| Code | Description | Claims | Beneficiaries | Total Paid |
| G0482 |
Drug test def 15-21 classes |
203,443 |
102,137 |
$20.82M |
| G0483 |
Drug test def 22+ classes |
114,323 |
70,168 |
$15.62M |
| 80307 |
|
314,470 |
186,094 |
$13.04M |
| U0003 |
Cov-19 amp prb hgh thruput |
221,043 |
130,441 |
$11.38M |
| G0480 |
Drug test def 1-7 classes |
201,494 |
130,242 |
$10.53M |
| G0481 |
Drug test def 8-14 classes |
74,723 |
42,910 |
$4.20M |
| 87798 |
|
18,168 |
15,947 |
$2.03M |
| U0005 |
Infec agen detec ampli probe |
85,945 |
50,628 |
$1.40M |
| 82306 |
|
64,645 |
57,328 |
$1.27M |
| 80061 |
|
108,601 |
95,174 |
$982K |
| 87491 |
|
45,094 |
38,212 |
$922K |
| 84443 |
|
86,812 |
76,256 |
$908K |
| 80053 |
|
146,688 |
126,732 |
$870K |
| 87591 |
|
45,113 |
38,239 |
$849K |
| 87635 |
|
18,973 |
13,964 |
$757K |
| 87389 |
|
51,419 |
43,142 |
$687K |
| 85025 |
|
131,204 |
110,731 |
$680K |
| 83036 |
|
92,686 |
81,310 |
$614K |
| 87661 |
|
34,040 |
29,227 |
$593K |
| 80074 |
|
29,823 |
24,121 |
$577K |
| 80050 |
|
31,686 |
27,369 |
$490K |
| 87631 |
|
4,156 |
3,724 |
$373K |
| 82607 |
|
37,444 |
32,848 |
$360K |
| 87522 |
Neg quan hep c or qual rna |
15,991 |
13,427 |
$280K |
| 87633 |
|
2,277 |
1,759 |
$275K |
| 87481 |
|
11,520 |
10,148 |
$264K |
| 86803 |
|
23,944 |
21,598 |
$243K |
| 87636 |
|
2,348 |
1,955 |
$235K |
| 84439 |
|
34,947 |
30,558 |
$233K |
| 87086 |
|
30,718 |
26,774 |
$204K |
| 86481 |
|
4,888 |
4,390 |
$188K |
| 87804 |
|
9,682 |
8,282 |
$180K |
| 82746 |
|
19,533 |
16,935 |
$177K |
| U0002 |
Covid-19 lab test non-cdc |
4,311 |
3,502 |
$176K |
| 87640 |
|
7,930 |
6,913 |
$171K |
| 36415 |
|
120,717 |
97,381 |
$168K |
| 87511 |
|
8,101 |
7,116 |
$162K |
| 86003 |
|
1,803 |
1,401 |
$161K |
| 84481 |
|
12,347 |
10,954 |
$160K |
| 82652 |
|
6,323 |
5,282 |
$159K |
| 87902 |
|
1,133 |
1,020 |
$146K |
| 85027 |
|
33,426 |
28,329 |
$138K |
| 86592 |
|
49,452 |
41,866 |
$137K |
| 87581 |
|
5,973 |
5,158 |
$133K |
| 87486 |
|
5,965 |
5,150 |
$132K |
| 87070 |
|
12,541 |
11,151 |
$120K |
| 84146 |
|
6,896 |
6,092 |
$119K |
| 80048 |
|
19,909 |
16,433 |
$103K |
| 87541 |
|
4,444 |
3,785 |
$102K |
| 87186 |
|
13,383 |
11,859 |
$100K |
| 87340 |
|
15,530 |
14,157 |
$99K |
| 84403 |
|
6,044 |
5,452 |
$98K |
| 83735 |
|
25,326 |
21,427 |
$95K |
| 86706 |
|
15,082 |
13,281 |
$88K |
| 87088 |
|
12,800 |
11,338 |
$86K |
| 87430 |
|
10,887 |
8,684 |
$84K |
| 87653 |
|
4,019 |
3,577 |
$84K |
| 82728 |
|
9,680 |
8,591 |
$80K |
| 80164 |
|
7,769 |
6,762 |
$80K |
| 84153 |
|
6,788 |
6,095 |
$79K |
| 87500 |
|
3,719 |
3,288 |
$78K |
| 86696 |
|
5,436 |
4,707 |
$77K |
| 83525 |
|
7,543 |
6,500 |
$74K |
| 83550 |
|
12,764 |
11,330 |
$70K |
| 83540 |
|
16,442 |
14,486 |
$69K |
| 87150 |
|
1,117 |
971 |
$67K |
| 83880 |
|
3,591 |
3,021 |
$66K |
| 87556 |
|
1,705 |
1,658 |
$66K |
| 87498 |
|
3,514 |
2,864 |
$62K |
| 81025 |
|
13,145 |
9,864 |
$60K |
| 84436 |
|
15,959 |
13,147 |
$58K |
| 87536 |
|
1,598 |
1,423 |
$57K |
| 87651 |
|
1,808 |
1,751 |
$55K |
| 84479 |
|
15,218 |
12,579 |
$54K |
| 80076 |
|
8,683 |
7,724 |
$52K |
| 87400 |
|
6,522 |
5,214 |
$52K |
| 82670 |
|
2,891 |
2,588 |
$50K |
| 86695 |
|
5,339 |
4,619 |
$48K |
| 87532 |
|
2,661 |
2,051 |
$44K |
| 86360 |
|
1,061 |
993 |
$42K |
| 83970 |
|
1,933 |
1,623 |
$41K |
| 83013 |
|
764 |
686 |
$40K |
| 87807 |
|
3,776 |
3,195 |
$37K |
| 81001 |
|
28,311 |
23,173 |
$36K |
| 87507 |
|
88 |
88 |
$35K |
| 82043 |
|
10,154 |
8,906 |
$34K |
| 83001 |
|
2,736 |
2,457 |
$34K |
| 86359 |
|
1,057 |
989 |
$34K |
| 86704 |
|
5,210 |
4,763 |
$31K |
| 84402 |
|
2,397 |
2,247 |
$31K |
| 87529 |
|
750 |
689 |
$28K |
| 84702 |
|
3,626 |
2,885 |
$27K |
| 86038 |
|
3,179 |
2,875 |
$25K |
| 86376 |
|
2,726 |
2,379 |
$24K |
| 86705 |
|
4,914 |
4,536 |
$23K |
| 84703 |
|
4,746 |
3,955 |
$23K |
| 80178 |
|
4,153 |
3,514 |
$22K |
| 84144 |
|
1,578 |
1,398 |
$21K |
| 86140 |
|
5,924 |
5,112 |
$21K |
| 82140 |
|
1,854 |
1,576 |
$21K |
| 82570 |
|
7,663 |
6,623 |
$21K |
| 82785 |
|
1,419 |
1,272 |
$20K |
| 83002 |
|
1,680 |
1,544 |
$19K |
| 83655 |
|
2,066 |
1,839 |
$18K |
| 86709 |
|
3,704 |
3,303 |
$18K |
| 81003 |
|
12,071 |
9,822 |
$18K |
| 82977 |
|
3,955 |
3,433 |
$18K |
| 84100 |
|
5,968 |
4,938 |
$18K |
| 83721 |
|
2,749 |
2,520 |
$17K |
| 84270 |
|
1,519 |
1,417 |
$16K |
| 87801 |
|
189 |
153 |
$16K |
| 87081 |
|
2,881 |
2,609 |
$16K |
| 86665 |
|
866 |
742 |
$15K |
| 87075 |
|
1,874 |
1,650 |
$15K |
| 83090 |
|
1,089 |
890 |
$14K |
| 84550 |
|
4,666 |
4,016 |
$14K |
| 83690 |
|
3,186 |
2,811 |
$14K |
| 86790 |
|
582 |
579 |
$13K |
| 82150 |
|
3,057 |
2,649 |
$12K |
| 86762 |
|
1,211 |
1,043 |
$12K |
| 80177 |
|
1,538 |
1,326 |
$11K |
| G2024 |
Spec coll snf/lab covid-19 |
723 |
376 |
$11K |
| 86235 |
|
203 |
183 |
$10K |
| 85652 |
|
5,750 |
5,040 |
$10K |
| 86780 |
|
1,177 |
1,068 |
$10K |
| 86430 |
|
2,516 |
2,256 |
$9K |
| 84681 |
|
861 |
708 |
$9K |
| 85610 |
|
4,371 |
2,826 |
$9K |
| 87205 |
|
2,402 |
2,142 |
$9K |
| 82248 |
|
2,304 |
1,970 |
$8K |
| 87341 |
|
1,084 |
801 |
$8K |
| 80159 |
|
971 |
769 |
$8K |
| 86480 |
|
301 |
233 |
$8K |
| 83516 |
|
595 |
521 |
$7K |
| 87637 |
|
114 |
98 |
$7K |
| 86800 |
|
881 |
792 |
$6K |
| 86328 |
|
201 |
179 |
$6K |
| 84425 |
|
635 |
583 |
$6K |
| 82627 |
|
545 |
512 |
$6K |
| 82533 |
|
602 |
554 |
$6K |
| 84154 |
|
611 |
554 |
$6K |
| 87563 |
|
221 |
217 |
$6K |
| 86593 |
|
2,083 |
1,866 |
$5K |
| 86200 |
|
711 |
659 |
$5K |
| 85379 |
|
902 |
668 |
$5K |
| U0004 |
Cov-19 test non-cdc hgh thru |
93 |
92 |
$5K |
| 86617 |
|
391 |
329 |
$5K |
| 86694 |
|
604 |
492 |
$5K |
| 80377 |
|
3,328 |
1,543 |
$5K |
| 86664 |
|
556 |
467 |
$4K |
| 87506 |
|
21 |
19 |
$4K |
| 84480 |
|
498 |
440 |
$4K |
| 80305 |
|
565 |
224 |
$4K |
| 82550 |
|
883 |
759 |
$4K |
| 86141 |
|
398 |
310 |
$3K |
| 86663 |
|
493 |
410 |
$3K |
| 85045 |
|
1,263 |
1,123 |
$3K |
| 82671 |
|
230 |
215 |
$3K |
| 86769 |
|
70 |
59 |
$3K |
| 87502 |
|
87 |
73 |
$3K |
| 86317 |
|
343 |
194 |
$3K |
| 85018 |
|
1,598 |
1,486 |
$2K |
| 87493 |
|
129 |
115 |
$2K |
| 80349 |
|
1,092 |
839 |
$2K |
| 82951 |
|
231 |
175 |
$2K |
| 85060 |
|
352 |
278 |
$2K |
| 86850 |
|
364 |
316 |
$2K |
| 80069 |
|
573 |
501 |
$2K |
| 85014 |
|
1,225 |
1,149 |
$2K |
| 87209 |
|
128 |
110 |
$2K |
| 82947 |
|
635 |
512 |
$2K |
| 87045 |
|
234 |
212 |
$2K |
| 80346 |
|
1,174 |
935 |
$2K |
| 86765 |
|
278 |
260 |
$2K |
| 84134 |
|
165 |
122 |
$1K |
| 83021 |
|
84 |
72 |
$1K |
| 80361 |
|
1,119 |
880 |
$1K |
| 86735 |
|
248 |
229 |
$1K |
| 80364 |
|
1,069 |
835 |
$1K |
| 84460 |
|
571 |
521 |
$1K |
| 84450 |
|
530 |
487 |
$1K |
| 84156 |
|
723 |
629 |
$1K |
| 82040 |
|
709 |
665 |
$1K |
| 85730 |
|
320 |
279 |
$1K |
| 83992 |
|
948 |
731 |
$1K |
| G0103 |
Psa screening |
480 |
444 |
$1K |
| 86787 |
|
146 |
126 |
$1K |
| 83883 |
|
148 |
137 |
$991.48 |
| 86708 |
|
198 |
166 |
$961.59 |
| 87505 |
|
14 |
14 |
$825.75 |
| 83520 |
|
52 |
52 |
$806.19 |
| 82784 |
|
75 |
56 |
$786.61 |
| 87177 |
|
127 |
109 |
$762.12 |
| 80375 |
|
1,202 |
943 |
$746.82 |
| 80353 |
|
1,047 |
820 |
$742.91 |
| 80359 |
|
1,044 |
817 |
$741.13 |
| 80372 |
|
1,123 |
887 |
$723.90 |
| 80373 |
|
1,128 |
890 |
$723.90 |
| 80348 |
|
1,182 |
941 |
$718.17 |
| 80365 |
|
1,130 |
891 |
$717.53 |
| 80354 |
|
1,150 |
911 |
$712.44 |
| 86901 |
|
464 |
403 |
$702.06 |
| 86900 |
|
463 |
402 |
$701.86 |
| 84466 |
|
103 |
85 |
$656.55 |
| 80358 |
|
1,125 |
887 |
$651.30 |
| 84132 |
|
307 |
247 |
$649.51 |
| 84207 |
|
27 |
25 |
$639.66 |
| 80156 |
|
61 |
52 |
$617.13 |
| 88142 |
|
41 |
38 |
$571.70 |
| 86618 |
|
65 |
63 |
$553.90 |
| 86008 |
|
45 |
42 |
$547.15 |
| 87517 |
|
64 |
48 |
$515.07 |
| 80321 |
|
660 |
485 |
$507.15 |
| 83695 |
|
59 |
58 |
$488.59 |
| 80185 |
|
63 |
49 |
$463.39 |
| 86160 |
|
38 |
37 |
$445.87 |
| 86308 |
|
179 |
149 |
$438.98 |
| P9603 |
One-way allow prorated miles |
1,628 |
1,356 |
$421.57 |
| 83003 |
|
57 |
48 |
$413.62 |
| 83704 |
|
27 |
25 |
$410.58 |
| 87593 |
|
19 |
14 |
$392.52 |
| 80355 |
|
679 |
500 |
$369.83 |
| 80369 |
|
660 |
482 |
$364.10 |
| 80345 |
|
659 |
482 |
$352.64 |
| 86431 |
|
151 |
138 |
$348.85 |
| 80325 |
|
866 |
698 |
$347.06 |
| 80175 |
|
53 |
51 |
$335.38 |
| 80360 |
|
825 |
665 |
$329.87 |
| 80323 |
|
887 |
714 |
$325.26 |
| 80357 |
|
893 |
721 |
$318.41 |
| 82024 |
|
13 |
12 |
$299.12 |
| 82310 |
|
113 |
107 |
$292.90 |
| 82274 |
|
39 |
37 |
$289.68 |
| 84630 |
|
41 |
38 |
$258.63 |
| 84484 |
|
47 |
37 |
$243.12 |
| 84442 |
|
13 |
13 |
$232.08 |
| 86225 |
|
15 |
14 |
$222.56 |
| 87624 |
|
13 |
12 |
$204.21 |
| 82985 |
|
15 |
15 |
$182.82 |
| 86702 |
|
22 |
20 |
$162.18 |
| 85660 |
|
35 |
27 |
$151.70 |
| 83921 |
|
16 |
12 |
$148.22 |
| 80324 |
|
186 |
163 |
$139.47 |
| 86039 |
|
27 |
25 |
$138.18 |
| 84520 |
|
123 |
118 |
$127.48 |
| 80165 |
|
36 |
29 |
$126.27 |
| 83615 |
|
30 |
26 |
$115.29 |
| 86701 |
|
22 |
20 |
$107.21 |
| 84432 |
|
12 |
12 |
$84.97 |
| 84478 |
|
45 |
16 |
$71.70 |
| 82565 |
|
17 |
13 |
$71.67 |
| 83527 |
|
13 |
12 |
$69.44 |
| 86707 |
|
13 |
13 |
$68.77 |
| 82962 |
|
35 |
14 |
$40.04 |
| 85049 |
|
19 |
17 |
$32.24 |
| P9604 |
One-way allow prorated trip |
31 |
30 |
$2.07 |
| 80363 |
|
41 |
39 |
$0.00 |
| 80343 |
|
499 |
377 |
$0.00 |
| 80368 |
|
515 |
388 |
$0.00 |
| 81225 |
|
12 |
12 |
$0.00 |
| 81226 |
|
12 |
12 |
$0.00 |
| 81227 |
|
12 |
12 |
$0.00 |
| 80334 |
|
509 |
384 |
$0.00 |
| 81291 |
|
12 |
12 |
$0.00 |
| 80336 |
|
515 |
388 |
$0.00 |
| 80339 |
|
514 |
388 |
$0.00 |
| 80366 |
|
513 |
387 |
$0.00 |
| 80332 |
|
12 |
12 |
$0.00 |
| 80356 |
|
40 |
38 |
$0.00 |
| 81479 |
|
48 |
12 |
$0.00 |