| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
121,101 |
103,447 |
$6.69M |
| G0480 |
Drug test def 1-7 classes |
24,293 |
18,617 |
$1.47M |
| U0005 |
Infec agen detec ampli probe |
86,434 |
73,761 |
$1.19M |
| 80307 |
|
28,811 |
21,976 |
$953K |
| 84443 |
|
82,029 |
78,097 |
$863K |
| 80053 |
|
135,058 |
121,468 |
$825K |
| 80061 |
|
72,930 |
69,577 |
$594K |
| 82306 |
|
31,392 |
30,051 |
$564K |
| 85025 |
|
116,398 |
101,340 |
$523K |
| 87389 |
|
19,380 |
18,393 |
$344K |
| 87491 |
|
15,470 |
14,727 |
$340K |
| 87591 |
|
15,443 |
14,702 |
$340K |
| 83036 |
|
53,946 |
51,505 |
$295K |
| 36415 |
|
199,759 |
152,551 |
$219K |
| 87481 |
|
9,970 |
6,197 |
$202K |
| 87522 |
Neg quan hep c or qual rna |
5,871 |
5,580 |
$201K |
| 86803 |
|
20,983 |
19,816 |
$192K |
| 82728 |
|
20,677 |
19,540 |
$190K |
| 82607 |
|
20,595 |
19,518 |
$175K |
| 80048 |
|
52,454 |
39,838 |
$152K |
| 87502 |
|
4,006 |
3,692 |
$151K |
| 86003 |
|
2,838 |
2,544 |
$149K |
| 86780 |
|
13,404 |
12,454 |
$143K |
| 87661 |
|
6,607 |
6,302 |
$136K |
| 87511 |
|
6,494 |
6,175 |
$134K |
| 85027 |
|
40,053 |
35,522 |
$133K |
| 82746 |
|
14,549 |
13,877 |
$130K |
| 87636 |
|
1,642 |
1,584 |
$130K |
| 84439 |
|
20,346 |
19,322 |
$129K |
| 87624 |
|
6,547 |
6,352 |
$128K |
| 87536 |
|
3,120 |
2,994 |
$127K |
| 87798 |
|
4,915 |
2,588 |
$126K |
| 87340 |
|
15,481 |
14,628 |
$125K |
| 86706 |
|
13,328 |
12,761 |
$118K |
| 83550 |
|
19,693 |
18,716 |
$111K |
| 86704 |
|
11,502 |
11,008 |
$108K |
| 84403 |
|
6,456 |
6,066 |
$108K |
| 86480 |
|
3,131 |
3,031 |
$101K |
| 87086 |
|
23,913 |
21,749 |
$101K |
| 88142 |
|
5,527 |
5,375 |
$98K |
| 83970 |
|
4,605 |
4,313 |
$91K |
| 86481 |
|
2,180 |
2,117 |
$91K |
| 83540 |
|
20,691 |
19,606 |
$86K |
| 87902 |
|
1,110 |
1,067 |
$79K |
| 83655 |
|
6,713 |
6,570 |
$77K |
| 87070 |
|
10,750 |
10,199 |
$70K |
| 88305 |
|
2,800 |
2,553 |
$68K |
| 83735 |
|
24,555 |
18,065 |
$67K |
| 82670 |
|
2,889 |
2,726 |
$64K |
| 84153 |
|
5,362 |
5,123 |
$64K |
| 86618 |
|
5,900 |
5,585 |
$62K |
| 86762 |
|
5,018 |
4,644 |
$58K |
| 84702 |
|
4,808 |
3,928 |
$58K |
| 86787 |
|
5,238 |
4,924 |
$56K |
| 82784 |
|
6,490 |
5,935 |
$54K |
| 83001 |
|
3,422 |
3,278 |
$51K |
| 87635 |
|
1,843 |
1,634 |
$48K |
| 87186 |
|
10,669 |
9,920 |
$47K |
| 86140 |
|
13,713 |
11,920 |
$46K |
| 83880 |
|
3,943 |
3,549 |
$45K |
| 88175 |
|
1,928 |
1,855 |
$44K |
| 84146 |
|
2,850 |
2,693 |
$43K |
| 80074 |
|
1,227 |
1,179 |
$42K |
| 85610 |
|
27,372 |
15,215 |
$41K |
| 86038 |
|
4,532 |
4,262 |
$39K |
| 84402 |
|
2,313 |
2,214 |
$33K |
| 82043 |
|
10,997 |
10,471 |
$32K |
| 87077 |
|
11,221 |
10,381 |
$32K |
| 86235 |
|
907 |
783 |
$31K |
| 83516 |
|
3,672 |
2,740 |
$31K |
| 87517 |
|
1,034 |
986 |
$31K |
| 82785 |
|
2,307 |
2,193 |
$31K |
| 83002 |
|
1,945 |
1,840 |
$30K |
| 81220 |
|
375 |
299 |
$28K |
| 80076 |
|
5,309 |
4,959 |
$25K |
| 84480 |
|
2,389 |
2,267 |
$24K |
| 87209 |
|
1,704 |
1,527 |
$23K |
| 86765 |
|
2,141 |
2,074 |
$23K |
| 86735 |
|
2,110 |
2,037 |
$23K |
| 84481 |
|
1,960 |
1,833 |
$22K |
| 86617 |
|
926 |
885 |
$21K |
| 86850 |
|
6,680 |
5,667 |
$21K |
| 82274 |
|
2,426 |
2,283 |
$21K |
| 85652 |
|
11,666 |
10,177 |
$21K |
| 86800 |
|
1,868 |
1,790 |
$20K |
| 87493 |
|
1,659 |
1,580 |
$20K |
| 81001 |
|
13,834 |
12,562 |
$20K |
| 86376 |
|
1,673 |
1,600 |
$20K |
| 87801 |
|
454 |
416 |
$19K |
| 80164 |
|
3,824 |
3,471 |
$19K |
| G0328 |
Fecal blood scrn immunoassay |
2,687 |
2,609 |
$19K |
| 82533 |
|
1,570 |
1,435 |
$18K |
| 83690 |
|
4,106 |
3,877 |
$18K |
| 87046 |
|
1,078 |
1,035 |
$18K |
| 83020 |
|
1,721 |
1,615 |
$18K |
| 86334 |
|
2,167 |
1,524 |
$17K |
| 84165 |
|
3,302 |
2,923 |
$17K |
| 82105 |
|
1,471 |
1,359 |
$17K |
| 84100 |
|
6,942 |
5,655 |
$17K |
| 87338 |
|
1,889 |
1,851 |
$17K |
| 86160 |
|
1,126 |
1,007 |
$16K |
| 86364 |
|
2,203 |
2,085 |
$16K |
| 86708 |
|
1,725 |
1,635 |
$16K |
| 83721 |
|
2,776 |
2,635 |
$16K |
| 86900 |
|
6,661 |
5,686 |
$15K |
| 86360 |
|
1,543 |
1,479 |
$15K |
| 86901 |
|
6,648 |
5,665 |
$15K |
| 81511 |
|
158 |
153 |
$15K |
| 82570 |
|
5,399 |
4,966 |
$14K |
| 82950 |
|
3,237 |
3,093 |
$14K |
| 86431 |
|
3,430 |
3,254 |
$14K |
| 83993 |
|
870 |
835 |
$13K |
| 86359 |
|
1,550 |
1,484 |
$13K |
| 86200 |
|
1,394 |
1,317 |
$12K |
| 80197 |
|
4,701 |
3,178 |
$12K |
| 84305 |
|
760 |
744 |
$12K |
| U0002 |
Covid-19 lab test non-cdc |
515 |
490 |
$12K |
| 87205 |
|
4,144 |
3,895 |
$11K |
| 86696 |
|
729 |
689 |
$10K |
| 83883 |
|
1,160 |
1,051 |
$10K |
| 84460 |
|
3,196 |
3,027 |
$10K |
| 84156 |
|
5,373 |
4,888 |
$10K |
| 83615 |
|
2,706 |
1,943 |
$10K |
| 82977 |
|
1,776 |
1,642 |
$9K |
| 83010 |
|
1,048 |
966 |
$9K |
| 80050 |
|
715 |
639 |
$9K |
| 87177 |
|
1,347 |
1,188 |
$9K |
| 80069 |
|
2,735 |
2,442 |
$9K |
| 82150 |
|
2,180 |
2,056 |
$9K |
| 84425 |
|
813 |
777 |
$9K |
| 82550 |
|
2,448 |
2,169 |
$9K |
| 84550 |
|
3,773 |
3,288 |
$9K |
| 80178 |
|
2,504 |
2,249 |
$8K |
| 80175 |
|
1,678 |
1,556 |
$8K |
| 86665 |
|
669 |
310 |
$8K |
| 87427 |
|
1,057 |
1,017 |
$8K |
| 83921 |
|
840 |
815 |
$8K |
| 81003 |
|
6,734 |
6,343 |
$8K |
| 87799 |
|
623 |
487 |
$8K |
| 83520 |
|
754 |
694 |
$7K |
| 85730 |
|
1,752 |
1,613 |
$7K |
| 86695 |
|
730 |
690 |
$7K |
| 82248 |
|
2,222 |
1,901 |
$7K |
| 86682 |
|
570 |
530 |
$7K |
| 87045 |
|
1,080 |
1,033 |
$7K |
| 85045 |
|
2,293 |
2,016 |
$6K |
| 83525 |
|
662 |
631 |
$6K |
| 86225 |
|
599 |
554 |
$6K |
| 84450 |
|
1,893 |
1,787 |
$5K |
| 82103 |
|
561 |
509 |
$5K |
| 80159 |
|
1,377 |
1,120 |
$5K |
| 80177 |
|
1,310 |
1,206 |
$5K |
| 86663 |
|
444 |
413 |
$5K |
| 82947 |
|
1,950 |
1,841 |
$5K |
| 82652 |
|
202 |
193 |
$5K |
| 88184 |
|
157 |
128 |
$4K |
| 86664 |
|
348 |
323 |
$4K |
| 84155 |
|
2,691 |
2,440 |
$4K |
| 82565 |
|
2,079 |
1,873 |
$4K |
| 0202U |
|
20 |
20 |
$4K |
| 84436 |
|
1,084 |
1,023 |
$4K |
| 82040 |
|
2,975 |
2,686 |
$4K |
| 83519 |
|
268 |
249 |
$4K |
| 86709 |
|
392 |
376 |
$4K |
| 86039 |
|
442 |
423 |
$4K |
| 85018 |
|
2,444 |
2,239 |
$4K |
| 87634 |
|
131 |
123 |
$3K |
| 84144 |
|
219 |
201 |
$3K |
| 82247 |
|
1,050 |
905 |
$3K |
| G0472 |
Hep c screen high risk/other |
709 |
679 |
$3K |
| 84134 |
|
335 |
291 |
$3K |
| 83021 |
|
152 |
149 |
$2K |
| 82951 |
|
222 |
213 |
$2K |
| 82310 |
|
938 |
836 |
$2K |
| 86769 |
|
186 |
179 |
$2K |
| 85007 |
|
1,236 |
1,061 |
$2K |
| 85651 |
|
1,068 |
933 |
$2K |
| 83521 |
|
188 |
176 |
$2K |
| 86694 |
|
173 |
160 |
$2K |
| 82627 |
|
172 |
166 |
$2K |
| 87529 |
|
93 |
90 |
$2K |
| 86308 |
|
424 |
408 |
$2K |
| 87420 |
|
239 |
210 |
$2K |
| 86304 |
|
145 |
134 |
$2K |
| 85014 |
|
1,465 |
1,300 |
$2K |
| 85660 |
|
339 |
322 |
$2K |
| 87497 |
|
85 |
65 |
$1K |
| 86677 |
|
140 |
132 |
$1K |
| 81420 |
|
626 |
411 |
$1K |
| 84432 |
|
151 |
140 |
$1K |
| 80156 |
|
237 |
225 |
$1K |
| 82024 |
|
51 |
51 |
$1K |
| 81000 |
|
715 |
651 |
$1K |
| 84466 |
|
153 |
148 |
$1K |
| 87329 |
|
130 |
124 |
$1K |
| P9603 |
One-way allow prorated miles |
48,633 |
28,288 |
$1K |
| 85732 |
|
196 |
93 |
$1K |
| 84520 |
|
760 |
662 |
$1K |
| 85613 |
|
133 |
94 |
$934.20 |
| 84075 |
|
468 |
421 |
$909.34 |
| 86147 |
|
25 |
24 |
$885.15 |
| 86146 |
|
42 |
41 |
$852.87 |
| 86807 |
|
17 |
15 |
$808.83 |
| 85379 |
|
102 |
100 |
$779.04 |
| 84132 |
|
457 |
404 |
$742.33 |
| 87040 |
|
88 |
57 |
$675.67 |
| 86335 |
|
42 |
38 |
$658.64 |
| 87880 |
|
58 |
57 |
$655.76 |
| 82330 |
|
98 |
84 |
$639.12 |
| 88346 |
|
14 |
13 |
$627.16 |
| 80185 |
|
215 |
182 |
$626.31 |
| 87075 |
|
111 |
105 |
$596.00 |
| 81508 |
|
60 |
57 |
$594.19 |
| 84681 |
|
54 |
49 |
$576.74 |
| 86036 |
|
57 |
56 |
$561.85 |
| 84163 |
|
40 |
40 |
$556.85 |
| 84703 |
|
88 |
85 |
$508.67 |
| 84166 |
|
52 |
50 |
$488.83 |
| 86255 |
|
55 |
52 |
$480.90 |
| 84295 |
|
270 |
241 |
$439.09 |
| 86141 |
|
68 |
64 |
$351.94 |
| 82374 |
|
221 |
202 |
$351.38 |
| 82435 |
|
223 |
203 |
$333.40 |
| 87468 |
|
1,033 |
983 |
$290.95 |
| 84285 |
|
28 |
13 |
$268.71 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
38 |
38 |
$267.66 |
| 86705 |
|
26 |
25 |
$250.63 |
| 87469 |
|
1,030 |
981 |
$250.59 |
| 82952 |
|
104 |
104 |
$250.43 |
| 87207 |
|
41 |
41 |
$239.60 |
| 82985 |
|
31 |
30 |
$231.15 |
| 86870 |
|
18 |
12 |
$229.36 |
| 87206 |
|
87 |
69 |
$219.15 |
| 84270 |
|
13 |
13 |
$218.57 |
| G0123 |
Screen cerv/vag thin layer |
402 |
399 |
$203.61 |
| 82378 |
|
13 |
12 |
$192.27 |
| 81329 |
|
584 |
364 |
$191.80 |
| 80051 |
|
58 |
53 |
$148.33 |
| 84630 |
|
14 |
13 |
$148.07 |
| 80184 |
|
28 |
27 |
$125.00 |
| 84590 |
|
14 |
13 |
$115.83 |
| 80299 |
|
15 |
12 |
$111.92 |
| 86592 |
|
26 |
26 |
$89.67 |
| 86015 |
|
14 |
12 |
$82.13 |
| 80162 |
|
71 |
63 |
$66.22 |
| 86593 |
|
13 |
12 |
$44.00 |
| 86021 |
|
14 |
13 |
$42.55 |
| 99001 |
|
2,381 |
2,280 |
$41.12 |
| 87081 |
|
15 |
13 |
$35.84 |
| 87505 |
|
28 |
28 |
$35.20 |
| 81002 |
|
20 |
18 |
$26.83 |
| G0103 |
Psa screening |
1,671 |
1,647 |
$17.57 |
| P9604 |
One-way allow prorated trip |
5,545 |
4,048 |
$4.10 |
| G0499 |
Hepb screen high risk indiv |
124 |
123 |
$0.00 |
| 80359 |
|
13 |
13 |
$0.00 |
| 87484 |
|
24 |
24 |
$0.00 |
| 80324 |
|
13 |
13 |
$0.00 |