| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| U0003 |
Cov-19 amp prb hgh thruput |
114,854 |
96,493 |
$7.50M |
| U0005 |
Infec agen detec ampli probe |
90,284 |
77,649 |
$1.66M |
| G0483 |
Drug test def 22+ classes |
12,596 |
11,107 |
$1.50M |
| 87636 |
|
6,589 |
6,486 |
$697K |
| 80307 |
|
16,249 |
15,339 |
$496K |
| 82306 |
|
26,480 |
26,268 |
$340K |
| 87798 |
|
6,543 |
5,926 |
$254K |
| 84443 |
|
28,882 |
28,523 |
$226K |
| G0481 |
Drug test def 8-14 classes |
2,867 |
2,778 |
$223K |
| 80061 |
|
33,820 |
33,497 |
$187K |
| 87491 |
|
10,038 |
9,802 |
$184K |
| G0480 |
Drug test def 1-7 classes |
2,642 |
2,564 |
$183K |
| 87591 |
|
9,555 |
9,327 |
$176K |
| 80053 |
|
33,652 |
32,925 |
$164K |
| 87529 |
|
4,101 |
3,982 |
$157K |
| 87661 |
|
8,895 |
8,665 |
$156K |
| 85025 |
|
37,959 |
36,479 |
$137K |
| 82607 |
|
20,457 |
20,292 |
$131K |
| 83036 |
|
30,217 |
29,863 |
$130K |
| 86328 |
|
3,339 |
3,214 |
$114K |
| 87634 |
|
4,268 |
4,170 |
$111K |
| 87481 |
|
4,556 |
4,431 |
$103K |
| 80074 |
|
4,560 |
4,526 |
$93K |
| 87511 |
|
4,607 |
4,481 |
$90K |
| 87563 |
|
4,291 |
4,172 |
$88K |
| 87631 |
|
1,837 |
1,796 |
$85K |
| 84439 |
|
18,351 |
18,118 |
$76K |
| 87635 |
|
1,788 |
1,758 |
$68K |
| U0002 |
Covid-19 lab test non-cdc |
1,508 |
1,474 |
$58K |
| G0482 |
Drug test def 15-21 classes |
684 |
653 |
$50K |
| 87389 |
|
3,470 |
3,458 |
$46K |
| 82746 |
|
5,417 |
5,368 |
$36K |
| 86803 |
|
4,778 |
4,746 |
$35K |
| 82728 |
|
5,303 |
5,257 |
$33K |
| 84481 |
|
4,384 |
4,345 |
$31K |
| 84153 |
|
3,694 |
3,672 |
$30K |
| 87637 |
|
248 |
247 |
$28K |
| 82570 |
|
5,500 |
5,384 |
$26K |
| 87086 |
|
6,730 |
6,545 |
$25K |
| 87651 |
|
1,583 |
1,559 |
$24K |
| 84480 |
|
3,802 |
3,760 |
$21K |
| 87633 |
|
214 |
214 |
$20K |
| 87581 |
|
1,697 |
1,666 |
$18K |
| 83735 |
|
5,784 |
5,668 |
$18K |
| 87486 |
|
1,682 |
1,653 |
$18K |
| 83986 |
|
377 |
338 |
$18K |
| 84311 |
|
372 |
333 |
$17K |
| 83550 |
|
4,331 |
4,299 |
$17K |
| 36415 |
|
5,088 |
4,848 |
$17K |
| 86703 |
|
3,523 |
3,502 |
$16K |
| 83540 |
|
5,170 |
5,134 |
$15K |
| 84403 |
|
1,255 |
1,238 |
$15K |
| 87186 |
|
1,874 |
1,846 |
$15K |
| 84550 |
|
7,498 |
7,436 |
$15K |
| U0004 |
Cov-19 test non-cdc hgh thru |
193 |
188 |
$14K |
| 87340 |
|
2,659 |
2,648 |
$14K |
| 82043 |
|
5,615 |
5,563 |
$13K |
| 80048 |
|
3,462 |
3,360 |
$13K |
| 87502 |
|
456 |
431 |
$11K |
| 84702 |
|
1,333 |
1,294 |
$10K |
| 86696 |
|
832 |
818 |
$9K |
| 87088 |
|
2,116 |
2,073 |
$9K |
| 87077 |
|
2,100 |
2,073 |
$9K |
| 86592 |
|
4,503 |
4,459 |
$9K |
| 80305 |
|
1,265 |
708 |
$9K |
| 86317 |
|
1,033 |
1,025 |
$8K |
| 87070 |
|
1,954 |
1,929 |
$7K |
| 86704 |
|
938 |
930 |
$6K |
| 85651 |
|
3,234 |
3,133 |
$6K |
| 84100 |
|
2,875 |
2,816 |
$6K |
| 86695 |
|
789 |
777 |
$6K |
| 86708 |
|
855 |
850 |
$6K |
| 82550 |
|
1,796 |
1,734 |
$5K |
| 84436 |
|
2,399 |
2,381 |
$5K |
| 86038 |
|
874 |
867 |
$5K |
| 84146 |
|
486 |
476 |
$4K |
| 80076 |
|
1,068 |
1,031 |
$4K |
| 85027 |
|
1,266 |
1,246 |
$4K |
| 86480 |
|
121 |
120 |
$4K |
| 83001 |
|
438 |
427 |
$4K |
| 81001 |
|
3,027 |
2,957 |
$4K |
| 83002 |
|
427 |
419 |
$4K |
| 87653 |
|
211 |
210 |
$3K |
| 80164 |
|
669 |
640 |
$3K |
| 87632 |
|
38 |
38 |
$3K |
| 86140 |
|
1,239 |
1,169 |
$3K |
| 87498 |
|
311 |
294 |
$3K |
| G2023 |
Specimen collect covid-19 |
276 |
270 |
$3K |
| 83690 |
|
843 |
766 |
$3K |
| 86431 |
|
908 |
901 |
$3K |
| 82670 |
|
173 |
172 |
$2K |
| 87503 |
|
342 |
318 |
$2K |
| 86593 |
|
1,555 |
1,534 |
$2K |
| P9603 |
One-way allow prorated miles |
328 |
296 |
$2K |
| 87640 |
|
153 |
152 |
$2K |
| 84479 |
|
881 |
876 |
$2K |
| 83880 |
|
130 |
124 |
$2K |
| 84460 |
|
764 |
756 |
$2K |
| 84450 |
|
765 |
756 |
$2K |
| 82150 |
|
618 |
543 |
$2K |
| 86701 |
|
280 |
258 |
$2K |
| 85610 |
|
875 |
739 |
$2K |
| 82977 |
|
455 |
453 |
$2K |
| 86141 |
|
200 |
198 |
$1K |
| 81003 |
|
1,141 |
1,121 |
$1K |
| 87150 |
|
26 |
26 |
$1K |
| 82947 |
|
526 |
521 |
$1K |
| 86304 |
|
103 |
101 |
$1K |
| 86301 |
|
100 |
100 |
$1K |
| 82248 |
|
421 |
406 |
$984.03 |
| 84402 |
|
141 |
141 |
$973.79 |
| 81000 |
|
499 |
488 |
$965.16 |
| 84520 |
|
539 |
497 |
$957.96 |
| 82040 |
|
454 |
424 |
$933.81 |
| 82565 |
|
347 |
329 |
$906.69 |
| 82950 |
|
863 |
856 |
$807.05 |
| 87426 |
|
20 |
15 |
$689.08 |
| 80051 |
|
209 |
177 |
$678.66 |
| 83615 |
|
275 |
266 |
$639.45 |
| 84410 |
|
35 |
35 |
$564.69 |
| 87500 |
|
22 |
22 |
$561.68 |
| 86762 |
|
48 |
47 |
$541.85 |
| 86430 |
|
270 |
268 |
$493.63 |
| 84154 |
|
76 |
76 |
$465.99 |
| 83013 |
|
56 |
56 |
$446.18 |
| 85730 |
|
157 |
155 |
$430.70 |
| 85007 |
|
342 |
323 |
$415.56 |
| 86706 |
|
77 |
76 |
$367.71 |
| 80178 |
|
112 |
109 |
$344.96 |
| G2024 |
Spec coll snf/lab covid-19 |
1,003 |
547 |
$337.50 |
| 82540 |
|
190 |
180 |
$304.73 |
| 83655 |
|
69 |
69 |
$292.79 |
| 83090 |
|
57 |
56 |
$268.81 |
| 87641 |
|
22 |
22 |
$225.29 |
| 87624 |
|
15 |
15 |
$220.78 |
| 86705 |
|
217 |
216 |
$214.44 |
| 86677 |
|
27 |
27 |
$175.92 |
| 81015 |
|
470 |
466 |
$168.59 |
| 84703 |
|
61 |
59 |
$149.42 |
| 82465 |
|
49 |
49 |
$130.76 |
| 82553 |
|
26 |
26 |
$107.20 |
| 83721 |
|
15 |
15 |
$105.18 |
| 82378 |
|
12 |
12 |
$97.34 |
| 84295 |
|
35 |
35 |
$94.45 |
| 84132 |
|
35 |
35 |
$93.56 |
| 83718 |
|
17 |
17 |
$88.08 |
| 84478 |
|
18 |
18 |
$65.72 |
| 82374 |
|
15 |
15 |
$48.45 |
| 82435 |
|
15 |
15 |
$45.75 |
| 82310 |
|
13 |
13 |
$23.92 |
| P9604 |
One-way allow prorated trip |
299 |
251 |
$10.00 |
| 86709 |
|
175 |
175 |
$8.19 |
| G0471 |
Ven blood coll snf/hha |
149 |
131 |
$0.00 |
| 84270 |
|
227 |
215 |
$0.00 |
| 80050 |
|
335 |
334 |
$0.00 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
17 |
17 |
$0.00 |