| Code | Description | Claims | Beneficiaries | Total Paid |
| U0004 |
Cov-19 test non-cdc hgh thru |
126,446 |
118,139 |
$8.78M |
| 80050 |
|
187,675 |
181,027 |
$5.58M |
| 87491 |
|
118,097 |
112,866 |
$3.43M |
| 87591 |
|
118,191 |
112,992 |
$3.41M |
| 80061 |
|
265,927 |
251,292 |
$2.46M |
| 84443 |
|
183,557 |
171,210 |
$2.11M |
| 80053 |
|
267,950 |
244,395 |
$1.83M |
| 36415 |
|
514,171 |
456,548 |
$1.77M |
| 85025 |
|
311,128 |
280,400 |
$1.64M |
| 80307 |
|
35,608 |
30,569 |
$1.58M |
| 87389 |
|
75,716 |
73,384 |
$1.49M |
| 83036 |
|
227,579 |
216,223 |
$1.48M |
| 82306 |
|
84,733 |
79,259 |
$1.30M |
| 87481 |
|
27,922 |
26,375 |
$1.28M |
| 87661 |
|
43,747 |
42,061 |
$1.22M |
| G0480 |
Drug test def 1-7 classes |
16,096 |
13,964 |
$1.15M |
| 88175 |
|
48,385 |
47,392 |
$1.14M |
| 87624 |
|
36,349 |
35,413 |
$1.03M |
| 86481 |
|
11,994 |
11,568 |
$888K |
| 87086 |
|
131,793 |
121,302 |
$800K |
| 87798 |
|
21,798 |
19,940 |
$789K |
| U0005 |
Infec agen detec ampli probe |
57,365 |
54,083 |
$730K |
| 86780 |
|
65,694 |
62,136 |
$691K |
| 86003 |
|
8,037 |
7,135 |
$675K |
| 86803 |
|
59,913 |
57,616 |
$675K |
| 84439 |
|
103,587 |
97,558 |
$653K |
| 82728 |
|
64,364 |
60,895 |
$620K |
| 88305 |
|
9,057 |
8,430 |
$585K |
| 84403 |
|
30,155 |
28,488 |
$555K |
| 83013 |
|
8,770 |
8,590 |
$493K |
| 84466 |
|
52,978 |
50,176 |
$482K |
| 87653 |
|
15,393 |
14,989 |
$458K |
| 82607 |
|
44,451 |
41,793 |
$448K |
| 87804 |
|
16,012 |
15,681 |
$441K |
| 81513 |
|
23,761 |
22,904 |
$436K |
| 86235 |
|
6,377 |
4,739 |
$431K |
| 87340 |
|
51,223 |
49,136 |
$410K |
| 87077 |
|
62,308 |
57,668 |
$379K |
| 87880 |
|
25,572 |
25,019 |
$348K |
| 84153 |
|
26,518 |
24,856 |
$322K |
| 82746 |
|
31,315 |
29,614 |
$320K |
| 87186 |
|
52,486 |
48,470 |
$318K |
| 87902 |
|
1,679 |
1,538 |
$299K |
| 84481 |
|
25,577 |
24,020 |
$298K |
| 87511 |
|
16,376 |
15,998 |
$283K |
| 84702 |
|
22,338 |
17,346 |
$279K |
| 84270 |
|
17,767 |
16,829 |
$279K |
| 82570 |
|
85,853 |
78,953 |
$279K |
| 80048 |
|
53,264 |
47,080 |
$275K |
| 82670 |
|
12,999 |
12,331 |
$266K |
| 86762 |
|
21,841 |
21,103 |
$265K |
| 87632 |
|
1,572 |
1,544 |
$258K |
| 83540 |
|
55,015 |
52,075 |
$252K |
| 82043 |
|
58,167 |
55,261 |
$232K |
| 86706 |
|
27,294 |
26,001 |
$224K |
| 87070 |
|
33,983 |
32,273 |
$223K |
| 81001 |
|
96,297 |
87,739 |
$218K |
| 83516 |
|
24,148 |
12,910 |
$217K |
| 83001 |
|
14,719 |
14,189 |
$209K |
| 86850 |
|
28,908 |
27,778 |
$208K |
| 87480 |
|
13,134 |
12,396 |
$207K |
| 87510 |
|
13,130 |
12,397 |
$207K |
| 87660 |
|
13,139 |
12,403 |
$206K |
| 82274 |
|
15,123 |
14,682 |
$201K |
| 86704 |
|
22,073 |
21,052 |
$200K |
| 83970 |
|
9,011 |
8,156 |
$199K |
| 83655 |
|
17,158 |
16,910 |
$196K |
| 83880 |
|
9,540 |
8,355 |
$190K |
| 86038 |
|
20,193 |
18,925 |
$184K |
| 87046 |
|
11,368 |
6,440 |
$181K |
| 87522 |
Neg quan hep c or qual rna |
6,890 |
6,497 |
$181K |
| 84146 |
|
11,675 |
11,100 |
$175K |
| 87521 |
Neg quan hep c or qual rna |
7,073 |
6,501 |
$175K |
| G0483 |
Drug test def 22+ classes |
1,545 |
1,202 |
$172K |
| 87502 |
|
2,686 |
2,501 |
$170K |
| 87536 |
|
3,066 |
2,872 |
$170K |
| 83002 |
|
11,357 |
10,957 |
$162K |
| 86696 |
|
10,511 |
10,011 |
$152K |
| 86140 |
|
38,344 |
35,226 |
$142K |
| 84144 |
|
8,868 |
8,121 |
$137K |
| 87081 |
|
22,671 |
22,316 |
$135K |
| 80074 |
|
3,705 |
3,621 |
$131K |
| 82105 |
|
8,959 |
8,635 |
$124K |
| 87529 |
|
2,285 |
2,168 |
$120K |
| 85651 |
|
39,495 |
36,519 |
$115K |
| 86787 |
|
10,655 |
9,327 |
$114K |
| 86376 |
|
10,661 |
10,156 |
$114K |
| 87631 |
|
1,198 |
1,178 |
$102K |
| 82627 |
|
6,453 |
6,150 |
$102K |
| 88141 |
|
5,359 |
5,163 |
$100K |
| 86800 |
|
8,664 |
8,155 |
$100K |
| 87493 |
|
4,107 |
3,836 |
$99K |
| 87338 |
|
8,472 |
8,249 |
$98K |
| 87088 |
|
17,894 |
16,226 |
$98K |
| 86695 |
|
9,612 |
9,147 |
$96K |
| 86665 |
|
5,937 |
3,468 |
$95K |
| 87210 |
|
19,707 |
18,762 |
$92K |
| 87209 |
|
6,350 |
5,801 |
$90K |
| 84703 |
|
13,690 |
13,032 |
$89K |
| 86709 |
|
10,672 |
10,084 |
$87K |
| 83690 |
|
15,756 |
15,072 |
$84K |
| 83735 |
|
20,576 |
17,929 |
$83K |
| 82950 |
|
19,837 |
19,422 |
$81K |
| 86317 |
|
5,417 |
5,162 |
$80K |
| 86141 |
|
8,003 |
7,651 |
$76K |
| 86360 |
|
2,004 |
1,943 |
$76K |
| 82784 |
|
8,913 |
8,101 |
$75K |
| 87535 |
|
2,598 |
2,449 |
$74K |
| 82671 |
|
2,867 |
2,761 |
$70K |
| 82951 |
|
6,195 |
6,057 |
$69K |
| 86900 |
|
27,945 |
26,817 |
$68K |
| 86694 |
|
6,086 |
5,816 |
$67K |
| 86901 |
|
27,957 |
26,841 |
$67K |
| 86431 |
|
15,303 |
14,704 |
$67K |
| 82533 |
|
5,741 |
5,143 |
$64K |
| 82677 |
|
2,927 |
2,853 |
$63K |
| 83525 |
|
7,579 |
7,170 |
$63K |
| 86359 |
|
2,005 |
1,944 |
$61K |
| 81003 |
|
29,790 |
27,897 |
$60K |
| 87205 |
|
19,108 |
17,928 |
$59K |
| 80076 |
|
11,083 |
10,353 |
$59K |
| 86160 |
|
7,061 |
3,450 |
$56K |
| 84480 |
|
6,136 |
5,712 |
$54K |
| 84550 |
|
17,856 |
16,414 |
$54K |
| 85027 |
|
12,157 |
11,388 |
$52K |
| 85610 |
|
21,812 |
15,478 |
$52K |
| 87635 |
|
1,224 |
1,203 |
$50K |
| 87045 |
|
6,667 |
6,409 |
$49K |
| 86200 |
|
4,789 |
4,606 |
$47K |
| 87177 |
|
6,416 |
5,847 |
$45K |
| 86682 |
|
3,538 |
2,087 |
$45K |
| 84154 |
|
4,252 |
3,896 |
$44K |
| 83721 |
|
8,117 |
7,535 |
$43K |
| 87075 |
|
6,292 |
5,966 |
$43K |
| 87801 |
|
801 |
780 |
$42K |
| 86336 |
|
2,827 |
2,756 |
$39K |
| 82150 |
|
7,612 |
7,267 |
$39K |
| 80164 |
|
5,295 |
4,564 |
$38K |
| 83520 |
|
2,939 |
2,693 |
$36K |
| 84436 |
|
8,406 |
7,900 |
$36K |
| 88142 |
|
1,813 |
1,781 |
$35K |
| 82785 |
|
3,043 |
2,871 |
$34K |
| 83090 |
|
2,959 |
2,773 |
$34K |
| 87517 |
|
986 |
960 |
$33K |
| 84425 |
|
2,562 |
2,349 |
$33K |
| 82024 |
|
1,335 |
1,220 |
$33K |
| 84681 |
|
2,294 |
2,163 |
$33K |
| 86735 |
|
2,736 |
2,666 |
$32K |
| 86765 |
|
2,762 |
2,709 |
$31K |
| 83993 |
|
2,115 |
2,053 |
$31K |
| 86708 |
|
3,040 |
2,890 |
$30K |
| 80069 |
|
6,582 |
5,624 |
$29K |
| 82140 |
|
3,340 |
2,633 |
$29K |
| 85014 |
|
12,647 |
12,431 |
$28K |
| 84156 |
|
11,504 |
9,929 |
$27K |
| 86060 |
|
4,596 |
4,394 |
$26K |
| 80178 |
|
5,787 |
5,050 |
$26K |
| 82977 |
|
5,910 |
5,325 |
$26K |
| 87516 |
|
835 |
813 |
$25K |
| 80305 |
|
2,330 |
1,484 |
$25K |
| 83519 |
|
1,983 |
1,818 |
$25K |
| 83498 |
|
1,245 |
1,215 |
$25K |
| 87147 |
|
4,208 |
4,054 |
$25K |
| 86769 |
|
1,372 |
1,309 |
$25K |
| 85379 |
|
3,450 |
3,227 |
$25K |
| 84479 |
|
5,391 |
5,096 |
$24K |
| 87420 |
|
1,994 |
1,940 |
$24K |
| 86664 |
|
2,146 |
2,030 |
$24K |
| 84445 |
|
689 |
654 |
$24K |
| 82550 |
|
5,570 |
5,065 |
$24K |
| 36416 |
|
9,322 |
8,532 |
$23K |
| 86812 |
|
1,237 |
1,164 |
$23K |
| 84482 |
|
2,122 |
2,034 |
$23K |
| 82247 |
|
5,602 |
4,138 |
$23K |
| 87329 |
|
2,464 |
2,353 |
$23K |
| 84460 |
|
5,447 |
5,154 |
$22K |
| 85730 |
|
5,137 |
4,749 |
$22K |
| 84100 |
|
7,935 |
6,806 |
$22K |
| 82652 |
|
969 |
896 |
$21K |
| 86318 |
|
1,599 |
1,541 |
$21K |
| 86663 |
|
2,161 |
2,044 |
$21K |
| 84484 |
|
2,315 |
2,092 |
$20K |
| 86592 |
|
6,036 |
5,747 |
$19K |
| 84207 |
|
1,231 |
1,122 |
$19K |
| 84402 |
|
1,035 |
988 |
$19K |
| 88342 |
|
242 |
234 |
$18K |
| 86308 |
|
3,896 |
3,750 |
$17K |
| 82952 |
|
4,744 |
4,634 |
$16K |
| 84630 |
|
2,125 |
2,033 |
$16K |
| 86645 |
|
1,214 |
1,176 |
$16K |
| 87634 |
|
380 |
360 |
$16K |
| 84450 |
|
4,174 |
3,902 |
$16K |
| 82248 |
|
3,690 |
2,861 |
$15K |
| 85018 |
|
6,749 |
6,524 |
$14K |
| 82310 |
|
9,298 |
8,330 |
$14K |
| 82947 |
|
4,283 |
4,099 |
$14K |
| 86644 |
|
1,205 |
1,163 |
$13K |
| 82525 |
|
1,612 |
1,508 |
$13K |
| 82239 |
|
906 |
783 |
$13K |
| 80159 |
|
1,569 |
1,086 |
$13K |
| 83615 |
|
3,627 |
3,009 |
$12K |
| 86747 |
|
501 |
482 |
$12K |
| 80503 |
|
1,722 |
1,593 |
$12K |
| 84165 |
|
1,944 |
1,753 |
$12K |
| 83088 |
|
534 |
514 |
$11K |
| 83921 |
|
882 |
829 |
$11K |
| 88312 |
|
220 |
191 |
$11K |
| 85045 |
|
4,058 |
3,788 |
$11K |
| 80177 |
|
1,483 |
1,294 |
$11K |
| 81015 |
|
8,026 |
7,481 |
$11K |
| 80197 |
|
1,448 |
962 |
$10K |
| 86256 |
|
1,150 |
1,054 |
$10K |
| 82390 |
|
1,287 |
1,231 |
$10K |
| 83021 |
|
592 |
578 |
$9K |
| 82172 |
|
757 |
699 |
$9K |
| 83704 |
|
437 |
415 |
$9K |
| 80175 |
|
1,180 |
1,041 |
$9K |
| 86304 |
|
679 |
607 |
$8K |
| 82365 |
|
917 |
879 |
$8K |
| 86147 |
|
212 |
203 |
$8K |
| 85060 |
|
608 |
592 |
$8K |
| 81050 |
|
3,267 |
2,914 |
$7K |
| 87252 |
|
350 |
334 |
$7K |
| 83883 |
|
795 |
721 |
$7K |
| 85245 |
|
420 |
294 |
$7K |
| 80500 |
|
621 |
565 |
$6K |
| G0472 |
Hep c screen high risk/other |
2,422 |
2,000 |
$6K |
| 88304 |
|
181 |
174 |
$6K |
| 86255 |
|
747 |
566 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
127 |
124 |
$6K |
| 86870 |
|
248 |
211 |
$6K |
| 82565 |
|
1,964 |
1,695 |
$6K |
| 84075 |
|
2,532 |
2,385 |
$5K |
| 86341 |
|
320 |
210 |
$5K |
| G0481 |
Drug test def 8-14 classes |
38 |
31 |
$5K |
| 86593 |
|
839 |
785 |
$5K |
| 87220 |
|
1,272 |
1,244 |
$5K |
| 80156 |
|
641 |
577 |
$5K |
| 87109 |
|
566 |
539 |
$5K |
| 84134 |
|
568 |
475 |
$5K |
| 86777 |
|
422 |
416 |
$5K |
| 82088 |
|
168 |
162 |
$5K |
| 82330 |
|
551 |
512 |
$5K |
| 99001 |
|
1,772 |
1,250 |
$5K |
| 87102 |
|
735 |
707 |
$5K |
| 84520 |
|
1,952 |
1,703 |
$4K |
| 87076 |
|
628 |
583 |
$4K |
| 83020 |
|
376 |
365 |
$4K |
| 86617 |
|
161 |
155 |
$4K |
| 87185 |
|
837 |
800 |
$3K |
| 85613 |
|
511 |
331 |
$3K |
| 85240 |
|
250 |
239 |
$3K |
| 84244 |
|
213 |
208 |
$3K |
| 87184 |
|
871 |
802 |
$3K |
| 82378 |
|
322 |
259 |
$3K |
| 84155 |
|
1,912 |
1,721 |
$3K |
| 82553 |
|
292 |
276 |
$3K |
| 85246 |
|
136 |
129 |
$2K |
| G0103 |
Psa screening |
2,962 |
2,458 |
$2K |
| 82948 |
|
579 |
545 |
$2K |
| 86778 |
|
190 |
184 |
$2K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,275 |
1,044 |
$2K |
| 87276 |
|
157 |
152 |
$2K |
| 83695 |
|
187 |
184 |
$2K |
| 82340 |
|
395 |
361 |
$2K |
| 87641 |
|
80 |
68 |
$1K |
| 84590 |
|
199 |
189 |
$1K |
| 87275 |
|
157 |
152 |
$1K |
| 80185 |
|
243 |
193 |
$1K |
| P9604 |
One-way allow prorated trip |
13,903 |
9,272 |
$1K |
| G0432 |
Eia hiv-1/hiv-2 screen |
716 |
601 |
$1K |
| 82653 |
|
56 |
50 |
$1K |
| 87040 |
|
177 |
155 |
$1K |
| G0328 |
Fecal blood scrn immunoassay |
1,086 |
944 |
$1K |
| 83789 |
|
80 |
76 |
$1K |
| 83521 |
|
44 |
42 |
$1K |
| 82626 |
|
63 |
63 |
$1K |
| 86618 |
|
120 |
106 |
$1K |
| 82103 |
|
128 |
119 |
$1K |
| 87280 |
|
122 |
118 |
$1K |
| 84132 |
|
398 |
349 |
$1K |
| 81241 |
|
59 |
56 |
$1K |
| 84300 |
|
331 |
311 |
$1K |
| 87328 |
|
91 |
88 |
$963.65 |
| 86334 |
|
99 |
83 |
$938.04 |
| 81269 |
|
56 |
56 |
$914.78 |
| 87260 |
|
90 |
86 |
$864.33 |
| 83835 |
|
78 |
73 |
$845.89 |
| G0471 |
Ven blood coll snf/hha |
9,539 |
6,158 |
$763.73 |
| 83986 |
|
331 |
284 |
$727.49 |
| 87279 |
|
118 |
86 |
$653.29 |
| 86702 |
|
69 |
65 |
$644.03 |
| 84311 |
|
141 |
116 |
$599.12 |
| 86361 |
|
28 |
25 |
$529.74 |
| 84140 |
|
52 |
47 |
$515.42 |
| 83945 |
|
53 |
52 |
$475.76 |
| 83874 |
|
44 |
37 |
$442.01 |
| 86701 |
|
69 |
65 |
$421.88 |
| 81291 |
|
186 |
165 |
$418.47 |
| 86658 |
|
14 |
14 |
$396.48 |
| 82465 |
|
131 |
121 |
$387.04 |
| 80162 |
|
124 |
89 |
$382.47 |
| 84478 |
|
84 |
80 |
$378.14 |
| 87181 |
|
175 |
138 |
$377.20 |
| 82157 |
|
14 |
14 |
$369.66 |
| 82040 |
|
137 |
113 |
$317.12 |
| 87350 |
|
25 |
25 |
$262.02 |
| 82542 |
|
15 |
14 |
$258.66 |
| 86788 |
|
21 |
12 |
$245.18 |
| 84133 |
|
81 |
79 |
$244.85 |
| 82507 |
|
15 |
14 |
$230.74 |
| 86335 |
|
13 |
12 |
$211.26 |
| 83630 |
|
20 |
18 |
$210.79 |
| 85049 |
|
57 |
54 |
$188.79 |
| 86789 |
|
19 |
12 |
$187.05 |
| 82397 |
|
14 |
14 |
$173.45 |
| 85306 |
|
14 |
13 |
$172.85 |
| 82530 |
|
16 |
12 |
$172.45 |
| 82436 |
|
42 |
40 |
$146.57 |
| 84432 |
|
12 |
12 |
$141.84 |
| 84105 |
|
38 |
37 |
$136.16 |
| 84560 |
|
40 |
38 |
$134.42 |
| 82955 |
|
14 |
14 |
$130.32 |
| 82668 |
|
12 |
12 |
$124.85 |
| 87341 |
|
13 |
13 |
$112.35 |
| 86707 |
|
13 |
12 |
$98.79 |
| 85384 |
|
14 |
12 |
$96.70 |
| 86705 |
|
15 |
12 |
$89.32 |
| 83718 |
|
13 |
13 |
$87.06 |
| 86001 |
|
12 |
12 |
$77.54 |
| 84446 |
|
12 |
12 |
$73.72 |
| 84392 |
|
14 |
13 |
$41.70 |
| 84145 |
|
90 |
61 |
$0.00 |