| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
|
4,964 |
4,660 |
$167K |
| G0483 |
Drug test def 22+ classes |
4,248 |
4,036 |
$41K |
| U0003 |
Cov-19 amp prb hgh thruput |
867 |
575 |
$20K |
| 80356 |
|
467 |
398 |
$5K |
| 80361 |
|
440 |
372 |
$4K |
| 80324 |
|
472 |
402 |
$4K |
| 80354 |
|
468 |
399 |
$3K |
| 80335 |
|
343 |
286 |
$3K |
| 80347 |
|
344 |
287 |
$3K |
| 80362 |
|
343 |
286 |
$3K |
| 80357 |
|
467 |
398 |
$3K |
| 80365 |
|
337 |
283 |
$3K |
| 80359 |
|
466 |
397 |
$3K |
| 80348 |
|
339 |
285 |
$3K |
| U0005 |
Infec agen detec ampli probe |
896 |
556 |
$3K |
| 80358 |
|
337 |
283 |
$2K |
| 80372 |
|
337 |
283 |
$2K |
| 80373 |
|
338 |
284 |
$2K |
| 83992 |
|
434 |
369 |
$2K |
| 80369 |
|
338 |
284 |
$2K |
| 87798 |
|
2,667 |
371 |
$2K |
| 87502 |
|
473 |
313 |
$1K |
| G0482 |
Drug test def 15-21 classes |
198 |
187 |
$668.70 |
| 80350 |
|
136 |
121 |
$551.04 |
| 80349 |
|
122 |
109 |
$528.08 |
| 80353 |
|
114 |
101 |
$489.46 |
| U0004 |
Cov-19 test non-cdc hgh thru |
272 |
174 |
$275.00 |
| 87634 |
|
323 |
209 |
$173.32 |
| 87651 |
|
584 |
372 |
$151.28 |
| 87801 |
|
411 |
260 |
$124.88 |
| 80320 |
|
54 |
47 |
$113.54 |
| U0002 |
Covid-19 lab test non-cdc |
57 |
57 |
$112.28 |
| 87640 |
|
367 |
277 |
$109.42 |
| 87641 |
|
349 |
260 |
$93.63 |
| 87500 |
|
287 |
208 |
$62.42 |
| G2023 |
Specimen collect covid-19 |
164 |
134 |
$46.92 |
| G0481 |
Drug test def 8-14 classes |
126 |
124 |
$0.00 |
| 87486 |
|
172 |
123 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
99 |
92 |
$0.00 |
| 87581 |
|
171 |
123 |
$0.00 |
| 87541 |
|
168 |
122 |
$0.00 |
| 87150 |
|
213 |
141 |
$0.00 |
| P9604 |
One-way allow prorated trip |
128 |
104 |
$0.00 |
| 87481 |
|
132 |
115 |
$0.00 |
| 87633 |
|
171 |
124 |
$0.00 |
| 87653 |
|
132 |
115 |
$0.00 |