| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
369,511 |
168,394 |
$13.02M |
| 87798 |
|
26,966 |
23,243 |
$3.29M |
| U0005 |
Infec agen detec ampli probe |
217,258 |
99,043 |
$2.35M |
| 87633 |
|
5,490 |
4,942 |
$1.19M |
| 87637 |
|
6,126 |
5,821 |
$373K |
| 80074 |
|
15,193 |
14,013 |
$256K |
| 82306 |
|
25,263 |
23,015 |
$237K |
| 87481 |
|
7,920 |
6,851 |
$208K |
| 80053 |
|
64,451 |
56,417 |
$207K |
| 84443 |
|
36,081 |
32,530 |
$192K |
| 85025 |
|
77,981 |
64,032 |
$174K |
| 87640 |
|
12,033 |
10,653 |
$170K |
| 87581 |
|
9,124 |
8,364 |
$162K |
| 87507 |
|
1,122 |
995 |
$159K |
| 87486 |
|
8,833 |
8,078 |
$157K |
| 80061 |
|
33,349 |
30,258 |
$149K |
| 87491 |
|
8,119 |
7,369 |
$130K |
| 87653 |
|
8,548 |
7,526 |
$129K |
| G2023 |
Specimen collect covid-19 |
8,211 |
3,660 |
$122K |
| 87389 |
|
10,937 |
10,189 |
$120K |
| 87661 |
|
7,727 |
6,951 |
$118K |
| 87591 |
|
7,642 |
6,944 |
$116K |
| 87636 |
|
1,636 |
1,542 |
$105K |
| 83036 |
|
34,042 |
30,853 |
$102K |
| 82607 |
|
19,078 |
17,393 |
$98K |
| 87651 |
|
4,435 |
3,965 |
$80K |
| 87563 |
|
4,873 |
4,471 |
$77K |
| 87498 |
|
5,107 |
4,874 |
$75K |
| 87632 |
|
1,139 |
926 |
$73K |
| 87522 |
Neg quan hep c or qual rna |
3,627 |
3,386 |
$73K |
| 80307 |
|
2,511 |
2,014 |
$69K |
| 87635 |
|
3,098 |
2,655 |
$63K |
| G0480 |
Drug test def 1-7 classes |
1,502 |
1,173 |
$58K |
| 86480 |
|
1,637 |
1,503 |
$49K |
| 36415 |
|
49,183 |
35,056 |
$41K |
| 87186 |
|
3,919 |
3,455 |
$41K |
| 80047 |
|
13,710 |
9,929 |
$38K |
| P9603 |
One-way allow prorated miles |
31,234 |
21,924 |
$38K |
| 82746 |
|
6,316 |
5,751 |
$34K |
| G0481 |
Drug test def 8-14 classes |
537 |
403 |
$31K |
| 80050 |
|
1,456 |
1,333 |
$30K |
| 84439 |
|
8,969 |
8,170 |
$30K |
| 87086 |
|
10,131 |
8,973 |
$28K |
| 87641 |
|
1,770 |
1,587 |
$28K |
| 87529 |
|
981 |
898 |
$27K |
| 86703 |
|
4,258 |
3,839 |
$27K |
| 84481 |
|
3,819 |
3,494 |
$25K |
| 82728 |
|
4,934 |
4,501 |
$24K |
| 87511 |
|
1,231 |
1,100 |
$20K |
| 84403 |
|
1,864 |
1,714 |
$20K |
| 80048 |
|
8,805 |
6,750 |
$19K |
| 87502 |
|
1,044 |
926 |
$18K |
| 83880 |
|
2,192 |
1,765 |
$18K |
| 87631 |
|
422 |
385 |
$17K |
| 84153 |
|
2,768 |
2,413 |
$17K |
| G0482 |
Drug test def 15-21 classes |
285 |
217 |
$17K |
| 83540 |
|
7,031 |
6,384 |
$15K |
| 83735 |
|
7,346 |
6,373 |
$15K |
| 82670 |
|
1,329 |
1,238 |
$15K |
| P9604 |
One-way allow prorated trip |
27,212 |
18,399 |
$14K |
| 80164 |
|
4,425 |
3,854 |
$13K |
| 84402 |
|
1,220 |
1,116 |
$12K |
| 87902 |
|
111 |
104 |
$11K |
| 83550 |
|
4,131 |
3,753 |
$11K |
| 85027 |
|
4,863 |
4,088 |
$11K |
| 87501 |
|
1,001 |
926 |
$10K |
| 81003 |
|
13,458 |
11,872 |
$10K |
| 86803 |
|
1,943 |
1,822 |
$8K |
| 84144 |
|
959 |
885 |
$8K |
| 83001 |
|
983 |
910 |
$7K |
| 83970 |
|
753 |
665 |
$7K |
| 87088 |
|
2,952 |
2,577 |
$7K |
| 86376 |
|
1,005 |
940 |
$7K |
| 84466 |
|
1,357 |
1,275 |
$7K |
| 87541 |
|
344 |
334 |
$6K |
| 83525 |
|
1,146 |
1,071 |
$6K |
| 86592 |
|
2,723 |
2,566 |
$6K |
| 85610 |
|
6,140 |
2,342 |
$5K |
| 87070 |
|
1,791 |
1,637 |
$5K |
| 83002 |
|
723 |
663 |
$5K |
| 80076 |
|
3,229 |
2,826 |
$5K |
| 80177 |
|
1,643 |
1,447 |
$5K |
| 86141 |
|
1,034 |
745 |
$4K |
| 86593 |
|
1,968 |
1,829 |
$4K |
| 82627 |
|
361 |
333 |
$4K |
| 84702 |
|
475 |
444 |
$3K |
| 87506 |
|
60 |
59 |
$3K |
| 86705 |
|
911 |
811 |
$3K |
| 82043 |
|
1,946 |
1,771 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
103 |
95 |
$3K |
| 84436 |
|
1,882 |
1,698 |
$3K |
| 86140 |
|
1,623 |
1,216 |
$3K |
| 86780 |
|
466 |
458 |
$3K |
| 84270 |
|
412 |
376 |
$3K |
| 84480 |
|
956 |
853 |
$3K |
| 84146 |
|
362 |
341 |
$3K |
| 87500 |
|
316 |
254 |
$3K |
| 82570 |
|
1,443 |
1,325 |
$2K |
| 86038 |
|
444 |
416 |
$2K |
| 80178 |
|
1,022 |
748 |
$2K |
| 87340 |
|
783 |
697 |
$2K |
| 82533 |
|
278 |
264 |
$2K |
| 86800 |
|
260 |
253 |
$2K |
| 87280 |
|
1,019 |
901 |
$2K |
| 82553 |
|
360 |
331 |
$2K |
| 86431 |
|
744 |
692 |
$2K |
| 85651 |
|
1,345 |
928 |
$2K |
| 82248 |
|
806 |
770 |
$2K |
| 86709 |
|
562 |
502 |
$2K |
| 84703 |
|
409 |
372 |
$2K |
| 87493 |
|
228 |
205 |
$2K |
| 83690 |
|
576 |
523 |
$2K |
| 82550 |
|
622 |
468 |
$1K |
| 86708 |
|
249 |
229 |
$1K |
| 82150 |
|
546 |
503 |
$1K |
| 84165 |
|
411 |
381 |
$1K |
| 82140 |
|
420 |
317 |
$1K |
| 87634 |
|
117 |
105 |
$1K |
| 84550 |
|
1,155 |
1,046 |
$1K |
| 85652 |
|
1,147 |
919 |
$1K |
| 80069 |
|
710 |
595 |
$1K |
| 86696 |
|
121 |
117 |
$1K |
| 87801 |
|
105 |
97 |
$1K |
| 82565 |
|
1,205 |
774 |
$1K |
| 86702 |
|
135 |
134 |
$813.76 |
| 86695 |
|
126 |
121 |
$808.67 |
| 80185 |
|
399 |
308 |
$797.81 |
| 84134 |
|
302 |
246 |
$716.39 |
| 84156 |
|
479 |
434 |
$653.22 |
| 80202 |
|
233 |
71 |
$643.77 |
| 80175 |
|
144 |
130 |
$580.28 |
| 86701 |
|
142 |
141 |
$562.92 |
| 84681 |
|
64 |
63 |
$543.43 |
| 84105 |
|
419 |
355 |
$528.71 |
| 84132 |
|
527 |
437 |
$504.04 |
| 86328 |
|
115 |
114 |
$473.06 |
| 86677 |
|
60 |
56 |
$454.63 |
| 84252 |
|
55 |
50 |
$397.58 |
| 82465 |
|
211 |
187 |
$383.07 |
| 87503 |
|
806 |
743 |
$347.09 |
| 80156 |
|
115 |
98 |
$337.22 |
| 82274 |
|
87 |
75 |
$279.94 |
| 82040 |
|
520 |
403 |
$273.45 |
| 80165 |
|
98 |
89 |
$267.91 |
| 84479 |
|
419 |
360 |
$266.78 |
| 82950 |
|
142 |
129 |
$262.06 |
| 80162 |
|
158 |
138 |
$246.70 |
| 87077 |
|
80 |
75 |
$238.33 |
| 84155 |
|
499 |
454 |
$231.26 |
| 84100 |
|
165 |
148 |
$225.42 |
| 82977 |
|
94 |
84 |
$223.91 |
| 85018 |
|
343 |
246 |
$220.63 |
| 81001 |
|
227 |
198 |
$187.82 |
| 81025 |
|
39 |
38 |
$182.64 |
| 83721 |
|
246 |
199 |
$157.71 |
| 86706 |
|
30 |
26 |
$137.26 |
| 82947 |
|
222 |
171 |
$129.57 |
| 86704 |
|
27 |
27 |
$124.71 |
| 84520 |
|
137 |
85 |
$121.12 |
| 85045 |
|
98 |
87 |
$104.78 |
| 84460 |
|
63 |
52 |
$102.36 |
| 84154 |
|
14 |
12 |
$91.39 |
| 87205 |
|
49 |
47 |
$82.15 |
| 83615 |
|
29 |
26 |
$71.15 |
| 84450 |
|
34 |
29 |
$38.50 |
| 84295 |
|
49 |
38 |
$33.93 |
| 80051 |
|
44 |
42 |
$29.57 |
| 85014 |
|
80 |
43 |
$24.68 |
| 82310 |
|
18 |
17 |
$9.80 |
| 81015 |
|
16 |
15 |
$6.07 |
| 82247 |
|
49 |
44 |
$5.98 |
| 82435 |
|
16 |
16 |
$4.60 |
| G0471 |
Ven blood coll snf/hha |
40 |
39 |
$0.00 |
| 87807 |
|
43 |
43 |
$0.00 |