GENTOX LAB SERVICES LLC

$107K

Total Medicaid Paid

11,172

Total Claims

8,469

Beneficiaries

59

Codes Billed

2018-01

First Month

2022-01

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
80346		302	212	$14K
80361		290	201	$12K
80337		288	200	$10K
80364		300	211	$7K
80324		288	200	$7K
U0003	Cov-19 amp prb hgh thruput	115	92	$6K
80307		295	235	$5K
80369		290	201	$3K
80332		288	200	$3K
80345		297	212	$3K
80321		275	196	$2K
80376		285	200	$2K
U0005	Infec agen detec ampli probe	114	91	$2K
80372		301	212	$2K
80365		301	211	$2K
80373		301	212	$2K
80367		289	200	$2K
80360		289	200	$2K
80368		290	201	$2K
80358		301	212	$2K
80348		301	212	$2K
80354		301	212	$2K
80366		297	212	$2K
80357		298	212	$2K
80353		291	202	$2K
80338		288	200	$2K
80323		291	203	$2K
80355		299	210	$2K
83992		293	210	$1K
G2023	Specimen collect covid-19	114	92	$787.15
G0482	Drug test def 15-21 classes	84	64	$766.27
G0481	Drug test def 8-14 classes	34	26	$386.37
G0480	Drug test def 1-7 classes	19	19	$116.72
80053		365	343	$13.51
80061		354	301	$13.13
85025		360	333	$12.60
83036		291	255	$4.55
84439		145	131	$0.00
84481		43	39	$0.00
84450		26	26	$0.00
P9604	One-way allow prorated trip	95	86	$0.00
85610		34	18	$0.00
G0483	Drug test def 22+ classes	59	58	$0.00
81408		14	13	$0.00
83540		26	24	$0.00
84550		22	21	$0.00
84403		12	12	$0.00
81479		14	13	$0.00
99000		102	96	$0.00
82306		246	216	$0.00
84153		40	26	$0.00
84443		253	240	$0.00
87086		38	35	$0.00
80050		41	40	$0.00
81001		94	88	$0.00
82607		32	29	$0.00
83735		30	27	$0.00
82746		14	13	$0.00
82043		13	13	$0.00

Medicaid Provider Spending