| Code | Description | Claims | Beneficiaries | Total Paid |
| 80050 |
|
268,217 |
255,169 |
$5.78M |
| 87491 |
|
207,949 |
194,893 |
$4.56M |
| 87591 |
|
203,002 |
190,334 |
$4.24M |
| U0003 |
Cov-19 amp prb hgh thruput |
79,365 |
63,614 |
$4.23M |
| 80081 |
|
69,931 |
65,889 |
$3.34M |
| 80061 |
|
616,444 |
584,554 |
$3.27M |
| 81420 |
|
13,652 |
12,506 |
$3.14M |
| 82306 |
|
271,976 |
253,972 |
$2.96M |
| 87389 |
|
195,977 |
184,764 |
$2.67M |
| 84443 |
|
339,863 |
321,718 |
$2.14M |
| 87661 |
|
100,341 |
94,571 |
$2.12M |
| 80053 |
|
561,291 |
520,963 |
$2.08M |
| 83036 |
|
438,705 |
415,120 |
$1.87M |
| 87086 |
|
398,620 |
370,972 |
$1.77M |
| 85025 |
|
594,004 |
544,162 |
$1.77M |
| 88175 |
|
99,826 |
94,552 |
$1.58M |
| 81220 |
|
4,772 |
4,298 |
$1.31M |
| 87624 |
|
54,022 |
51,175 |
$1.20M |
| 87150 |
|
58,796 |
55,904 |
$1.20M |
| 80074 |
|
45,653 |
43,092 |
$944K |
| 86803 |
|
114,497 |
108,516 |
$878K |
| 84439 |
|
186,296 |
176,099 |
$771K |
| 87081 |
|
185,410 |
176,815 |
$745K |
| 80307 |
|
19,273 |
18,067 |
$685K |
| 87536 |
|
13,472 |
12,934 |
$538K |
| U0005 |
Infec agen detec ampli probe |
32,893 |
27,434 |
$536K |
| 88305 |
|
9,117 |
8,105 |
$528K |
| 87186 |
|
118,493 |
111,870 |
$508K |
| 87070 |
|
98,567 |
93,056 |
$501K |
| 86235 |
|
11,317 |
10,180 |
$477K |
| 87088 |
|
121,519 |
114,426 |
$473K |
| 84702 |
|
54,525 |
43,560 |
$461K |
| 82607 |
|
83,073 |
77,277 |
$460K |
| 82728 |
|
76,218 |
72,064 |
$423K |
| 84403 |
|
32,109 |
30,431 |
$419K |
| 86480 |
|
13,758 |
13,052 |
$415K |
| 86592 |
|
158,896 |
150,605 |
$406K |
| 86696 |
|
24,112 |
22,771 |
$304K |
| 87340 |
|
54,290 |
51,388 |
$297K |
| 82670 |
|
19,841 |
18,787 |
$290K |
| 84481 |
|
34,625 |
33,023 |
$275K |
| 82746 |
|
50,292 |
46,498 |
$269K |
| 82950 |
|
92,091 |
86,469 |
$257K |
| 86376 |
|
26,816 |
25,817 |
$257K |
| 87077 |
|
70,782 |
67,122 |
$249K |
| 84153 |
|
38,052 |
36,058 |
$249K |
| 83550 |
|
71,336 |
67,447 |
$246K |
| 80055 |
|
6,714 |
6,516 |
$241K |
| 83001 |
|
25,257 |
23,926 |
$240K |
| 84402 |
|
16,846 |
16,098 |
$237K |
| 85027 |
|
72,638 |
68,188 |
$231K |
| 86850 |
|
40,870 |
38,249 |
$230K |
| 86038 |
|
37,718 |
36,061 |
$225K |
| 84146 |
|
22,583 |
21,163 |
$219K |
| 84436 |
|
82,506 |
77,928 |
$216K |
| 87522 |
Neg quan hep c or qual rna |
9,066 |
8,694 |
$208K |
| 83540 |
|
87,368 |
82,285 |
$208K |
| 86762 |
|
25,122 |
23,238 |
$204K |
| 83525 |
|
34,926 |
32,764 |
$199K |
| 83970 |
|
23,046 |
22,218 |
$199K |
| 86003 |
|
4,632 |
4,024 |
$198K |
| 87209 |
|
16,757 |
15,804 |
$197K |
| 84144 |
|
17,251 |
15,385 |
$194K |
| 86160 |
|
12,097 |
10,665 |
$189K |
| 88141 |
|
13,579 |
12,967 |
$187K |
| 86787 |
|
23,908 |
22,418 |
$183K |
| 83002 |
|
19,156 |
18,139 |
$179K |
| 83880 |
|
14,738 |
13,822 |
$172K |
| 86780 |
|
22,821 |
21,007 |
$170K |
| 86800 |
|
14,680 |
14,125 |
$165K |
| 81001 |
|
120,553 |
112,570 |
$158K |
| 82570 |
|
90,919 |
85,841 |
$154K |
| 86147 |
|
4,444 |
4,119 |
$152K |
| 80048 |
|
58,202 |
53,603 |
$150K |
| 86695 |
|
18,676 |
17,577 |
$143K |
| 84479 |
|
51,291 |
48,339 |
$142K |
| 83020 |
|
20,897 |
19,556 |
$140K |
| 84480 |
|
21,112 |
19,950 |
$139K |
| 86665 |
|
6,601 |
6,166 |
$132K |
| 82951 |
|
18,289 |
17,048 |
$132K |
| 87798 |
|
6,806 |
3,474 |
$131K |
| 86140 |
|
56,877 |
48,708 |
$131K |
| 82043 |
|
67,243 |
64,703 |
$129K |
| 86361 |
|
10,327 |
9,936 |
$114K |
| 86677 |
|
8,984 |
8,175 |
$109K |
| 80164 |
|
19,462 |
17,892 |
$108K |
| 87427 |
|
14,376 |
13,720 |
$107K |
| 87177 |
|
17,048 |
16,073 |
$106K |
| 82784 |
|
12,679 |
11,545 |
$99K |
| 83735 |
|
43,418 |
37,777 |
$99K |
| 82105 |
|
12,959 |
12,264 |
$98K |
| 86360 |
|
5,590 |
5,340 |
$98K |
| 81329 |
|
2,903 |
2,630 |
$97K |
| 81490 |
|
285 |
284 |
$96K |
| 82627 |
|
7,545 |
7,190 |
$95K |
| 87902 |
|
659 |
640 |
$91K |
| 87045 |
|
14,546 |
13,882 |
$90K |
| 86618 |
|
5,158 |
4,915 |
$89K |
| 83021 |
|
7,214 |
6,904 |
$85K |
| 87075 |
|
15,886 |
15,001 |
$85K |
| 86706 |
|
15,206 |
14,451 |
$83K |
| 86704 |
|
13,733 |
13,152 |
$82K |
| 86431 |
|
25,448 |
24,391 |
$79K |
| 86769 |
|
3,576 |
3,163 |
$78K |
| 83655 |
|
12,224 |
11,391 |
$77K |
| 86225 |
|
10,963 |
10,384 |
$76K |
| 84450 |
|
42,971 |
40,207 |
$74K |
| 82947 |
|
44,869 |
41,828 |
$74K |
| 87046 |
|
14,551 |
13,862 |
$73K |
| 82247 |
|
42,541 |
38,266 |
$72K |
| 87625 |
|
3,314 |
3,111 |
$71K |
| 85660 |
|
20,069 |
19,003 |
$71K |
| 85652 |
|
56,454 |
49,526 |
$70K |
| 82565 |
|
43,276 |
40,168 |
$69K |
| 84550 |
|
44,579 |
41,857 |
$66K |
| 81361 |
|
1,137 |
1,026 |
$66K |
| 86901 |
|
27,257 |
25,293 |
$64K |
| 83690 |
|
19,659 |
18,734 |
$63K |
| G0480 |
Drug test def 1-7 classes |
2,239 |
2,121 |
$62K |
| 82533 |
|
6,700 |
6,133 |
$59K |
| 84460 |
|
34,503 |
32,269 |
$59K |
| 82248 |
|
36,353 |
32,743 |
$58K |
| 86200 |
|
8,374 |
8,001 |
$57K |
| 87801 |
|
1,859 |
1,723 |
$57K |
| 86870 |
|
4,042 |
3,699 |
$54K |
| 80076 |
|
17,042 |
15,999 |
$53K |
| 87636 |
|
497 |
478 |
$52K |
| 88142 |
|
3,971 |
3,785 |
$51K |
| 84156 |
|
39,983 |
36,525 |
$50K |
| 84075 |
|
30,344 |
28,275 |
$50K |
| 82040 |
|
32,290 |
30,243 |
$50K |
| 85610 |
|
32,781 |
28,200 |
$49K |
| 86900 |
|
27,349 |
25,384 |
$49K |
| 87329 |
|
5,036 |
4,796 |
$49K |
| 83013 |
|
1,371 |
1,311 |
$49K |
| 86664 |
|
5,195 |
4,964 |
$49K |
| 83516 |
|
4,957 |
4,306 |
$48K |
| 82150 |
|
16,405 |
15,608 |
$46K |
| 86334 |
|
5,917 |
5,648 |
$46K |
| 85018 |
|
33,297 |
32,173 |
$46K |
| 80069 |
|
25,353 |
23,308 |
$45K |
| 82310 |
|
28,257 |
26,184 |
$45K |
| 84520 |
|
33,203 |
30,585 |
$44K |
| 82330 |
|
4,756 |
4,532 |
$42K |
| G0481 |
Drug test def 8-14 classes |
834 |
804 |
$41K |
| 84155 |
|
31,288 |
29,265 |
$40K |
| 81243 |
|
2,834 |
2,552 |
$40K |
| 82677 |
|
1,887 |
1,778 |
$39K |
| 84295 |
|
23,322 |
21,435 |
$38K |
| 84165 |
|
9,483 |
9,131 |
$38K |
| 86708 |
|
7,172 |
6,774 |
$37K |
| 87563 |
|
2,462 |
2,241 |
$37K |
| 83615 |
|
17,845 |
16,396 |
$37K |
| 82952 |
|
16,379 |
15,346 |
$37K |
| 85060 |
|
2,795 |
2,695 |
$37K |
| 82435 |
|
24,614 |
22,852 |
$37K |
| 82977 |
|
18,052 |
16,081 |
$33K |
| 82785 |
|
3,605 |
3,332 |
$33K |
| 84100 |
|
27,679 |
24,076 |
$33K |
| 85730 |
|
12,619 |
11,592 |
$32K |
| 82550 |
|
15,532 |
12,891 |
$32K |
| 82378 |
|
5,510 |
4,921 |
$32K |
| 87101 |
|
7,411 |
6,935 |
$31K |
| 81257 |
|
1,145 |
1,027 |
$31K |
| 80178 |
|
9,232 |
8,337 |
$31K |
| 85045 |
|
16,274 |
15,425 |
$31K |
| 87210 |
|
8,334 |
7,970 |
$31K |
| 82672 |
|
2,424 |
2,331 |
$30K |
| 81003 |
|
32,482 |
30,276 |
$30K |
| 84681 |
|
3,205 |
3,001 |
$30K |
| 83520 |
|
2,945 |
2,792 |
$30K |
| 84466 |
|
4,828 |
4,572 |
$30K |
| 84703 |
|
6,593 |
6,193 |
$29K |
| 36415 |
|
188,159 |
173,737 |
$28K |
| 83521 |
|
2,844 |
2,575 |
$27K |
| 86593 |
|
10,869 |
10,099 |
$27K |
| 84432 |
|
2,144 |
2,070 |
$27K |
| 80354 |
|
1,389 |
1,327 |
$27K |
| 82024 |
|
1,731 |
1,631 |
$27K |
| 80348 |
|
1,371 |
1,311 |
$27K |
| 87324 |
|
4,220 |
4,041 |
$26K |
| 86336 |
|
1,847 |
1,734 |
$25K |
| 82140 |
|
5,242 |
4,884 |
$25K |
| 82274 |
|
2,972 |
2,832 |
$24K |
| 86778 |
|
2,832 |
2,654 |
$24K |
| 84154 |
|
4,256 |
4,067 |
$23K |
| 83498 |
|
1,447 |
1,359 |
$23K |
| 86317 |
|
3,606 |
3,374 |
$23K |
| 84132 |
|
15,078 |
14,145 |
$23K |
| 82731 |
|
785 |
591 |
$21K |
| 82103 |
|
2,510 |
2,409 |
$21K |
| 86645 |
|
2,260 |
2,120 |
$21K |
| 84270 |
|
1,679 |
1,564 |
$21K |
| 85014 |
|
12,988 |
12,389 |
$19K |
| 86644 |
|
2,353 |
2,204 |
$19K |
| 80156 |
|
4,662 |
4,386 |
$18K |
| 82390 |
|
3,083 |
2,981 |
$18K |
| 86300 |
|
1,790 |
1,580 |
$18K |
| 82374 |
|
10,128 |
9,147 |
$18K |
| 80185 |
|
4,592 |
4,235 |
$18K |
| G0483 |
Drug test def 22+ classes |
154 |
146 |
$17K |
| 80177 |
|
3,871 |
3,722 |
$17K |
| 84134 |
|
3,178 |
2,174 |
$16K |
| 87184 |
|
3,405 |
3,205 |
$15K |
| 86757 |
|
597 |
555 |
$15K |
| 82239 |
|
1,668 |
1,357 |
$15K |
| 86141 |
|
2,578 |
2,382 |
$15K |
| 86364 |
|
1,606 |
1,503 |
$14K |
| 86705 |
|
2,615 |
2,470 |
$14K |
| 82172 |
|
2,299 |
2,109 |
$14K |
| 87650 |
|
1,044 |
994 |
$14K |
| 86777 |
|
1,927 |
1,772 |
$14K |
| 81330 |
|
1,120 |
1,003 |
$14K |
| 81200 |
|
1,121 |
1,004 |
$13K |
| 81255 |
|
1,121 |
1,004 |
$13K |
| 83721 |
|
4,403 |
4,143 |
$13K |
| 87338 |
|
1,671 |
1,634 |
$13K |
| 86146 |
|
485 |
409 |
$13K |
| 80051 |
|
6,553 |
6,066 |
$13K |
| 81251 |
|
1,121 |
1,004 |
$12K |
| 86702 |
|
1,659 |
1,542 |
$12K |
| 80324 |
|
1,075 |
1,025 |
$12K |
| 85379 |
|
2,266 |
2,137 |
$12K |
| 80358 |
|
1,273 |
1,219 |
$12K |
| 82465 |
|
5,898 |
5,591 |
$12K |
| 86304 |
|
1,409 |
1,272 |
$12K |
| 86709 |
|
2,228 |
2,069 |
$12K |
| 86060 |
|
2,901 |
2,752 |
$12K |
| 81290 |
|
1,120 |
1,003 |
$12K |
| 81209 |
|
1,120 |
1,003 |
$11K |
| 86008 |
|
217 |
194 |
$11K |
| 86735 |
|
1,900 |
1,739 |
$11K |
| 86765 |
|
1,979 |
1,805 |
$11K |
| 81242 |
|
1,122 |
1,005 |
$11K |
| 82652 |
|
1,518 |
1,397 |
$11K |
| 80359 |
|
1,180 |
1,117 |
$11K |
| 80197 |
|
5,703 |
4,464 |
$10K |
| 81260 |
|
1,122 |
1,005 |
$10K |
| 83883 |
|
2,940 |
2,770 |
$10K |
| 87521 |
Neg quan hep c or qual rna |
303 |
283 |
$10K |
| 86663 |
|
1,247 |
1,184 |
$10K |
| 87660 |
|
697 |
684 |
$9K |
| 89055 |
|
2,887 |
2,764 |
$9K |
| 87205 |
|
4,362 |
4,056 |
$9K |
| 86308 |
|
2,633 |
2,496 |
$9K |
| 84482 |
|
860 |
838 |
$9K |
| 87535 |
|
463 |
448 |
$9K |
| 84478 |
|
3,908 |
2,396 |
$9K |
| 87480 |
|
682 |
671 |
$8K |
| 83090 |
|
1,341 |
1,257 |
$8K |
| 87206 |
|
2,917 |
2,537 |
$8K |
| G0307 |
Cbc without platelet |
2,430 |
2,368 |
$8K |
| 86258 |
|
430 |
401 |
$8K |
| 80349 |
|
719 |
672 |
$7K |
| 86701 |
|
1,613 |
1,502 |
$7K |
| 82668 |
|
1,090 |
1,054 |
$7K |
| 81025 |
|
1,297 |
1,237 |
$6K |
| 87328 |
|
566 |
543 |
$6K |
| 84425 |
|
795 |
751 |
$6K |
| 80347 |
|
584 |
536 |
$6K |
| 87510 |
|
667 |
656 |
$6K |
| 80361 |
|
728 |
675 |
$6K |
| 87529 |
|
254 |
234 |
$6K |
| 82104 |
|
559 |
545 |
$5K |
| 85246 |
|
307 |
281 |
$5K |
| 86301 |
|
647 |
565 |
$5K |
| 86666 |
|
354 |
328 |
$5K |
| 85041 |
|
2,602 |
2,494 |
$5K |
| 80365 |
|
675 |
616 |
$5K |
| 83010 |
|
969 |
913 |
$5K |
| 86694 |
|
506 |
483 |
$5K |
| 85048 |
|
3,199 |
2,942 |
$5K |
| 83718 |
|
1,326 |
1,142 |
$4K |
| 84484 |
|
747 |
706 |
$4K |
| 82679 |
|
205 |
202 |
$4K |
| 83921 |
|
517 |
477 |
$4K |
| 85245 |
|
205 |
183 |
$4K |
| 84410 |
|
103 |
99 |
$4K |
| 80373 |
|
554 |
515 |
$4K |
| 86256 |
|
281 |
276 |
$4K |
| 86381 |
|
496 |
479 |
$4K |
| 85240 |
|
272 |
246 |
$4K |
| 84166 |
|
883 |
853 |
$4K |
| 85384 |
|
622 |
566 |
$4K |
| 87040 |
|
712 |
613 |
$4K |
| 82575 |
|
828 |
776 |
$4K |
| 88112 |
|
71 |
59 |
$4K |
| 80175 |
|
915 |
850 |
$3K |
| 82626 |
|
317 |
282 |
$3K |
| 80372 |
|
485 |
452 |
$3K |
| 80183 |
|
603 |
554 |
$3K |
| 80353 |
|
522 |
486 |
$3K |
| 87799 |
|
776 |
650 |
$3K |
| 82157 |
|
161 |
156 |
$3K |
| 84305 |
|
268 |
242 |
$3K |
| 81401 |
|
35 |
29 |
$3K |
| 87076 |
|
586 |
564 |
$3K |
| 83527 |
|
404 |
368 |
$3K |
| 80202 |
|
525 |
231 |
$2K |
| G0306 |
Cbc/diffwbc w/o platelet |
785 |
742 |
$2K |
| 80364 |
|
105 |
103 |
$2K |
| 84445 |
|
107 |
104 |
$2K |
| 85007 |
|
1,785 |
1,649 |
$2K |
| 87880 |
|
317 |
302 |
$2K |
| 86015 |
|
539 |
521 |
$2K |
| 80334 |
|
105 |
103 |
$2K |
| 80337 |
|
105 |
103 |
$2K |
| 87804 |
|
154 |
135 |
$2K |
| 81374 |
|
97 |
95 |
$2K |
| 80370 |
|
105 |
103 |
$2K |
| 85049 |
|
792 |
749 |
$2K |
| 86359 |
|
238 |
220 |
$2K |
| 87350 |
|
492 |
473 |
$2K |
| 80326 |
|
105 |
103 |
$2K |
| 80360 |
|
120 |
116 |
$2K |
| 82553 |
|
365 |
343 |
$2K |
| 80366 |
|
119 |
115 |
$2K |
| 80338 |
|
105 |
103 |
$2K |
| 80368 |
|
105 |
103 |
$2K |
| 82610 |
|
276 |
261 |
$2K |
| 80355 |
|
119 |
115 |
$2K |
| 83992 |
|
105 |
103 |
$2K |
| 88342 |
|
45 |
43 |
$2K |
| 86335 |
|
152 |
149 |
$1K |
| 80184 |
|
445 |
417 |
$1K |
| 82985 |
|
299 |
290 |
$1K |
| 80165 |
|
292 |
281 |
$1K |
| 82787 |
|
227 |
175 |
$1K |
| 82397 |
|
164 |
149 |
$1K |
| 86747 |
|
70 |
69 |
$1K |
| 84163 |
|
102 |
100 |
$1K |
| 86037 |
|
154 |
151 |
$1K |
| G0472 |
Hep c screen high risk/other |
3,438 |
3,362 |
$1K |
| 87493 |
|
52 |
49 |
$951.72 |
| 83993 |
|
70 |
66 |
$824.09 |
| 83695 |
|
101 |
100 |
$799.64 |
| 81015 |
|
328 |
318 |
$778.08 |
| G0103 |
Psa screening |
9,485 |
9,154 |
$769.87 |
| 86707 |
|
236 |
225 |
$750.63 |
| 82166 |
|
32 |
31 |
$705.34 |
| 88341 |
|
17 |
16 |
$688.08 |
| 85613 |
|
165 |
137 |
$653.17 |
| 82642 |
|
29 |
29 |
$629.84 |
| 86880 |
|
309 |
263 |
$583.38 |
| 86753 |
|
55 |
54 |
$581.28 |
| 80320 |
|
42 |
38 |
$437.94 |
| 87517 |
|
39 |
37 |
$427.05 |
| 81596 |
|
600 |
588 |
$411.29 |
| 85004 |
|
283 |
195 |
$400.72 |
| 87109 |
|
29 |
29 |
$387.92 |
| 80162 |
|
155 |
139 |
$358.29 |
| 87807 |
|
35 |
35 |
$350.86 |
| 83014 |
|
88 |
84 |
$333.42 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,994 |
1,954 |
$332.16 |
| 87116 |
|
93 |
74 |
$326.84 |
| 87538 |
|
13 |
13 |
$318.73 |
| 86255 |
|
56 |
51 |
$291.51 |
| 83605 |
|
39 |
39 |
$269.76 |
| 80201 |
|
106 |
101 |
$241.38 |
| 85385 |
|
37 |
37 |
$238.71 |
| 84080 |
|
26 |
25 |
$228.09 |
| 87425 |
|
25 |
24 |
$221.60 |
| 84630 |
|
39 |
36 |
$218.98 |
| G0475 |
Hiv combination assay |
1,426 |
1,374 |
$212.36 |
| 87015 |
|
86 |
67 |
$202.25 |
| 84140 |
|
12 |
12 |
$197.49 |
| 82232 |
|
38 |
36 |
$181.37 |
| 80371 |
|
25 |
25 |
$170.29 |
| 80357 |
|
25 |
25 |
$169.03 |
| 80367 |
|
25 |
25 |
$163.62 |
| 80341 |
|
39 |
37 |
$154.18 |
| 87106 |
|
47 |
40 |
$140.70 |
| 82085 |
|
38 |
37 |
$130.81 |
| 80377 |
|
25 |
25 |
$126.60 |
| 80344 |
|
25 |
25 |
$125.99 |
| 87420 |
|
20 |
19 |
$121.95 |
| 80331 |
|
25 |
25 |
$111.57 |
| 82525 |
|
26 |
24 |
$107.85 |
| 82705 |
|
29 |
25 |
$77.66 |
| 80195 |
|
13 |
12 |
$64.66 |
| 85670 |
|
31 |
24 |
$60.41 |
| 80235 |
|
13 |
12 |
$55.51 |
| 85732 |
|
14 |
13 |
$37.74 |
| 83935 |
|
12 |
12 |
$33.91 |
| 83930 |
|
12 |
12 |
$33.44 |
| 84300 |
|
12 |
12 |
$14.67 |
| 86682 |
|
39 |
39 |
$0.00 |
| 87497 |
|
14 |
13 |
$0.00 |
| 99199 |
|
36 |
27 |
$0.00 |
| G0328 |
Fecal blood scrn immunoassay |
96 |
95 |
$0.00 |
| 36416 |
|
338 |
311 |
$0.00 |
| G0123 |
Screen cerv/vag thin layer |
51 |
51 |
$0.00 |