| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
64,194 |
22,751 |
$4.86M |
| U0004 |
Cov-19 test non-cdc hgh thru |
17,103 |
10,431 |
$1.05M |
| 80307 |
|
43,353 |
13,475 |
$591K |
| G0482 |
Drug test def 15-21 classes |
9,495 |
3,304 |
$381K |
| G0480 |
Drug test def 1-7 classes |
8,555 |
3,540 |
$347K |
| G2023 |
Specimen collect covid-19 |
16,510 |
10,430 |
$259K |
| G0483 |
Drug test def 22+ classes |
9,207 |
3,470 |
$239K |
| U0005 |
Infec agen detec ampli probe |
9,425 |
4,264 |
$94K |
| 87426 |
|
1,972 |
1,730 |
$60K |
| 80338 |
|
4,238 |
1,500 |
$38K |
| 80322 |
|
3,732 |
1,000 |
$37K |
| 80355 |
|
4,294 |
1,550 |
$37K |
| 80366 |
|
4,291 |
1,549 |
$37K |
| 80334 |
|
3,470 |
740 |
$35K |
| 80337 |
|
3,532 |
796 |
$35K |
| 80323 |
|
3,477 |
749 |
$34K |
| 80361 |
|
4,423 |
1,675 |
$34K |
| 80356 |
|
4,420 |
1,665 |
$33K |
| 80365 |
|
4,227 |
1,486 |
$33K |
| 80346 |
|
3,865 |
1,118 |
$33K |
| 80360 |
|
3,791 |
1,049 |
$33K |
| 80348 |
|
3,794 |
1,052 |
$33K |
| 80359 |
|
3,795 |
1,053 |
$33K |
| 80358 |
|
3,769 |
1,031 |
$33K |
| 80345 |
|
3,769 |
1,031 |
$33K |
| 80324 |
|
3,878 |
1,133 |
$33K |
| 80368 |
|
6,443 |
751 |
$33K |
| 80363 |
|
3,741 |
1,000 |
$33K |
| 80372 |
|
3,769 |
1,024 |
$33K |
| 80353 |
|
3,808 |
1,066 |
$33K |
| 80373 |
|
3,779 |
1,034 |
$33K |
| 80370 |
|
3,613 |
881 |
$33K |
| 80371 |
|
3,478 |
743 |
$32K |
| 80349 |
|
3,547 |
816 |
$32K |
| 80357 |
|
3,472 |
744 |
$32K |
| G0481 |
Drug test def 8-14 classes |
1,282 |
953 |
$27K |
| 87633 |
|
182 |
134 |
$13K |
| 80074 |
|
1,438 |
1,230 |
$12K |
| 80050 |
|
1,235 |
1,036 |
$9K |
| 80343 |
|
524 |
96 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
300 |
269 |
$5K |
| 86480 |
|
219 |
210 |
$4K |
| 87798 |
|
235 |
166 |
$4K |
| 86703 |
|
1,394 |
1,188 |
$4K |
| 86769 |
|
96 |
50 |
$3K |
| 85025 |
|
1,262 |
922 |
$3K |
| 80053 |
|
843 |
705 |
$3K |
| 87581 |
|
235 |
166 |
$2K |
| 87486 |
|
235 |
166 |
$2K |
| 84443 |
|
489 |
465 |
$2K |
| 80332 |
|
3,634 |
903 |
$2K |
| G2024 |
Spec coll snf/lab covid-19 |
422 |
118 |
$1K |
| 80336 |
|
3,477 |
746 |
$901.15 |
| 80321 |
|
3,836 |
1,093 |
$881.04 |
| 80333 |
|
3,478 |
747 |
$866.99 |
| 80335 |
|
3,469 |
739 |
$796.99 |
| 80364 |
|
767 |
755 |
$790.00 |
| 80362 |
|
3,472 |
740 |
$774.19 |
| 82306 |
|
82 |
77 |
$690.60 |
| 80369 |
|
611 |
601 |
$680.00 |
| 83690 |
|
422 |
401 |
$678.55 |
| 80156 |
|
217 |
181 |
$627.84 |
| 82150 |
|
578 |
471 |
$593.28 |
| 80048 |
|
299 |
112 |
$584.85 |
| 84481 |
|
87 |
79 |
$408.27 |
| 36415 |
|
234 |
214 |
$378.03 |
| 82607 |
|
83 |
78 |
$361.66 |
| P9604 |
One-way allow prorated trip |
510 |
271 |
$339.87 |
| 84439 |
|
86 |
80 |
$224.32 |
| 85027 |
|
120 |
71 |
$208.35 |
| 80159 |
|
14 |
13 |
$179.08 |
| 80347 |
|
65 |
60 |
$136.80 |
| 87389 |
|
50 |
50 |
$133.75 |
| 82248 |
|
87 |
80 |
$126.47 |
| 86317 |
|
253 |
245 |
$96.92 |
| 86592 |
|
81 |
74 |
$96.28 |
| 82247 |
|
42 |
38 |
$3.90 |
| G0471 |
Ven blood coll snf/hha |
252 |
82 |
$0.00 |
| 80354 |
|
66 |
60 |
$0.00 |
| 83992 |
|
15 |
14 |
$0.00 |