| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
85,820 |
70,907 |
$5.57M |
| 87798 |
|
53,233 |
50,786 |
$4.74M |
| 87631 |
|
34,082 |
32,520 |
$1.81M |
| U0005 |
Infec agen detec ampli probe |
82,383 |
69,747 |
$1.66M |
| U0004 |
Cov-19 test non-cdc hgh thru |
16,017 |
14,738 |
$812K |
| 87486 |
|
46,236 |
44,244 |
$647K |
| 87581 |
|
46,226 |
44,231 |
$576K |
| 82306 |
|
32,672 |
32,402 |
$571K |
| 87635 |
|
27,538 |
26,511 |
$511K |
| 87637 |
|
5,034 |
4,803 |
$371K |
| 88305 |
|
7,885 |
7,714 |
$350K |
| 87502 |
|
9,990 |
9,653 |
$338K |
| 86769 |
|
6,660 |
6,208 |
$250K |
| 80050 |
|
15,769 |
15,713 |
$232K |
| 82607 |
|
29,058 |
28,897 |
$213K |
| 0202U |
|
1,097 |
1,059 |
$204K |
| 83036 |
|
36,953 |
36,787 |
$203K |
| 80053 |
|
30,533 |
30,269 |
$175K |
| 86480 |
|
5,559 |
5,523 |
$172K |
| 87491 |
|
12,106 |
11,877 |
$171K |
| 84439 |
|
29,175 |
29,025 |
$153K |
| 82746 |
|
21,088 |
20,955 |
$153K |
| 87591 |
|
12,136 |
11,893 |
$153K |
| 82728 |
|
17,895 |
17,777 |
$143K |
| 87481 |
|
7,731 |
7,604 |
$137K |
| 80061 |
|
37,678 |
37,545 |
$135K |
| 84481 |
|
23,258 |
23,144 |
$121K |
| 84443 |
|
24,173 |
24,064 |
$119K |
| 83970 |
|
4,956 |
4,947 |
$102K |
| 83013 |
|
2,970 |
2,927 |
$92K |
| 80074 |
|
3,902 |
3,893 |
$92K |
| 86003 |
|
2,385 |
2,195 |
$78K |
| 87653 |
|
6,768 |
6,658 |
$78K |
| 87640 |
|
6,731 |
6,621 |
$78K |
| 87389 |
|
7,621 |
7,554 |
$77K |
| 87563 |
|
6,368 |
6,036 |
$75K |
| 87661 |
|
7,045 |
6,915 |
$75K |
| G2023 |
Specimen collect covid-19 |
13,108 |
11,507 |
$74K |
| 80307 |
|
11,920 |
10,746 |
$73K |
| 84153 |
|
6,614 |
6,589 |
$69K |
| 87536 |
|
1,205 |
1,195 |
$68K |
| 88120 |
|
748 |
721 |
$68K |
| 85025 |
|
36,489 |
36,072 |
$67K |
| 88312 |
|
4,196 |
4,133 |
$62K |
| 82670 |
|
3,937 |
3,898 |
$59K |
| 86706 |
|
11,200 |
11,160 |
$59K |
| 84466 |
|
8,558 |
8,513 |
$57K |
| 88342 |
|
2,222 |
2,196 |
$57K |
| 83880 |
|
2,965 |
2,889 |
$55K |
| 86708 |
|
8,288 |
8,160 |
$52K |
| 86696 |
|
5,347 |
5,288 |
$52K |
| 81001 |
|
27,736 |
27,259 |
$51K |
| 83540 |
|
16,989 |
16,892 |
$49K |
| 86704 |
|
7,719 |
7,678 |
$46K |
| 84403 |
|
3,118 |
3,086 |
$46K |
| 87340 |
|
10,920 |
10,783 |
$46K |
| 87086 |
|
9,628 |
9,413 |
$46K |
| 84154 |
|
4,383 |
4,365 |
$46K |
| 86803 |
|
10,688 |
10,633 |
$43K |
| 86762 |
|
4,629 |
4,601 |
$41K |
| 84550 |
|
15,400 |
15,330 |
$39K |
| 83090 |
|
3,789 |
3,726 |
$38K |
| 87636 |
|
2,084 |
1,996 |
$38K |
| 86765 |
|
4,640 |
4,607 |
$37K |
| 83735 |
|
11,701 |
11,405 |
$35K |
| 86141 |
|
6,406 |
6,366 |
$34K |
| 87150 |
|
625 |
619 |
$33K |
| 88313 |
|
2,336 |
2,319 |
$32K |
| 81514 |
|
1,050 |
1,028 |
$31K |
| 87801 |
|
1,017 |
1,008 |
$30K |
| 82378 |
|
2,547 |
2,536 |
$29K |
| 88304 |
|
1,060 |
1,038 |
$28K |
| 86235 |
|
2,326 |
2,202 |
$27K |
| 84144 |
|
2,387 |
2,365 |
$27K |
| 86709 |
|
7,904 |
7,873 |
$25K |
| 83001 |
|
2,517 |
2,498 |
$25K |
| 83002 |
|
2,473 |
2,454 |
$25K |
| 87070 |
|
5,356 |
5,252 |
$24K |
| 83550 |
|
8,776 |
8,704 |
$22K |
| 86735 |
|
4,479 |
4,451 |
$22K |
| 83655 |
|
2,955 |
2,885 |
$22K |
| 84146 |
|
2,035 |
2,020 |
$21K |
| 83525 |
|
3,229 |
3,213 |
$21K |
| 86695 |
|
4,884 |
4,820 |
$21K |
| 82652 |
|
2,924 |
2,917 |
$20K |
| 84402 |
|
1,562 |
1,554 |
$20K |
| 82533 |
|
2,318 |
2,307 |
$19K |
| 88112 |
|
1,198 |
1,154 |
$19K |
| 86376 |
|
2,261 |
2,247 |
$18K |
| 82627 |
|
1,618 |
1,610 |
$18K |
| 82043 |
|
6,048 |
6,004 |
$18K |
| 86592 |
|
7,838 |
7,769 |
$17K |
| 86780 |
|
2,198 |
2,162 |
$17K |
| 86787 |
|
3,543 |
3,526 |
$17K |
| 84270 |
|
3,738 |
3,695 |
$17K |
| 87651 |
|
1,179 |
1,165 |
$17K |
| 85651 |
|
13,945 |
13,830 |
$17K |
| 85730 |
|
4,754 |
4,610 |
$16K |
| 88311 |
|
2,334 |
2,303 |
$16K |
| 87512 |
|
927 |
915 |
$14K |
| 82785 |
|
2,015 |
1,985 |
$14K |
| 80048 |
|
3,289 |
3,271 |
$13K |
| 87624 |
|
727 |
724 |
$13K |
| 83690 |
|
4,235 |
4,220 |
$13K |
| 86038 |
|
4,468 |
4,413 |
$13K |
| 82248 |
|
4,058 |
4,053 |
$12K |
| G0480 |
Drug test def 1-7 classes |
987 |
865 |
$12K |
| 83992 |
|
2,685 |
2,560 |
$12K |
| 82150 |
|
4,915 |
4,901 |
$12K |
| 85610 |
|
5,111 |
4,964 |
$12K |
| 84207 |
|
729 |
724 |
$11K |
| 86800 |
|
1,467 |
1,453 |
$11K |
| 86705 |
|
4,809 |
4,793 |
$11K |
| 80076 |
|
2,581 |
2,574 |
$10K |
| 86618 |
|
1,040 |
1,036 |
$10K |
| 87799 |
|
790 |
782 |
$9K |
| 82784 |
|
1,650 |
1,592 |
$9K |
| 87634 |
|
2,326 |
2,214 |
$9K |
| 81000 |
|
3,702 |
3,613 |
$9K |
| 84436 |
|
12,828 |
12,730 |
$8K |
| 84305 |
|
758 |
756 |
$8K |
| 86225 |
|
2,874 |
2,855 |
$8K |
| 83516 |
|
1,581 |
1,570 |
$8K |
| 82172 |
|
663 |
662 |
$7K |
| 86431 |
|
2,360 |
2,305 |
$7K |
| 86140 |
|
3,044 |
3,029 |
$7K |
| 84702 |
|
866 |
851 |
$7K |
| 87633 |
|
179 |
179 |
$7K |
| 80345 |
|
3,210 |
3,044 |
$7K |
| 87109 |
|
945 |
941 |
$6K |
| 86258 |
|
1,132 |
1,130 |
$6K |
| 88142 |
|
377 |
375 |
$6K |
| 86665 |
|
314 |
310 |
$6K |
| 84425 |
|
769 |
768 |
$6K |
| 80349 |
|
3,480 |
3,197 |
$6K |
| 86255 |
|
1,902 |
1,897 |
$6K |
| 84446 |
|
877 |
873 |
$6K |
| 82570 |
|
3,926 |
3,835 |
$6K |
| 86901 |
|
3,265 |
3,205 |
$6K |
| 88174 |
|
367 |
364 |
$6K |
| 82180 |
|
987 |
986 |
$5K |
| 84432 |
|
1,127 |
1,108 |
$5K |
| 86301 |
|
466 |
464 |
$5K |
| 86200 |
|
1,499 |
1,492 |
$5K |
| 84630 |
|
1,125 |
1,123 |
$5K |
| 84140 |
|
473 |
468 |
$5K |
| 82977 |
|
1,882 |
1,828 |
$5K |
| 80324 |
|
2,744 |
2,624 |
$5K |
| 84590 |
|
834 |
834 |
$5K |
| 86900 |
|
2,718 |
2,689 |
$5K |
| 80323 |
|
2,058 |
1,945 |
$4K |
| 80336 |
|
2,670 |
2,550 |
$4K |
| 87522 |
Neg quan hep c or qual rna |
182 |
182 |
$4K |
| 87500 |
|
294 |
289 |
$4K |
| 82550 |
|
1,449 |
1,407 |
$4K |
| 80320 |
|
1,651 |
1,557 |
$4K |
| 87186 |
|
1,083 |
1,075 |
$4K |
| 84479 |
|
10,506 |
10,408 |
$4K |
| 80346 |
|
2,747 |
2,626 |
$4K |
| 80354 |
|
1,794 |
1,673 |
$4K |
| 83921 |
|
354 |
354 |
$3K |
| 84100 |
|
1,392 |
1,387 |
$3K |
| 86364 |
|
961 |
959 |
$3K |
| 82525 |
|
500 |
500 |
$3K |
| 80338 |
|
637 |
573 |
$3K |
| 88360 |
|
220 |
209 |
$3K |
| 82105 |
|
1,036 |
1,034 |
$3K |
| 86304 |
|
311 |
309 |
$3K |
| 84482 |
|
983 |
976 |
$3K |
| 84252 |
|
1,062 |
1,050 |
$3K |
| 82465 |
|
2,456 |
2,439 |
$3K |
| 86664 |
|
309 |
305 |
$3K |
| 83520 |
|
997 |
992 |
$3K |
| 84255 |
|
913 |
896 |
$3K |
| 80365 |
|
2,745 |
2,595 |
$3K |
| 83695 |
|
1,026 |
1,017 |
$3K |
| 85045 |
|
1,490 |
1,486 |
$3K |
| 86663 |
|
307 |
303 |
$3K |
| 80359 |
|
2,615 |
2,442 |
$3K |
| 87517 |
|
445 |
435 |
$3K |
| 87912 |
|
74 |
73 |
$3K |
| 80361 |
|
1,021 |
999 |
$2K |
| 80358 |
|
2,326 |
2,201 |
$2K |
| 83615 |
|
995 |
979 |
$2K |
| 80353 |
|
2,428 |
2,289 |
$2K |
| 80360 |
|
1,866 |
1,773 |
$2K |
| 84156 |
|
1,166 |
1,151 |
$2K |
| 82108 |
|
164 |
161 |
$2K |
| 87350 |
|
296 |
294 |
$2K |
| 80348 |
|
1,947 |
1,835 |
$2K |
| 80373 |
|
2,022 |
1,930 |
$2K |
| 86060 |
|
762 |
757 |
$2K |
| 86008 |
|
274 |
274 |
$2K |
| 86774 |
|
528 |
523 |
$2K |
| 86037 |
|
309 |
308 |
$2K |
| 80370 |
|
1,600 |
1,513 |
$2K |
| 80368 |
|
1,605 |
1,517 |
$2K |
| 80371 |
|
1,599 |
1,511 |
$2K |
| 80372 |
|
1,599 |
1,511 |
$2K |
| 84681 |
|
173 |
173 |
$2K |
| 80171 |
|
254 |
253 |
$2K |
| 84478 |
|
1,615 |
1,600 |
$2K |
| G0483 |
Drug test def 22+ classes |
322 |
302 |
$2K |
| 80356 |
|
1,942 |
1,807 |
$2K |
| 85660 |
|
971 |
969 |
$2K |
| 86360 |
|
47 |
47 |
$2K |
| 83825 |
|
170 |
166 |
$2K |
| 87511 |
|
527 |
523 |
$1K |
| 86039 |
|
556 |
556 |
$1K |
| 83721 |
|
1,230 |
1,226 |
$1K |
| 86677 |
|
260 |
250 |
$1K |
| 86317 |
|
584 |
583 |
$1K |
| 82553 |
|
360 |
359 |
$1K |
| P9604 |
One-way allow prorated trip |
616 |
533 |
$1K |
| 82040 |
|
496 |
484 |
$1K |
| 86671 |
|
173 |
173 |
$1K |
| 80351 |
|
1,748 |
1,641 |
$1K |
| 86648 |
|
497 |
492 |
$1K |
| 80299 |
|
202 |
201 |
$1K |
| 82495 |
|
159 |
159 |
$1K |
| 87507 |
|
12 |
12 |
$1K |
| 81256 |
|
137 |
137 |
$1K |
| 82103 |
|
194 |
192 |
$995.27 |
| 86617 |
|
62 |
61 |
$974.70 |
| 85384 |
|
265 |
264 |
$925.07 |
| G0482 |
Drug test def 15-21 classes |
189 |
189 |
$914.12 |
| 85379 |
|
162 |
160 |
$891.23 |
| 85027 |
|
490 |
490 |
$878.50 |
| 82390 |
|
250 |
250 |
$877.69 |
| 82985 |
|
169 |
168 |
$851.30 |
| 82530 |
|
101 |
101 |
$799.76 |
| 87324 |
|
150 |
130 |
$797.73 |
| 86707 |
|
112 |
112 |
$784.76 |
| 87177 |
|
176 |
172 |
$769.94 |
| 84484 |
|
186 |
185 |
$758.99 |
| 80363 |
|
1,417 |
1,335 |
$754.57 |
| 84480 |
|
2,750 |
2,733 |
$746.09 |
| 86256 |
|
87 |
84 |
$548.46 |
| 83718 |
|
1,296 |
1,283 |
$546.14 |
| 84378 |
|
91 |
90 |
$543.20 |
| 82672 |
|
53 |
51 |
$536.03 |
| 87101 |
|
128 |
124 |
$502.32 |
| 87081 |
|
153 |
153 |
$483.44 |
| 83874 |
|
118 |
117 |
$475.70 |
| 83003 |
|
50 |
50 |
$445.68 |
| 86300 |
|
36 |
36 |
$439.16 |
| 87209 |
|
146 |
145 |
$435.08 |
| 87045 |
|
73 |
72 |
$426.74 |
| 87641 |
|
52 |
52 |
$419.68 |
| 80352 |
|
126 |
124 |
$417.85 |
| 85032 |
|
412 |
411 |
$405.65 |
| 82232 |
|
64 |
63 |
$401.36 |
| 86381 |
|
58 |
58 |
$390.84 |
| 83010 |
|
81 |
81 |
$385.64 |
| 88141 |
|
68 |
68 |
$344.66 |
| 82677 |
|
35 |
34 |
$317.99 |
| 85014 |
|
414 |
414 |
$315.05 |
| 87338 |
|
82 |
81 |
$313.39 |
| 86160 |
|
28 |
28 |
$272.14 |
| 84460 |
|
251 |
241 |
$263.65 |
| 82247 |
|
290 |
280 |
$245.74 |
| 83698 |
|
69 |
69 |
$239.76 |
| 82552 |
|
46 |
46 |
$214.61 |
| 85048 |
|
220 |
219 |
$210.80 |
| 83631 |
|
37 |
37 |
$200.73 |
| 86021 |
|
55 |
55 |
$198.78 |
| 83993 |
|
32 |
32 |
$198.39 |
| 82175 |
|
25 |
25 |
$192.63 |
| 86036 |
|
59 |
59 |
$183.70 |
| 86015 |
|
61 |
61 |
$183.66 |
| 87510 |
|
20 |
20 |
$181.79 |
| 87660 |
|
19 |
19 |
$167.70 |
| 84311 |
|
100 |
99 |
$158.11 |
| 82542 |
|
164 |
157 |
$154.71 |
| 87480 |
|
20 |
20 |
$153.61 |
| 86316 |
|
16 |
16 |
$152.02 |
| 84134 |
|
55 |
55 |
$151.40 |
| 80362 |
|
260 |
259 |
$147.26 |
| 80367 |
|
188 |
188 |
$142.25 |
| 87102 |
|
28 |
28 |
$139.25 |
| 81025 |
|
131 |
131 |
$137.45 |
| 84075 |
|
119 |
112 |
$125.90 |
| 82310 |
|
122 |
114 |
$125.88 |
| 87449 |
|
64 |
64 |
$124.47 |
| 82947 |
|
204 |
197 |
$120.46 |
| 82656 |
|
40 |
40 |
$112.20 |
| 84450 |
|
118 |
113 |
$110.60 |
| 84597 |
|
16 |
16 |
$105.49 |
| 82747 |
|
24 |
24 |
$104.90 |
| 80069 |
|
28 |
28 |
$104.56 |
| 84520 |
|
128 |
120 |
$104.28 |
| 84155 |
|
174 |
166 |
$93.80 |
| 83020 |
|
12 |
12 |
$93.34 |
| 83883 |
|
38 |
38 |
$90.33 |
| 80355 |
|
67 |
67 |
$85.00 |
| 82565 |
|
122 |
115 |
$80.36 |
| 80366 |
|
70 |
70 |
$80.00 |
| 86341 |
|
13 |
13 |
$73.69 |
| 85004 |
|
319 |
309 |
$70.10 |
| 83789 |
|
40 |
40 |
$63.62 |
| 84132 |
|
135 |
128 |
$63.37 |
| 87341 |
|
12 |
12 |
$62.00 |
| 82374 |
|
172 |
165 |
$56.78 |
| 87088 |
|
14 |
14 |
$53.86 |
| 84591 |
|
26 |
26 |
$50.37 |
| 87046 |
|
19 |
19 |
$48.44 |
| 84295 |
|
168 |
162 |
$41.10 |
| 36415 |
|
194 |
191 |
$35.40 |
| 82270 |
|
23 |
23 |
$28.76 |
| 82435 |
|
115 |
108 |
$27.60 |
| 80347 |
|
175 |
174 |
$16.00 |
| 85049 |
|
81 |
81 |
$15.27 |
| 83630 |
|
37 |
37 |
$10.46 |
| 85018 |
|
81 |
81 |
$8.40 |
| 81003 |
|
60 |
60 |
$1.62 |
| 81002 |
|
239 |
237 |
$0.00 |
| 99080 |
|
147 |
100 |
$0.00 |
| 82671 |
|
14 |
13 |
$0.00 |
| 83986 |
|
60 |
60 |
$0.00 |
| G0481 |
Drug test def 8-14 classes |
52 |
52 |
$0.00 |