|
21,880 |
17,954 |
$800K |
| 87491 |
|
21,766 |
17,974 |
$795K |
| 80321 |
|
20,223 |
9,234 |
$775K |
| 84443 |
|
57,269 |
52,177 |
$744K |
| 80053 |
|
84,055 |
74,187 |
$681K |
| 82306 |
|
48,362 |
43,036 |
$524K |
| 87661 |
|
21,313 |
18,121 |
$515K |
| 85025 |
|
85,927 |
76,839 |
$413K |
| 80061 |
|
73,599 |
64,437 |
$388K |
| 82607 |
|
32,890 |
28,687 |
$337K |
| 87481 |
|
7,620 |
3,746 |
$329K |
| 83036 |
|
54,013 |
48,648 |
$297K |
| 80050 |
|
16,920 |
13,581 |
$288K |
| 80361 |
|
24,320 |
12,366 |
$253K |
| 82746 |
|
23,882 |
20,677 |
$240K |
| 87633 |
|
809 |
595 |
$226K |
| 80348 |
|
23,028 |
11,170 |
$197K |
| 83540 |
|
31,053 |
27,451 |
$166K |
| 86480 |
|
3,501 |
3,191 |
$155K |
| 86706 |
|
13,274 |
11,821 |
$155K |
| 87511 |
|
4,172 |
3,056 |
$154K |
| 86780 |
|
10,372 |
9,004 |
$147K |
| G0481 |
Drug test def 8-14 classes |
8,885 |
4,668 |
$147K |
| 80346 |
|
21,522 |
10,054 |
$144K |
| 80324 |
|
20,980 |
9,658 |
$138K |
| 80358 |
|
13,350 |
6,682 |
$136K |
| 87086 |
|
16,489 |
14,534 |
$129K |
| 86003 |
|
10,092 |
2,910 |
$125K |
| 82728 |
|
17,934 |
15,675 |
$122K |
| 86803 |
|
9,116 |
8,131 |
$113K |
| 80353 |
|
12,844 |
6,570 |
$108K |
| 80354 |
|
18,429 |
9,292 |
$103K |
| 84466 |
|
13,533 |
11,753 |
$102K |
| 80074 |
|
3,013 |
2,688 |
$99K |
| 83735 |
|
17,664 |
14,641 |
$99K |
| 86769 |
|
2,715 |
1,491 |
$95K |
| 84153 |
|
8,112 |
7,273 |
$92K |
| 80365 |
|
21,500 |
10,324 |
$84K |
| 80356 |
|
23,988 |
12,063 |
$82K |
| 83970 |
|
2,983 |
2,573 |
$79K |
| 84439 |
|
11,701 |
10,208 |
$78K |
| 80349 |
|
16,094 |
7,161 |
$72K |
| 86696 |
|
4,205 |
3,516 |
$67K |
| 87186 |
|
7,480 |
6,509 |
$66K |
| 87340 |
|
7,009 |
6,265 |
$64K |
| 84403 |
|
3,077 |
2,702 |
$64K |
| 85027 |
|
12,129 |
8,082 |
$60K |
| 81001 |
|
25,462 |
22,311 |
$59K |
| 80048 |
|
8,781 |
7,082 |
$56K |
| 84550 |
|
18,374 |
15,891 |
$55K |
| 87088 |
|
6,135 |
5,421 |
$55K |
| 87641 |
|
1,668 |
1,239 |
$54K |
| 84436 |
|
10,265 |
9,080 |
$54K |
| 86695 |
|
4,320 |
3,591 |
$51K |
| 83655 |
|
4,932 |
4,400 |
$51K |
| 80359 |
|
3,707 |
2,248 |
$51K |
| 87624 |
|
2,117 |
1,730 |
$48K |
| 86140 |
|
11,444 |
9,812 |
$47K |
| 82550 |
|
11,562 |
9,801 |
$45K |
| 87502 |
|
823 |
502 |
$45K |
| 80345 |
|
4,263 |
2,220 |
$45K |
| 87651 |
|
1,269 |
1,068 |
$43K |
| 88175 |
|
2,651 |
2,189 |
$41K |
| 80373 |
|
9,450 |
5,045 |
$41K |
| 86735 |
|
3,498 |
3,094 |
$40K |
| 82533 |
|
3,421 |
3,007 |
$40K |
| 84480 |
|
4,543 |
4,102 |
$39K |
| 84100 |
|
12,312 |
10,113 |
$38K |
| 80355 |
|
2,001 |
1,704 |
$37K |
| 87581 |
|
1,054 |
802 |
$37K |
| 87486 |
|
1,040 |
804 |
$36K |
| 87653 |
|
1,074 |
799 |
$34K |
| 87522 |
Neg quan hep c or qual rna |
1,008 |
899 |
$33K |
| 83615 |
|
8,883 |
7,424 |
$33K |
| 84481 |
|
3,728 |
3,209 |
$33K |
| 80360 |
|
10,391 |
5,015 |
$32K |
| 86677 |
|
2,363 |
1,993 |
$31K |
| 86762 |
|
4,018 |
3,517 |
$30K |
| 86038 |
|
2,608 |
2,311 |
$29K |
| 80366 |
|
1,630 |
1,335 |
$29K |
| 81513 |
|
318 |
266 |
$29K |
| 86705 |
|
2,631 |
2,458 |
$28K |
| 84479 |
|
5,532 |
4,861 |
$28K |
| 85651 |
|
7,503 |
6,369 |
$27K |
| 80337 |
|
444 |
273 |
$27K |
| 86765 |
|
3,501 |
3,095 |
$26K |
| 82570 |
|
6,687 |
5,846 |
$26K |
| G0482 |
Drug test def 15-21 classes |
2,304 |
1,990 |
$26K |
| 82043 |
|
7,359 |
6,453 |
$25K |
| 86694 |
|
2,481 |
1,908 |
$25K |
| 87529 |
|
368 |
293 |
$24K |
| 36415 |
|
20,167 |
17,426 |
$23K |
| 80369 |
|
430 |
349 |
$23K |
| 86592 |
|
6,518 |
5,829 |
$22K |
| 87563 |
|
985 |
808 |
$21K |
| 87500 |
|
827 |
598 |
$21K |
| 87070 |
|
3,794 |
3,486 |
$20K |
| 82785 |
|
2,740 |
2,219 |
$19K |
| 87640 |
|
542 |
491 |
$18K |
| 80338 |
|
856 |
628 |
$17K |
| 83001 |
|
1,072 |
903 |
$17K |
| 83880 |
|
892 |
791 |
$16K |
| 86709 |
|
3,226 |
2,999 |
$16K |
| 86225 |
|
1,521 |
1,313 |
$15K |
| 80076 |
|
2,694 |
2,358 |
$15K |
| 80164 |
|
2,065 |
1,765 |
$15K |
| 84146 |
|
1,282 |
1,125 |
$14K |
| 80344 |
|
435 |
254 |
$13K |
| 80370 |
|
981 |
785 |
$12K |
| 83721 |
|
5,124 |
4,638 |
$12K |
| 85610 |
|
3,676 |
2,183 |
$11K |
| 80368 |
|
700 |
487 |
$10K |
| 80362 |
|
1,070 |
798 |
$10K |
| 86431 |
|
1,723 |
1,467 |
$10K |
| 83002 |
|
1,075 |
899 |
$10K |
| G0483 |
Drug test def 22+ classes |
136 |
105 |
$9K |
| 85045 |
|
4,072 |
3,521 |
$9K |
| 87631 |
|
134 |
75 |
$9K |
| 84681 |
|
727 |
531 |
$9K |
| 82977 |
|
3,413 |
3,168 |
$9K |
| 83090 |
|
719 |
621 |
$9K |
| 83550 |
|
1,358 |
1,292 |
$8K |
| 86258 |
|
580 |
416 |
$8K |
| 80372 |
|
1,156 |
912 |
$8K |
| 84702 |
|
1,058 |
898 |
$8K |
| 86364 |
|
582 |
416 |
$8K |
| 85660 |
|
1,939 |
1,705 |
$8K |
| 82150 |
|
1,610 |
1,504 |
$8K |
| 84703 |
|
1,344 |
1,231 |
$8K |
| 86141 |
|
642 |
431 |
$7K |
| 87498 |
|
188 |
155 |
$7K |
| 80177 |
|
880 |
687 |
$7K |
| 84270 |
|
481 |
411 |
$7K |
| 82960 |
|
1,238 |
1,000 |
$6K |
| 80342 |
|
208 |
205 |
$5K |
| 82784 |
|
665 |
491 |
$5K |
| 86704 |
|
621 |
545 |
$5K |
| 87880 |
|
373 |
343 |
$5K |
| 83690 |
|
881 |
799 |
$5K |
| 84144 |
|
479 |
391 |
$4K |
| 82670 |
|
346 |
272 |
$4K |
| 83021 |
|
339 |
301 |
$4K |
| 86800 |
|
343 |
269 |
$4K |
| 87801 |
|
120 |
68 |
$4K |
| 83992 |
|
204 |
148 |
$3K |
| 82627 |
|
404 |
327 |
$3K |
| 86376 |
|
321 |
248 |
$3K |
| G0471 |
Ven blood coll snf/hha |
3,100 |
1,834 |
$3K |
| 84450 |
|
745 |
709 |
$3K |
| 80185 |
|
240 |
170 |
$3K |
| 86901 |
|
708 |
638 |
$3K |
| 84145 |
|
154 |
117 |
$3K |
| 88305 |
|
84 |
72 |
$2K |
| 85730 |
|
552 |
493 |
$2K |
| 86200 |
|
284 |
252 |
$2K |
| 80202 |
|
202 |
68 |
$2K |
| 84460 |
|
783 |
745 |
$2K |
| 86787 |
|
153 |
144 |
$2K |
| 84425 |
|
179 |
161 |
$2K |
| 86900 |
|
674 |
608 |
$2K |
| 80178 |
|
348 |
306 |
$2K |
| 84134 |
|
180 |
145 |
$2K |
| 86708 |
|
135 |
129 |
$2K |
| 83516 |
|
59 |
34 |
$1K |
| 80374 |
|
80 |
57 |
$1K |
| 82140 |
|
164 |
122 |
$1K |
| 87493 |
|
62 |
51 |
$1K |
| 87040 |
|
115 |
94 |
$1K |
| 87205 |
|
379 |
334 |
$1K |
| 87536 |
|
16 |
14 |
$1K |
| 82248 |
|
318 |
255 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
17 |
16 |
$880.01 |
| 87634 |
|
52 |
49 |
$879.16 |
| 84132 |
|
228 |
154 |
$878.66 |
| P9603 |
One-way allow prorated miles |
1,633 |
969 |
$860.57 |
| G0103 |
Psa screening |
72 |
68 |
$744.72 |
| 86060 |
|
99 |
89 |
$730.17 |
| 82747 |
|
57 |
54 |
$684.60 |
| 82947 |
|
221 |
204 |
$611.63 |
| 80069 |
|
89 |
74 |
$599.17 |
| 86593 |
|
147 |
137 |
$498.66 |
| 86317 |
|
45 |
41 |
$492.84 |
| 87390 |
|
21 |
16 |
$431.19 |
| 80156 |
|
53 |
42 |
$411.81 |
| 83520 |
|
36 |
31 |
$411.58 |
| P9604 |
One-way allow prorated trip |
632 |
509 |
$390.80 |
| 87541 |
|
13 |
12 |
$381.60 |
| 82626 |
|
46 |
42 |
$364.60 |
| 84154 |
|
29 |
26 |
$309.69 |
| 84402 |
|
18 |
17 |
$295.36 |
| 87184 |
|
48 |
43 |
$284.91 |
| 82330 |
|
26 |
25 |
$272.59 |
| 84305 |
|
17 |
14 |
$227.87 |
| 87480 |
|
15 |
14 |
$221.77 |
| 87510 |
|
15 |
14 |
$221.77 |
| 82378 |
|
16 |
13 |
$216.99 |
| 86702 |
|
21 |
16 |
$191.13 |
| 86804 |
|
19 |
14 |
$186.85 |
| 87081 |
|
34 |
33 |
$175.79 |
| 85379 |
|
29 |
16 |
$171.62 |
| 87210 |
|
41 |
35 |
$167.41 |
| 86701 |
|
21 |
16 |
$166.65 |
| 87150 |
|
25 |
25 |
$151.30 |
| 82274 |
|
15 |
13 |
$144.21 |
| 80159 |
|
23 |
13 |
$137.89 |
| 87660 |
|
15 |
14 |
$134.82 |
| 87077 |
|
76 |
71 |
$128.26 |
| 83525 |
|
16 |
13 |
$123.77 |
| 85007 |
|
40 |
31 |
$122.79 |
| 81025 |
|
29 |
26 |
$96.31 |
| 82465 |
|
18 |
15 |
$50.73 |
| 84075 |
|
29 |
28 |
$37.44 |
| 80051 |
|
18 |
17 |
$22.21 |
| 82310 |
|
17 |
16 |
$11.12 |
| 82565 |
|
17 |
16 |
$11.00 |
| 82247 |
|
17 |
16 |
$10.80 |
| 82040 |
|
17 |
16 |
$10.68 |
| 84155 |
|
17 |
16 |
$7.88 |
| 80367 |
|
42 |
41 |
$0.00 |