| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
18,154 |
17,303 |
$1.17M |
| 80061 |
|
44,284 |
43,030 |
$403K |
| 80053 |
|
48,041 |
43,914 |
$324K |
| 82306 |
|
17,490 |
16,871 |
$319K |
| 80050 |
|
18,631 |
18,263 |
$295K |
| 84443 |
|
23,578 |
22,766 |
$229K |
| 87491 |
|
7,569 |
7,141 |
$222K |
| 83036 |
|
37,750 |
36,678 |
$217K |
| U0005 |
Infec agen detec ampli probe |
11,723 |
11,229 |
$212K |
| 87591 |
|
7,560 |
7,137 |
$184K |
| 85025 |
|
34,245 |
30,773 |
$170K |
| 87389 |
|
7,254 |
7,047 |
$156K |
| 81514 |
|
1,374 |
1,315 |
$144K |
| 86803 |
|
11,365 |
11,030 |
$139K |
| 83013 |
|
2,310 |
2,228 |
$135K |
| 87624 |
|
4,433 |
4,221 |
$129K |
| 36415 |
|
91,271 |
76,334 |
$105K |
| 82607 |
|
9,141 |
8,812 |
$102K |
| 80048 |
|
18,793 |
11,550 |
$98K |
| 87481 |
|
3,578 |
1,334 |
$96K |
| 85027 |
|
22,344 |
14,909 |
$95K |
| 86235 |
|
1,340 |
903 |
$78K |
| 82728 |
|
8,459 |
8,114 |
$77K |
| 84439 |
|
12,478 |
12,038 |
$77K |
| 87661 |
|
3,409 |
3,182 |
$68K |
| 86780 |
|
5,733 |
5,476 |
$66K |
| 87086 |
|
11,978 |
11,100 |
$61K |
| 87635 |
|
1,710 |
1,669 |
$60K |
| 84153 |
|
4,197 |
4,057 |
$53K |
| 83970 |
|
1,882 |
1,814 |
$51K |
| 84403 |
|
2,264 |
2,193 |
$50K |
| 87340 |
|
5,609 |
5,417 |
$47K |
| 82570 |
|
12,534 |
11,786 |
$47K |
| 83550 |
|
8,015 |
7,734 |
$47K |
| 83540 |
|
8,516 |
8,215 |
$37K |
| 84481 |
|
3,363 |
3,242 |
$36K |
| 82043 |
|
11,014 |
10,411 |
$34K |
| 87081 |
|
5,808 |
5,352 |
$32K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,368 |
1,334 |
$31K |
| 86038 |
|
3,157 |
3,027 |
$31K |
| G0123 |
Screen cerv/vag thin layer |
1,890 |
1,764 |
$30K |
| 81001 |
|
12,617 |
11,700 |
$29K |
| 87799 |
|
2,525 |
1,340 |
$27K |
| 82746 |
|
2,541 |
2,443 |
$26K |
| 82670 |
|
997 |
971 |
$25K |
| 87077 |
|
4,427 |
3,918 |
$25K |
| 83880 |
|
901 |
857 |
$24K |
| 84146 |
|
1,420 |
1,352 |
$24K |
| 83001 |
|
1,409 |
1,377 |
$23K |
| 87186 |
|
3,799 |
3,375 |
$21K |
| G0144 |
Scr c/v cyto,thinlayer,rescr |
833 |
802 |
$21K |
| 87512 |
|
932 |
844 |
$20K |
| 83735 |
|
5,332 |
4,323 |
$20K |
| 81003 |
|
13,358 |
12,243 |
$20K |
| 84402 |
|
896 |
872 |
$19K |
| 86317 |
|
2,475 |
2,289 |
$19K |
| 86140 |
|
4,385 |
4,077 |
$17K |
| 82784 |
|
1,564 |
1,377 |
$15K |
| 83002 |
|
919 |
898 |
$15K |
| 80307 |
|
270 |
261 |
$15K |
| 82627 |
|
774 |
758 |
$15K |
| G0328 |
Fecal blood scrn immunoassay |
1,130 |
1,106 |
$15K |
| 88142 |
|
857 |
802 |
$14K |
| G0103 |
Psa screening |
909 |
897 |
$14K |
| 86376 |
|
1,132 |
1,084 |
$13K |
| 86696 |
|
1,012 |
926 |
$13K |
| 85610 |
|
5,957 |
3,942 |
$13K |
| 80076 |
|
1,683 |
1,616 |
$11K |
| 86200 |
|
1,082 |
1,034 |
$11K |
| 87801 |
|
391 |
379 |
$11K |
| 85652 |
|
4,932 |
4,610 |
$10K |
| 86850 |
|
3,277 |
2,842 |
$10K |
| 86704 |
|
1,149 |
1,108 |
$10K |
| 82105 |
|
1,031 |
954 |
$10K |
| 80197 |
|
1,557 |
1,043 |
$10K |
| 86695 |
|
1,005 |
923 |
$10K |
| 86225 |
|
853 |
819 |
$10K |
| 83516 |
|
695 |
659 |
$10K |
| 87522 |
Neg quan hep c or qual rna |
457 |
385 |
$10K |
| 86800 |
|
828 |
787 |
$9K |
| 82533 |
|
688 |
654 |
$9K |
| 86431 |
|
1,747 |
1,695 |
$8K |
| 86480 |
|
2,383 |
2,298 |
$8K |
| 84550 |
|
2,400 |
2,297 |
$8K |
| 86762 |
|
1,007 |
961 |
$8K |
| 86900 |
|
3,423 |
2,987 |
$8K |
| 86901 |
|
3,417 |
2,981 |
$8K |
| 88175 |
|
392 |
303 |
$7K |
| 80074 |
|
289 |
277 |
$7K |
| 84100 |
|
2,898 |
2,286 |
$7K |
| 87070 |
|
1,243 |
1,138 |
$7K |
| P9603 |
One-way allow prorated miles |
13,434 |
4,485 |
$7K |
| 83655 |
|
541 |
536 |
$6K |
| 83690 |
|
1,136 |
1,066 |
$6K |
| 84702 |
|
1,576 |
1,394 |
$6K |
| 87497 |
|
372 |
277 |
$6K |
| 82550 |
|
1,035 |
949 |
$5K |
| 86039 |
|
550 |
528 |
$5K |
| 86160 |
|
330 |
308 |
$5K |
| 84425 |
|
748 |
721 |
$5K |
| 84480 |
|
440 |
422 |
$5K |
| 84156 |
|
1,669 |
1,560 |
$5K |
| 82248 |
|
1,029 |
947 |
$4K |
| 84445 |
|
311 |
291 |
$4K |
| 85730 |
|
1,541 |
1,423 |
$4K |
| 82950 |
|
807 |
780 |
$3K |
| 87563 |
|
199 |
187 |
$3K |
| 87205 |
|
1,119 |
1,014 |
$3K |
| 83615 |
|
785 |
679 |
$3K |
| 86708 |
|
305 |
293 |
$3K |
| 84630 |
|
308 |
295 |
$3K |
| 86787 |
|
417 |
374 |
$3K |
| 86334 |
|
195 |
187 |
$3K |
| 88305 |
|
52 |
37 |
$3K |
| 82977 |
|
469 |
448 |
$3K |
| 86618 |
|
166 |
165 |
$2K |
| 80069 |
|
353 |
312 |
$2K |
| 84154 |
|
145 |
141 |
$2K |
| 84590 |
|
242 |
235 |
$2K |
| 86364 |
|
866 |
810 |
$2K |
| 82103 |
|
171 |
148 |
$2K |
| 82390 |
|
196 |
189 |
$1K |
| 84681 |
|
108 |
101 |
$1K |
| 82785 |
|
80 |
78 |
$1K |
| 83993 |
|
69 |
65 |
$1K |
| 82565 |
|
295 |
281 |
$1K |
| 86592 |
|
365 |
322 |
$1K |
| 83021 |
|
72 |
67 |
$979.01 |
| 82525 |
|
87 |
83 |
$936.29 |
| 85045 |
|
284 |
259 |
$896.88 |
| 84165 |
|
202 |
191 |
$877.65 |
| 87517 |
|
26 |
26 |
$859.11 |
| 36591 |
|
185 |
114 |
$828.09 |
| 87427 |
|
79 |
78 |
$826.38 |
| 87449 |
|
81 |
80 |
$814.40 |
| G2023 |
Specimen collect covid-19 |
54 |
51 |
$760.74 |
| 83519 |
|
75 |
70 |
$721.70 |
| 84460 |
|
167 |
161 |
$680.48 |
| 84207 |
|
26 |
26 |
$652.20 |
| 84432 |
|
84 |
71 |
$645.99 |
| 84270 |
|
28 |
27 |
$593.19 |
| 83520 |
|
62 |
54 |
$562.45 |
| 86769 |
|
36 |
24 |
$558.86 |
| 82610 |
|
45 |
43 |
$526.25 |
| 84450 |
|
128 |
122 |
$495.76 |
| 82310 |
|
136 |
127 |
$447.31 |
| 83498 |
|
16 |
15 |
$421.15 |
| 86735 |
|
39 |
38 |
$420.18 |
| 84144 |
|
30 |
28 |
$414.78 |
| 83921 |
|
26 |
26 |
$398.69 |
| 83721 |
|
195 |
192 |
$386.41 |
| 80503 |
|
62 |
61 |
$381.16 |
| 87209 |
|
24 |
24 |
$370.64 |
| 85007 |
|
121 |
105 |
$337.20 |
| 82040 |
|
122 |
120 |
$336.94 |
| 86003 |
|
17 |
13 |
$330.43 |
| 82374 |
|
117 |
109 |
$323.90 |
| 84295 |
|
125 |
117 |
$323.07 |
| 82378 |
|
24 |
19 |
$316.65 |
| 87338 |
|
113 |
105 |
$312.29 |
| 83020 |
|
22 |
19 |
$309.98 |
| 87798 |
|
16 |
13 |
$308.80 |
| 86765 |
|
39 |
38 |
$304.33 |
| 82157 |
|
15 |
14 |
$301.88 |
| 82947 |
|
138 |
130 |
$300.93 |
| 82435 |
|
117 |
109 |
$280.00 |
| 82247 |
|
90 |
83 |
$259.47 |
| 87045 |
|
80 |
79 |
$254.64 |
| 84703 |
|
52 |
52 |
$250.80 |
| 84520 |
|
118 |
110 |
$240.47 |
| 86381 |
|
29 |
29 |
$239.77 |
| 86015 |
|
72 |
63 |
$222.28 |
| 84075 |
|
70 |
69 |
$190.08 |
| 87147 |
|
43 |
40 |
$184.09 |
| 83090 |
|
12 |
12 |
$175.78 |
| 85014 |
|
96 |
86 |
$159.71 |
| 87328 |
|
12 |
12 |
$153.53 |
| 82951 |
|
13 |
13 |
$145.11 |
| 82085 |
|
14 |
14 |
$133.02 |
| 84134 |
|
25 |
25 |
$119.77 |
| 83521 |
|
14 |
14 |
$107.50 |
| 87088 |
|
12 |
12 |
$101.13 |
| 87177 |
|
24 |
24 |
$96.43 |
| 85018 |
|
51 |
49 |
$93.53 |
| 84155 |
|
42 |
41 |
$64.34 |
| 83883 |
|
27 |
12 |
$63.20 |
| 85049 |
|
12 |
12 |
$54.21 |
| 85379 |
|
14 |
14 |
$51.59 |
| 82952 |
|
12 |
12 |
$48.60 |