S&G LABS HAWAII LLC

$15.13M

Total Medicaid Paid

409,562

Total Claims

233,372

Beneficiaries

45

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
80307		103,220	56,764	$3.95M
G0481	Drug test def 8-14 classes	54,327	34,016	$3.79M
G0482	Drug test def 15-21 classes	24,594	13,844	$2.35M
G0480	Drug test def 1-7 classes	41,271	22,671	$2.15M
U0004	Cov-19 test non-cdc hgh thru	16,792	11,079	$960K
G0483	Drug test def 22+ classes	5,480	2,787	$508K
G2023	Specimen collect covid-19	12,347	9,111	$222K
U0005	Infec agen detec ampli probe	9,027	5,380	$155K
80346		5,386	3,167	$85K
80365		5,243	3,118	$84K
80324		5,567	3,296	$83K
80361		4,386	2,654	$76K
80356		3,887	2,385	$68K
80353		4,641	2,801	$68K
80358		3,447	2,115	$56K
80349		3,356	1,903	$50K
80321		3,453	2,018	$49K
80354		2,666	1,585	$44K
83992		12,252	5,993	$38K
80348		2,524	1,517	$35K
80360		2,893	1,822	$34K
80375		2,674	1,319	$31K
80323		2,339	1,318	$29K
80359		1,786	1,088	$23K
80362		2,107	1,249	$23K
80369		1,614	1,040	$21K
80373		1,284	777	$17K
82570		20,391	10,382	$17K
G2024	Spec coll snf/lab covid-19	2,935	896	$14K
83986		20,413	10,400	$14K
80355		1,053	598	$13K
81003		20,380	10,379	$10K
80366		789	471	$10K
80370		795	589	$10K
80372		755	523	$9K
80371		1,150	744	$7K
80368		699	474	$6K
80357		597	320	$4K
84560		589	440	$3K
80342		119	76	$2K
80332		35	27	$273.27
82977		21	19	$107.96
80338		20	15	$91.40
86328		40	19	$90.46
S9999	Sales tax	218	183	$0.00

Medicaid Provider Spending