| Code | Description | Claims | Beneficiaries | Total Paid |
| G0481 |
Drug test def 8-14 classes |
56,846 |
37,040 |
$3.22M |
| U0004 |
Cov-19 test non-cdc hgh thru |
36,378 |
21,520 |
$2.35M |
| 87798 |
|
15,571 |
12,901 |
$1.38M |
| 80307 |
|
53,949 |
37,295 |
$1.21M |
| 87633 |
|
3,392 |
3,045 |
$1.06M |
| G0480 |
Drug test def 1-7 classes |
23,221 |
18,128 |
$991K |
| 87150 |
|
9,744 |
7,831 |
$703K |
| 82306 |
|
44,689 |
39,539 |
$472K |
| U0005 |
Infec agen detec ampli probe |
23,338 |
13,801 |
$405K |
| 87481 |
|
11,020 |
9,085 |
$291K |
| 80061 |
|
56,179 |
49,991 |
$251K |
| 84311 |
|
77,780 |
51,148 |
$205K |
| 84443 |
|
49,271 |
43,422 |
$201K |
| 87491 |
|
15,597 |
13,561 |
$195K |
| 87591 |
|
15,597 |
13,564 |
$195K |
| 86235 |
|
2,177 |
2,020 |
$181K |
| 82607 |
|
29,282 |
26,278 |
$172K |
| 80050 |
|
12,364 |
11,273 |
$163K |
| 83036 |
|
50,521 |
45,086 |
$159K |
| 87661 |
|
13,421 |
11,603 |
$154K |
| 82570 |
|
82,124 |
54,657 |
$143K |
| 80053 |
|
53,978 |
47,705 |
$139K |
| 86003 |
|
1,162 |
968 |
$136K |
| 87500 |
|
10,377 |
9,135 |
$132K |
| 82746 |
|
19,018 |
17,080 |
$126K |
| 87653 |
|
10,368 |
8,749 |
$117K |
| 85025 |
|
58,366 |
51,493 |
$116K |
| 80323 |
|
8,680 |
7,344 |
$115K |
| 80354 |
|
9,457 |
7,947 |
$114K |
| 80360 |
|
9,062 |
7,746 |
$112K |
| 86769 |
|
3,511 |
1,575 |
$112K |
| 80357 |
|
8,551 |
7,443 |
$111K |
| 80171 |
|
7,931 |
6,831 |
$107K |
| 80368 |
|
8,280 |
7,037 |
$105K |
| 80369 |
|
7,783 |
6,835 |
$105K |
| 80366 |
|
8,499 |
7,203 |
$104K |
| 80342 |
|
7,984 |
6,920 |
$103K |
| 87640 |
|
10,635 |
8,907 |
$102K |
| 87486 |
|
3,906 |
3,362 |
$93K |
| 87581 |
|
3,908 |
3,362 |
$93K |
| 83090 |
|
12,556 |
11,234 |
$93K |
| 80361 |
|
7,516 |
6,286 |
$91K |
| 80372 |
|
6,521 |
5,988 |
$91K |
| 80374 |
|
7,601 |
6,401 |
$91K |
| 82728 |
|
15,330 |
14,072 |
$87K |
| 80346 |
|
6,286 |
5,234 |
$85K |
| 81226 |
|
1,041 |
945 |
$85K |
| 80074 |
|
5,292 |
4,597 |
$85K |
| 80356 |
|
6,618 |
5,452 |
$83K |
| 84403 |
|
8,166 |
7,356 |
$83K |
| 83018 |
|
2,870 |
2,456 |
$82K |
| 80365 |
|
5,855 |
5,179 |
$77K |
| 80348 |
|
6,488 |
5,283 |
$73K |
| 87389 |
|
8,688 |
7,739 |
$73K |
| 84439 |
|
21,665 |
19,164 |
$69K |
| 86780 |
|
13,327 |
11,770 |
$69K |
| 80373 |
|
5,546 |
4,632 |
$69K |
| 83986 |
|
62,093 |
39,752 |
$68K |
| 84480 |
|
9,682 |
8,940 |
$67K |
| 81003 |
|
75,824 |
50,397 |
$66K |
| 84466 |
|
10,769 |
9,996 |
$64K |
| 80358 |
|
5,975 |
4,926 |
$64K |
| 87641 |
|
5,033 |
4,108 |
$62K |
| 80324 |
|
4,829 |
4,292 |
$61K |
| 86708 |
|
13,321 |
11,752 |
$59K |
| 87799 |
|
4,314 |
3,567 |
$58K |
| 86704 |
|
13,308 |
11,746 |
$55K |
| 81225 |
|
1,019 |
938 |
$52K |
| 86706 |
|
13,568 |
11,976 |
$50K |
| 86696 |
|
6,741 |
5,941 |
$50K |
| 84153 |
|
7,997 |
7,274 |
$50K |
| 82670 |
|
5,383 |
4,768 |
$49K |
| 83704 |
|
5,300 |
4,728 |
$44K |
| 83735 |
|
15,151 |
13,796 |
$42K |
| 86800 |
|
4,141 |
3,871 |
$38K |
| 86376 |
|
4,646 |
4,317 |
$38K |
| 87086 |
|
14,357 |
12,696 |
$38K |
| 87390 |
|
4,761 |
4,254 |
$35K |
| 84144 |
|
4,976 |
4,388 |
$34K |
| 86695 |
|
6,696 |
5,896 |
$33K |
| 86705 |
|
7,771 |
7,008 |
$33K |
| 83698 |
|
3,373 |
3,080 |
$32K |
| 86709 |
|
7,654 |
6,907 |
$32K |
| 82627 |
|
3,839 |
3,435 |
$31K |
| 80350 |
|
3,449 |
2,629 |
$31K |
| 82977 |
|
8,878 |
8,127 |
$31K |
| 86141 |
|
7,793 |
6,906 |
$30K |
| 84550 |
|
16,680 |
15,049 |
$30K |
| 87340 |
|
7,991 |
7,205 |
$30K |
| 83525 |
|
8,782 |
7,765 |
$30K |
| 83001 |
|
4,201 |
3,759 |
$29K |
| 84146 |
|
3,939 |
3,511 |
$28K |
| 81231 |
|
453 |
425 |
$28K |
| 84481 |
|
8,216 |
7,302 |
$28K |
| 81227 |
|
471 |
467 |
$27K |
| 84270 |
|
3,422 |
3,057 |
$27K |
| G2023 |
Specimen collect covid-19 |
6,033 |
4,400 |
$26K |
| 83002 |
|
3,959 |
3,527 |
$26K |
| 83540 |
|
9,280 |
8,075 |
$26K |
| 84681 |
|
3,948 |
3,460 |
$26K |
| 82300 |
|
2,796 |
2,438 |
$25K |
| 81401 |
|
633 |
545 |
$25K |
| 81230 |
|
300 |
297 |
$24K |
| 82108 |
|
2,793 |
2,437 |
$24K |
| 86038 |
|
3,602 |
3,293 |
$24K |
| 84436 |
|
9,894 |
8,956 |
$24K |
| U0002 |
Covid-19 lab test non-cdc |
602 |
522 |
$23K |
| 83785 |
|
2,794 |
2,437 |
$23K |
| 80335 |
|
1,553 |
1,423 |
$23K |
| 86160 |
|
1,271 |
1,190 |
$22K |
| 83695 |
|
9,348 |
8,243 |
$21K |
| 80048 |
|
6,276 |
5,720 |
$21K |
| G2024 |
Spec coll snf/lab covid-19 |
4,602 |
1,791 |
$20K |
| 86702 |
|
4,772 |
4,263 |
$20K |
| 83880 |
|
2,173 |
1,933 |
$19K |
| 86225 |
|
2,184 |
2,037 |
$19K |
| 81001 |
|
16,905 |
15,234 |
$19K |
| 80076 |
|
4,296 |
4,035 |
$18K |
| 84402 |
|
2,570 |
2,250 |
$18K |
| 82985 |
|
1,484 |
1,419 |
$17K |
| 87186 |
|
5,024 |
4,505 |
$17K |
| 84154 |
|
2,645 |
2,411 |
$16K |
| 82652 |
|
987 |
868 |
$16K |
| 83721 |
|
12,262 |
10,551 |
$16K |
| 83550 |
|
11,997 |
10,925 |
$16K |
| 83885 |
|
1,907 |
1,723 |
$16K |
| 82175 |
|
2,803 |
2,451 |
$16K |
| 86618 |
|
1,315 |
1,235 |
$16K |
| 83825 |
|
2,803 |
2,449 |
$15K |
| 82248 |
|
6,858 |
6,352 |
$15K |
| 83970 |
|
1,133 |
987 |
$15K |
| 86701 |
|
4,764 |
4,259 |
$15K |
| 82550 |
|
3,944 |
3,680 |
$15K |
| 87088 |
|
4,386 |
3,959 |
$15K |
| 81328 |
|
314 |
299 |
$15K |
| 82043 |
|
6,812 |
6,232 |
$14K |
| 87505 |
|
417 |
358 |
$14K |
| 84255 |
|
995 |
919 |
$13K |
| 84630 |
|
2,843 |
2,486 |
$13K |
| 82525 |
|
2,819 |
2,465 |
$12K |
| 83655 |
|
3,163 |
2,787 |
$12K |
| 36415 |
|
39,535 |
34,102 |
$12K |
| 87350 |
|
3,225 |
2,682 |
$11K |
| 84378 |
|
1,144 |
1,107 |
$11K |
| 86707 |
|
3,075 |
2,538 |
$11K |
| 80349 |
|
765 |
703 |
$11K |
| 86803 |
|
1,737 |
1,541 |
$10K |
| 86431 |
|
3,742 |
3,400 |
$9K |
| 82785 |
|
745 |
678 |
$9K |
| 86140 |
|
3,860 |
3,534 |
$9K |
| 86703 |
|
1,876 |
1,663 |
$8K |
| 82172 |
|
2,008 |
1,767 |
$8K |
| 81223 |
|
17 |
17 |
$8K |
| 87631 |
|
429 |
244 |
$8K |
| 82542 |
|
1,717 |
1,509 |
$8K |
| 80347 |
|
596 |
540 |
$7K |
| 85651 |
|
3,297 |
3,015 |
$7K |
| 80320 |
|
483 |
437 |
$6K |
| 86256 |
|
1,235 |
1,114 |
$6K |
| 82495 |
|
439 |
347 |
$6K |
| 81400 |
|
607 |
526 |
$5K |
| 81002 |
|
5,569 |
4,898 |
$5K |
| 81291 |
|
220 |
220 |
$5K |
| 83789 |
|
1,135 |
1,025 |
$5K |
| 87652 |
|
415 |
360 |
$5K |
| 83992 |
|
272 |
249 |
$5K |
| 83516 |
|
715 |
659 |
$5K |
| 84315 |
|
5,477 |
4,329 |
$5K |
| 85045 |
|
1,831 |
1,706 |
$4K |
| 80353 |
|
272 |
249 |
$4K |
| 84479 |
|
4,335 |
3,615 |
$4K |
| 81406 |
|
24 |
20 |
$4K |
| 82150 |
|
2,218 |
2,024 |
$4K |
| 82784 |
|
278 |
261 |
$4K |
| 86301 |
|
223 |
203 |
$4K |
| 84702 |
|
556 |
485 |
$4K |
| 87651 |
|
282 |
268 |
$3K |
| 82378 |
|
274 |
252 |
$3K |
| 86804 |
|
513 |
467 |
$3K |
| 81479 |
|
283 |
280 |
$3K |
| 83690 |
|
1,280 |
1,163 |
$3K |
| 80364 |
|
183 |
163 |
$3K |
| 86677 |
|
229 |
208 |
$3K |
| 82725 |
|
819 |
724 |
$3K |
| 83921 |
|
179 |
176 |
$3K |
| 84100 |
|
1,861 |
1,623 |
$3K |
| 81259 |
|
21 |
17 |
$2K |
| 84482 |
|
937 |
786 |
$2K |
| 85610 |
|
1,893 |
1,310 |
$2K |
| G0482 |
Drug test def 15-21 classes |
200 |
183 |
$2K |
| 80345 |
|
156 |
119 |
$2K |
| 82533 |
|
798 |
652 |
$2K |
| 81252 |
|
17 |
17 |
$2K |
| 84425 |
|
273 |
230 |
$1K |
| 82105 |
|
84 |
80 |
$1K |
| 84207 |
|
112 |
97 |
$1K |
| 86304 |
|
77 |
71 |
$1K |
| 86592 |
|
760 |
695 |
$1K |
| 84252 |
|
233 |
191 |
$1K |
| 85046 |
|
531 |
467 |
$971.02 |
| 86300 |
|
55 |
53 |
$968.64 |
| 81250 |
|
17 |
17 |
$935.84 |
| 81243 |
|
17 |
17 |
$912.64 |
| 85730 |
|
501 |
443 |
$907.43 |
| 84140 |
|
130 |
114 |
$901.12 |
| 84445 |
|
67 |
61 |
$867.85 |
| 81255 |
|
17 |
17 |
$823.20 |
| 81251 |
|
17 |
17 |
$756.00 |
| 81200 |
|
17 |
17 |
$756.00 |
| 81330 |
|
17 |
17 |
$752.00 |
| 84156 |
|
574 |
474 |
$750.11 |
| 86901 |
|
331 |
317 |
$723.30 |
| 86900 |
|
330 |
316 |
$720.62 |
| 81290 |
|
17 |
17 |
$628.96 |
| 81260 |
|
17 |
17 |
$628.96 |
| 81209 |
|
17 |
17 |
$628.96 |
| 81405 |
|
20 |
20 |
$602.70 |
| 0202U |
|
14 |
12 |
$557.58 |
| 80355 |
|
259 |
222 |
$552.23 |
| 81404 |
|
17 |
17 |
$549.66 |
| 84446 |
|
431 |
335 |
$525.05 |
| P9604 |
One-way allow prorated trip |
815 |
648 |
$416.08 |
| 84590 |
|
196 |
160 |
$375.59 |
| 83876 |
|
47 |
40 |
$362.79 |
| 82947 |
|
113 |
108 |
$344.83 |
| 80164 |
|
145 |
124 |
$334.04 |
| 81005 |
|
323 |
316 |
$308.92 |
| 82787 |
|
14 |
14 |
$275.12 |
| 86694 |
|
45 |
43 |
$266.67 |
| 83615 |
|
487 |
387 |
$260.50 |
| 84591 |
|
247 |
176 |
$252.74 |
| 80352 |
|
54 |
51 |
$247.64 |
| 80069 |
|
520 |
414 |
$217.59 |
| 86039 |
|
44 |
40 |
$197.19 |
| 86762 |
|
28 |
27 |
$146.34 |
| 86787 |
|
27 |
25 |
$112.22 |
| 88112 |
|
78 |
74 |
$102.37 |
| 80178 |
|
16 |
16 |
$97.22 |
| 86735 |
|
14 |
13 |
$70.34 |
| 86765 |
|
14 |
13 |
$69.38 |
| 82610 |
|
13 |
13 |
$68.54 |
| 80177 |
|
14 |
12 |
$47.36 |
| 81242 |
|
20 |
20 |
$36.62 |
| 86850 |
|
14 |
14 |
$25.04 |
| 81015 |
|
88 |
84 |
$22.98 |
| 87147 |
|
15 |
14 |
$19.24 |
| 82553 |
|
14 |
13 |
$4.50 |
| 82180 |
|
93 |
67 |
$3.96 |
| 81205 |
|
17 |
17 |
$0.00 |
| 0032U |
|
232 |
202 |
$0.00 |
| 81363 |
|
17 |
17 |
$0.00 |
| 81355 |
|
131 |
130 |
$0.00 |
| 81364 |
|
17 |
17 |
$0.00 |
| 81232 |
|
64 |
51 |
$0.00 |
| 80301 |
|
12 |
12 |
$0.00 |
| 80336 |
|
20 |
14 |
$0.00 |
| 81222 |
|
17 |
17 |
$0.00 |
| 0033U |
|
232 |
202 |
$0.00 |
| 0031U |
|
232 |
202 |
$0.00 |
| 81350 |
|
75 |
57 |
$0.00 |
| P9603 |
One-way allow prorated miles |
45 |
32 |
$0.00 |
| 81254 |
|
17 |
17 |
$0.00 |