| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| U0003 |
Cov-19 amp prb hgh thruput |
336,306 |
305,346 |
$25.66M |
| 82306 |
|
326,532 |
325,603 |
$6.13M |
| 86769 |
|
151,220 |
130,878 |
$5.17M |
| U0005 |
Infec agen detec ampli probe |
231,884 |
210,878 |
$4.95M |
| 80050 |
|
193,639 |
193,283 |
$3.82M |
| 87637 |
|
30,673 |
30,008 |
$3.07M |
| 83036 |
|
459,376 |
457,564 |
$2.66M |
| 86481 |
|
72,448 |
72,164 |
$2.51M |
| 87491 |
|
165,700 |
164,483 |
$2.44M |
| 80061 |
|
521,251 |
518,985 |
$2.23M |
| 80053 |
|
379,671 |
376,092 |
$2.14M |
| 87591 |
|
143,926 |
142,922 |
$2.04M |
| 82607 |
|
242,093 |
240,954 |
$1.87M |
| 87633 |
|
6,172 |
6,081 |
$1.55M |
| 84443 |
|
271,987 |
270,236 |
$1.51M |
| G0483 |
Drug test def 22+ classes |
11,072 |
10,565 |
$1.27M |
| 87389 |
|
91,563 |
91,342 |
$1.15M |
| 82746 |
|
152,195 |
151,456 |
$1.11M |
| 84439 |
|
181,009 |
180,326 |
$990K |
| 85025 |
|
435,896 |
430,861 |
$975K |
| 81001 |
|
417,732 |
412,144 |
$863K |
| 84153 |
|
75,189 |
74,903 |
$855K |
| 87636 |
|
8,886 |
8,760 |
$842K |
| 88142 |
|
53,860 |
53,671 |
$731K |
| 86706 |
|
121,638 |
121,251 |
$729K |
| 87340 |
|
112,320 |
111,946 |
$714K |
| 84481 |
|
117,555 |
117,046 |
$703K |
| 86803 |
|
105,043 |
104,650 |
$688K |
| 80307 |
|
82,413 |
77,358 |
$686K |
| 82728 |
|
84,143 |
83,670 |
$679K |
| 87661 |
|
49,417 |
49,037 |
$677K |
| 83013 |
|
14,510 |
14,472 |
$665K |
| 87624 |
|
35,751 |
35,689 |
$637K |
| 84403 |
|
33,574 |
33,358 |
$578K |
| 86003 |
|
11,662 |
11,606 |
$559K |
| 86480 |
|
16,178 |
16,117 |
$545K |
| 82652 |
|
33,967 |
33,790 |
$510K |
| 86696 |
|
45,280 |
44,749 |
$497K |
| 87086 |
|
100,040 |
91,988 |
$496K |
| 86762 |
|
51,457 |
51,318 |
$485K |
| 84378 |
|
60,896 |
60,742 |
$474K |
| 84154 |
|
40,220 |
39,656 |
$465K |
| 86765 |
|
51,429 |
51,306 |
$435K |
| 87798 |
|
20,103 |
19,857 |
$411K |
| 86708 |
|
62,171 |
61,982 |
$411K |
| 82043 |
|
125,156 |
124,699 |
$385K |
| 83540 |
|
126,414 |
125,686 |
$376K |
| 86703 |
|
48,249 |
47,994 |
$371K |
| 86704 |
|
60,011 |
59,768 |
$368K |
| 88305 |
|
12,731 |
12,564 |
$365K |
| 82570 |
|
124,330 |
123,725 |
$360K |
| 83655 |
|
42,646 |
42,576 |
$354K |
| 87801 |
|
9,120 |
8,997 |
$337K |
| 87592 |
|
15,212 |
15,061 |
$314K |
| 86695 |
|
42,936 |
42,347 |
$305K |
| 86592 |
|
134,603 |
134,026 |
$295K |
| 84436 |
|
123,438 |
122,872 |
$291K |
| 84550 |
|
102,496 |
102,179 |
$289K |
| 86702 |
|
28,670 |
28,575 |
$282K |
| 83001 |
|
22,808 |
22,677 |
$281K |
| 83002 |
|
21,688 |
21,561 |
$261K |
| 86735 |
|
46,531 |
46,425 |
$259K |
| 87635 |
|
7,559 |
7,335 |
$252K |
| 82248 |
|
82,334 |
81,832 |
$251K |
| 83550 |
|
100,703 |
100,050 |
$240K |
| 86787 |
|
40,313 |
39,173 |
$233K |
| 87522 |
Neg quan hep c or qual rna |
7,528 |
7,453 |
$225K |
| 87517 |
|
10,677 |
10,647 |
$224K |
| 84146 |
|
17,086 |
16,941 |
$224K |
| 82670 |
|
11,908 |
11,798 |
$220K |
| 84702 |
|
26,833 |
25,672 |
$211K |
| 80074 |
|
8,615 |
8,556 |
$198K |
| 84466 |
|
26,145 |
26,063 |
$197K |
| 83880 |
|
10,117 |
10,009 |
$196K |
| 83735 |
|
61,724 |
61,435 |
$190K |
| G0481 |
Drug test def 8-14 classes |
3,494 |
3,329 |
$188K |
| 80048 |
|
39,829 |
39,265 |
$177K |
| 84402 |
|
11,170 |
11,126 |
$169K |
| G0480 |
Drug test def 1-7 classes |
7,192 |
6,702 |
$167K |
| 84144 |
|
12,370 |
11,910 |
$166K |
| 83970 |
|
6,446 |
6,395 |
$163K |
| 88121 |
|
950 |
941 |
$156K |
| 87070 |
|
31,122 |
30,596 |
$156K |
| 86376 |
|
17,000 |
16,961 |
$153K |
| 84207 |
|
8,494 |
8,471 |
$152K |
| 82378 |
|
12,091 |
12,036 |
$148K |
| 80076 |
|
35,263 |
35,102 |
$142K |
| 82627 |
|
10,022 |
9,979 |
$141K |
| 88141 |
|
25,172 |
25,085 |
$137K |
| 87631 |
|
2,254 |
2,231 |
$136K |
| 81539 |
|
1,651 |
1,642 |
$129K |
| 84270 |
|
18,633 |
18,487 |
$128K |
| 84479 |
|
93,179 |
92,754 |
$123K |
| 86618 |
|
9,926 |
9,884 |
$118K |
| 86141 |
|
17,995 |
17,907 |
$118K |
| 87581 |
|
6,216 |
6,128 |
$111K |
| 87486 |
|
6,216 |
6,128 |
$111K |
| 86800 |
|
13,346 |
13,319 |
$110K |
| 84100 |
|
38,389 |
38,244 |
$108K |
| 82785 |
|
12,624 |
12,570 |
$104K |
| 87481 |
|
8,179 |
7,944 |
$104K |
| 87350 |
|
16,227 |
16,165 |
$102K |
| 86707 |
|
16,182 |
16,129 |
$102K |
| 83690 |
|
27,918 |
27,818 |
$100K |
| 85730 |
|
27,954 |
27,379 |
$99K |
| 84480 |
|
58,743 |
58,554 |
$98K |
| 83698 |
|
6,604 |
6,556 |
$96K |
| 83090 |
|
8,607 |
8,590 |
$96K |
| 86038 |
|
24,989 |
24,889 |
$95K |
| 84425 |
|
9,809 |
9,779 |
$90K |
| 83021 |
|
7,446 |
7,431 |
$90K |
| 86431 |
|
27,461 |
27,396 |
$88K |
| 82977 |
|
27,764 |
27,648 |
$88K |
| 86140 |
|
36,750 |
36,469 |
$87K |
| 86304 |
|
6,627 |
6,610 |
$85K |
| 85651 |
|
60,317 |
59,881 |
$83K |
| 82525 |
|
8,890 |
8,852 |
$82K |
| 85610 |
|
36,558 |
34,382 |
$82K |
| 83525 |
|
10,325 |
10,279 |
$81K |
| 86301 |
|
5,826 |
5,817 |
$75K |
| 82105 |
|
15,672 |
15,641 |
$74K |
| 86709 |
|
13,502 |
13,452 |
$74K |
| 82150 |
|
23,614 |
23,527 |
$73K |
| 82533 |
|
6,901 |
6,862 |
$71K |
| 88112 |
|
2,964 |
2,894 |
$60K |
| 82550 |
|
19,558 |
19,447 |
$59K |
| 87625 |
|
5,897 |
5,761 |
$59K |
| 84446 |
|
6,221 |
6,205 |
$57K |
| 86235 |
|
4,519 |
4,496 |
$57K |
| 83615 |
|
18,367 |
18,269 |
$57K |
| 86705 |
|
10,315 |
10,281 |
$57K |
| 82565 |
|
59,584 |
58,227 |
$56K |
| 82180 |
|
9,293 |
9,271 |
$56K |
| 82274 |
|
19,474 |
19,323 |
$56K |
| 87276 |
|
6,101 |
6,039 |
$54K |
| 84590 |
|
6,823 |
6,802 |
$52K |
| 87507 |
|
248 |
245 |
$50K |
| 87275 |
|
6,101 |
6,039 |
$49K |
| 84681 |
|
3,799 |
3,790 |
$49K |
| 88120 |
|
392 |
391 |
$48K |
| 82465 |
|
20,547 |
20,476 |
$45K |
| 88312 |
|
2,179 |
2,162 |
$45K |
| 82542 |
|
615 |
579 |
$41K |
| 86850 |
|
10,498 |
10,459 |
$40K |
| 88377 |
|
184 |
184 |
$39K |
| 87536 |
|
688 |
676 |
$38K |
| 86300 |
|
2,094 |
2,073 |
$37K |
| 82672 |
|
2,536 |
2,532 |
$37K |
| 86617 |
|
2,293 |
2,269 |
$36K |
| 87651 |
|
2,048 |
2,017 |
$34K |
| 86701 |
|
25,089 |
24,992 |
$34K |
| 86160 |
|
2,891 |
2,876 |
$33K |
| 84445 |
|
1,772 |
1,767 |
$31K |
| 87088 |
|
7,035 |
6,890 |
$30K |
| 84252 |
|
5,477 |
5,446 |
$29K |
| 82784 |
|
3,555 |
3,540 |
$29K |
| 87480 |
|
3,535 |
3,520 |
$27K |
| 86225 |
|
6,478 |
6,454 |
$26K |
| 86780 |
|
3,157 |
3,125 |
$25K |
| 87634 |
|
1,609 |
1,574 |
$25K |
| 84597 |
|
2,554 |
2,546 |
$24K |
| 85045 |
|
11,810 |
11,771 |
$24K |
| 83516 |
|
4,056 |
4,003 |
$24K |
| 83520 |
|
3,865 |
3,815 |
$23K |
| 86900 |
|
10,731 |
10,696 |
$23K |
| 86901 |
|
10,724 |
10,689 |
$23K |
| 88311 |
|
2,464 |
2,446 |
$22K |
| 85379 |
|
3,596 |
3,535 |
$21K |
| 87338 |
|
3,721 |
3,690 |
$21K |
| 84442 |
|
3,347 |
3,340 |
$21K |
| 86677 |
|
2,864 |
2,832 |
$20K |
| 86665 |
|
1,158 |
1,142 |
$20K |
| 81003 |
|
14,239 |
14,047 |
$18K |
| 83921 |
|
1,441 |
1,436 |
$18K |
| 86063 |
|
6,642 |
6,624 |
$18K |
| 84482 |
|
3,899 |
3,893 |
$18K |
| 86364 |
|
1,035 |
1,035 |
$16K |
| 86648 |
|
3,824 |
3,784 |
$16K |
| 86334 |
|
1,021 |
1,017 |
$16K |
| 86200 |
|
3,315 |
3,300 |
$15K |
| 82040 |
|
11,195 |
11,121 |
$15K |
| 87510 |
|
1,568 |
1,564 |
$14K |
| G2023 |
Specimen collect covid-19 |
3,209 |
3,072 |
$14K |
| 87177 |
|
2,255 |
2,172 |
$14K |
| 86255 |
|
3,257 |
3,242 |
$13K |
| 82397 |
|
2,418 |
2,416 |
$13K |
| 87045 |
|
2,361 |
2,323 |
$12K |
| 86644 |
|
1,258 |
1,247 |
$12K |
| 84460 |
|
4,198 |
4,172 |
$12K |
| 86039 |
|
3,159 |
3,150 |
$12K |
| 81220 |
|
54 |
54 |
$12K |
| 86777 |
|
1,135 |
1,131 |
$11K |
| 87660 |
|
1,358 |
1,354 |
$11K |
| 84238 |
|
964 |
962 |
$11K |
| 87511 |
|
809 |
799 |
$11K |
| 86147 |
|
652 |
649 |
$11K |
| 83883 |
|
2,949 |
2,919 |
$11K |
| 87109 |
|
1,703 |
1,688 |
$11K |
| 36415 |
|
43,372 |
41,128 |
$11K |
| 86664 |
|
1,138 |
1,125 |
$10K |
| 86381 |
|
752 |
747 |
$10K |
| 87502 |
|
322 |
321 |
$10K |
| 84432 |
|
3,039 |
3,019 |
$10K |
| 84165 |
|
1,769 |
1,740 |
$10K |
| 86645 |
|
1,644 |
1,634 |
$10K |
| 87209 |
|
2,259 |
2,177 |
$10K |
| 84156 |
|
4,277 |
4,176 |
$9K |
| 80069 |
|
1,658 |
1,657 |
$9K |
| 82140 |
|
1,044 |
1,038 |
$9K |
| 85660 |
|
3,893 |
3,873 |
$9K |
| 82985 |
|
1,301 |
1,291 |
$9K |
| 86060 |
|
2,879 |
2,866 |
$9K |
| 84450 |
|
4,114 |
4,073 |
$8K |
| 88365 |
|
113 |
113 |
$8K |
| 82172 |
|
546 |
425 |
$7K |
| 87150 |
|
612 |
607 |
$7K |
| 87529 |
|
280 |
279 |
$7K |
| 84132 |
|
6,435 |
6,359 |
$7K |
| 87181 |
|
2,690 |
2,652 |
$7K |
| 84478 |
|
3,769 |
3,761 |
$7K |
| 86663 |
|
650 |
647 |
$6K |
| 83704 |
|
465 |
465 |
$6K |
| 84484 |
|
1,141 |
1,129 |
$6K |
| 81327 |
|
180 |
179 |
$6K |
| 87804 |
|
600 |
596 |
$5K |
| P9604 |
One-way allow prorated trip |
3,128 |
2,672 |
$5K |
| G0482 |
Drug test def 15-21 classes |
65 |
61 |
$5K |
| 84630 |
|
1,050 |
1,048 |
$5K |
| 81025 |
|
2,608 |
2,577 |
$5K |
| 86778 |
|
500 |
498 |
$5K |
| 84591 |
|
1,169 |
1,159 |
$4K |
| 87902 |
|
20 |
19 |
$4K |
| 88342 |
|
140 |
140 |
$4K |
| 82947 |
|
6,760 |
6,713 |
$4K |
| 86738 |
|
441 |
440 |
$4K |
| 83695 |
|
605 |
599 |
$4K |
| 82310 |
|
2,331 |
2,321 |
$4K |
| 87101 |
|
734 |
730 |
$4K |
| 84520 |
|
2,631 |
2,622 |
$4K |
| 82088 |
|
158 |
157 |
$4K |
| 80164 |
|
707 |
670 |
$4K |
| 86360 |
|
93 |
91 |
$4K |
| 83498 |
|
196 |
196 |
$3K |
| 80177 |
|
706 |
674 |
$3K |
| 81596 |
|
100 |
98 |
$3K |
| 86340 |
|
479 |
476 |
$3K |
| 84166 |
|
486 |
483 |
$3K |
| 84075 |
|
1,090 |
1,086 |
$3K |
| 82272 |
|
1,707 |
1,695 |
$3K |
| 82553 |
|
614 |
609 |
$3K |
| 86256 |
|
327 |
325 |
$3K |
| 85303 |
|
258 |
257 |
$3K |
| 82610 |
|
468 |
468 |
$3K |
| 80081 |
|
130 |
130 |
$3K |
| 84540 |
|
547 |
542 |
$3K |
| 83718 |
|
1,020 |
1,013 |
$3K |
| 88313 |
|
130 |
130 |
$2K |
| 83825 |
|
270 |
265 |
$2K |
| 83003 |
|
239 |
237 |
$2K |
| 84305 |
|
169 |
168 |
$2K |
| 86774 |
|
373 |
363 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
45 |
45 |
$2K |
| 85301 |
|
223 |
223 |
$2K |
| 87081 |
|
629 |
623 |
$2K |
| 85307 |
|
167 |
167 |
$2K |
| 82552 |
|
281 |
278 |
$2K |
| 86308 |
|
523 |
521 |
$2K |
| 85240 |
|
187 |
187 |
$1K |
| 87623 |
|
827 |
824 |
$1K |
| 84155 |
|
1,010 |
992 |
$1K |
| 82747 |
|
171 |
171 |
$1K |
| 86790 |
|
388 |
385 |
$1K |
| 84560 |
|
415 |
413 |
$1K |
| 81374 |
|
31 |
31 |
$1K |
| 87329 |
|
101 |
101 |
$956.38 |
| 84080 |
|
135 |
134 |
$886.32 |
| 85032 |
|
9,716 |
9,536 |
$842.68 |
| 86021 |
|
313 |
308 |
$815.06 |
| 85613 |
|
126 |
126 |
$751.73 |
| 86631 |
|
117 |
116 |
$750.53 |
| 84295 |
|
575 |
557 |
$717.24 |
| 81007 |
|
722 |
712 |
$614.86 |
| 86148 |
|
50 |
50 |
$601.15 |
| 86747 |
|
33 |
32 |
$575.38 |
| 86162 |
|
72 |
71 |
$568.48 |
| 86036 |
|
133 |
133 |
$566.87 |
| 86146 |
|
112 |
111 |
$547.90 |
| 82247 |
|
159 |
126 |
$519.38 |
| 82330 |
|
138 |
136 |
$467.06 |
| 80055 |
|
34 |
34 |
$428.85 |
| 82376 |
|
136 |
136 |
$420.56 |
| 82390 |
|
75 |
75 |
$412.07 |
| 80414 |
|
12 |
12 |
$403.82 |
| 82705 |
|
120 |
120 |
$399.70 |
| 86215 |
|
81 |
81 |
$336.49 |
| 87493 |
|
26 |
26 |
$334.73 |
| 80178 |
|
90 |
76 |
$292.74 |
| 82950 |
|
80 |
80 |
$292.43 |
| 83719 |
|
53 |
53 |
$291.17 |
| 86341 |
|
26 |
25 |
$273.67 |
| 82668 |
|
26 |
26 |
$257.52 |
| 84300 |
|
91 |
91 |
$242.37 |
| 82157 |
|
14 |
14 |
$223.11 |
| 82164 |
|
55 |
54 |
$201.95 |
| 86335 |
|
12 |
12 |
$194.23 |
| 86632 |
|
30 |
30 |
$156.86 |
| 84244 |
|
25 |
25 |
$143.02 |
| 82435 |
|
162 |
162 |
$141.11 |
| 87116 |
|
25 |
16 |
$132.53 |
| 87046 |
|
58 |
58 |
$121.18 |
| 83721 |
|
39 |
38 |
$106.28 |
| 80051 |
|
49 |
49 |
$79.00 |
| 87206 |
|
25 |
16 |
$66.10 |
| 87015 |
|
25 |
16 |
$49.81 |
| 81000 |
|
16 |
16 |
$26.53 |
| 85014 |
|
13 |
13 |
$2.00 |
| 3046F |
|
2,387 |
2,369 |
$0.61 |
| 3044F |
|
37,693 |
37,551 |
$0.60 |
| 3045F |
|
396 |
395 |
$0.11 |
| 99080 |
|
169 |
75 |
$0.00 |