| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| U0004 |
Cov-19 test non-cdc hgh thru |
39,133 |
29,125 |
$2.08M |
| G0482 |
Drug test def 15-21 classes |
21,180 |
19,729 |
$1.92M |
| G0483 |
Drug test def 22+ classes |
17,536 |
15,850 |
$1.85M |
| G0481 |
Drug test def 8-14 classes |
27,903 |
24,748 |
$1.51M |
| 80307 |
|
34,474 |
29,697 |
$1.18M |
| 87798 |
|
8,207 |
6,840 |
$943K |
| G0480 |
Drug test def 1-7 classes |
15,482 |
13,950 |
$590K |
| 87633 |
|
1,872 |
1,770 |
$317K |
| 87637 |
|
2,445 |
2,328 |
$222K |
| U0005 |
Infec agen detec ampli probe |
16,922 |
13,635 |
$166K |
| 87651 |
|
5,252 |
4,791 |
$127K |
| 87581 |
|
4,841 |
4,429 |
$120K |
| G2023 |
Specimen collect covid-19 |
14,066 |
12,008 |
$103K |
| 87631 |
|
717 |
660 |
$41K |
| 87653 |
|
2,195 |
1,915 |
$38K |
| 80361 |
|
2,860 |
2,443 |
$22K |
| 80346 |
|
2,705 |
2,322 |
$21K |
| 80354 |
|
3,093 |
2,655 |
$21K |
| 80356 |
|
2,285 |
2,024 |
$20K |
| 87502 |
|
473 |
423 |
$18K |
| 87591 |
|
601 |
557 |
$17K |
| 80348 |
|
2,305 |
2,002 |
$17K |
| 80358 |
|
2,271 |
1,970 |
$15K |
| 87640 |
|
867 |
764 |
$14K |
| 87634 |
|
361 |
330 |
$14K |
| 87636 |
|
126 |
125 |
$13K |
| 80353 |
|
2,251 |
1,959 |
$13K |
| 80355 |
|
2,397 |
2,095 |
$12K |
| 80365 |
|
2,413 |
2,092 |
$12K |
| 87491 |
|
631 |
587 |
$10K |
| 80324 |
|
1,532 |
1,289 |
$10K |
| 80373 |
|
2,716 |
2,390 |
$10K |
| 80360 |
|
2,184 |
1,932 |
$9K |
| 80359 |
|
1,862 |
1,672 |
$9K |
| 80366 |
|
2,139 |
1,883 |
$8K |
| 80363 |
|
1,557 |
1,297 |
$8K |
| 80338 |
|
1,388 |
1,265 |
$7K |
| 87500 |
|
428 |
396 |
$7K |
| 87641 |
|
414 |
387 |
$7K |
| 80345 |
|
1,237 |
1,137 |
$6K |
| 80323 |
|
1,005 |
932 |
$6K |
| 87481 |
|
228 |
210 |
$6K |
| 80333 |
|
1,122 |
1,048 |
$6K |
| 87661 |
|
233 |
215 |
$5K |
| 80335 |
|
1,038 |
973 |
$5K |
| 80370 |
|
1,489 |
1,349 |
$5K |
| 80372 |
|
1,640 |
1,487 |
$5K |
| 80343 |
|
1,187 |
1,113 |
$5K |
| 80349 |
|
1,351 |
1,191 |
$4K |
| 80368 |
|
1,700 |
1,528 |
$4K |
| 80364 |
|
959 |
877 |
$4K |
| 83992 |
|
1,656 |
1,493 |
$4K |
| 80325 |
|
806 |
728 |
$4K |
| 80339 |
|
1,061 |
989 |
$4K |
| 80367 |
|
1,264 |
1,153 |
$4K |
| 87635 |
|
134 |
125 |
$3K |
| 87563 |
|
204 |
188 |
$2K |
| 80321 |
|
395 |
303 |
$892.10 |
| U0002 |
Covid-19 lab test non-cdc |
25 |
25 |
$861.84 |
| 85025 |
|
867 |
734 |
$357.43 |
| 80336 |
|
92 |
82 |
$263.07 |
| 80053 |
|
678 |
620 |
$236.84 |
| 80369 |
|
144 |
125 |
$143.90 |
| 83036 |
|
250 |
216 |
$109.63 |
| 87086 |
|
27 |
26 |
$80.00 |
| 82306 |
|
195 |
170 |
$64.06 |
| 82728 |
|
16 |
13 |
$59.09 |
| 84443 |
|
328 |
301 |
$57.56 |
| 83540 |
|
16 |
13 |
$56.40 |
| P9603 |
One-way allow prorated miles |
684 |
479 |
$42.06 |
| 80048 |
|
123 |
62 |
$39.50 |
| 80061 |
|
322 |
305 |
$28.24 |
| 36415 |
|
1,050 |
663 |
$20.31 |
| 80332 |
|
20 |
19 |
$15.36 |
| P9604 |
One-way allow prorated trip |
198 |
144 |
$14.22 |
| 84439 |
|
87 |
83 |
$8.12 |
| 84481 |
|
25 |
25 |
$0.00 |
| 80362 |
|
28 |
26 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
68 |
66 |
$0.00 |
| 80342 |
|
18 |
17 |
$0.00 |
| 83735 |
|
28 |
26 |
$0.00 |
| 82550 |
|
17 |
14 |
$0.00 |
| 82746 |
|
27 |
27 |
$0.00 |
| 82607 |
|
49 |
48 |
$0.00 |