COVENANT LABORATORIES

$351K

Total Medicaid Paid

21,537

Total Claims

14,686

Beneficiaries

52

Codes Billed

2021-08

First Month

2024-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
87798		3,578	1,766	$105K
87631		1,630	1,041	$71K
87581		2,093	1,325	$21K
U0004	Cov-19 test non-cdc hgh thru	619	323	$20K
87541		2,008	1,236	$20K
87640		2,131	1,336	$19K
U0002	Covid-19 lab test non-cdc	662	484	$18K
87633		362	279	$12K
U0005	Infec agen detec ampli probe	492	323	$7K
80307		340	257	$4K
82306		665	594	$4K
87641		381	302	$4K
G0481	Drug test def 8-14 classes	223	162	$4K
87500		231	157	$4K
87529		267	228	$4K
87637		67	64	$3K
87486		509	360	$3K
87491		338	230	$2K
87591		338	230	$2K
87661		294	197	$2K
80061		600	541	$2K
87563		269	230	$2K
87498		173	161	$2K
87653		127	85	$1K
87651		297	223	$1K
83036		606	541	$1K
87511		209	175	$1K
82670		60	56	$1K
G0483	Drug test def 22+ classes	14	13	$1K
80053		529	478	$1K
87481		16	14	$1K
84144		58	54	$882.19
84481		76	69	$869.25
87536		32	32	$705.05
87502		98	91	$691.91
84443		95	87	$548.76
84439		114	101	$529.36
82607		51	46	$515.66
87150		25	25	$473.70
85025		301	257	$409.92
82728		36	33	$368.10
82746		31	28	$343.98
84403		15	14	$301.99
83735		59	55	$283.41
85027		141	137	$213.81
84550		60	56	$199.43
82533		15	14	$190.71
84466		14	14	$160.72
83540		17	16	$87.30
80050		137	112	$71.00
81001		12	12	$5.53
G0482	Drug test def 15-21 classes	22	22	$0.00

Medicaid Provider Spending