| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
117,164 |
108,794 |
$9.10M |
| 87636 |
|
21,178 |
20,728 |
$2.24M |
| 80050 |
|
47,633 |
46,689 |
$1.96M |
| 87631 |
|
13,397 |
13,065 |
$1.82M |
| 88305 |
|
46,272 |
35,714 |
$1.73M |
| 87491 |
|
71,885 |
70,308 |
$1.73M |
| 80307 |
|
28,503 |
25,228 |
$1.60M |
| 81420 |
|
2,634 |
2,574 |
$1.54M |
| 87591 |
|
64,822 |
63,325 |
$1.49M |
| 82306 |
|
41,572 |
40,292 |
$1.36M |
| 80061 |
|
98,992 |
97,088 |
$1.26M |
| 80053 |
|
119,596 |
111,655 |
$1.19M |
| 88175 |
|
37,025 |
36,529 |
$1.07M |
| G0480 |
Drug test def 1-7 classes |
19,066 |
16,442 |
$1.06M |
| 84443 |
|
47,584 |
46,190 |
$898K |
| 87800 |
|
36,373 |
35,240 |
$799K |
| 87624 |
|
21,696 |
21,412 |
$790K |
| 87389 |
|
24,524 |
24,037 |
$638K |
| 86480 |
|
8,712 |
8,510 |
$565K |
| 85025 |
|
102,803 |
93,230 |
$532K |
| 88342 |
|
12,286 |
9,847 |
$504K |
| 88307 |
|
12,122 |
10,700 |
$482K |
| 86803 |
|
27,027 |
26,535 |
$481K |
| 86780 |
|
27,995 |
27,321 |
$394K |
| 87086 |
|
53,513 |
50,851 |
$391K |
| 80081 |
|
4,728 |
4,645 |
$361K |
| 83036 |
|
57,411 |
56,028 |
$348K |
| 87635 |
|
10,073 |
9,564 |
$343K |
| 87653 |
|
8,601 |
8,458 |
$323K |
| 82728 |
|
26,536 |
25,710 |
$290K |
| 86003 |
|
3,004 |
2,783 |
$271K |
| 84466 |
|
17,058 |
16,586 |
$255K |
| 87536 |
|
2,465 |
2,415 |
$250K |
| 80048 |
|
31,521 |
26,985 |
$230K |
| 85027 |
|
34,234 |
32,064 |
$212K |
| 86706 |
|
17,266 |
16,863 |
$205K |
| 87522 |
Neg quan hep c or qual rna |
5,959 |
5,750 |
$201K |
| 81220 |
|
595 |
560 |
$201K |
| 87661 |
|
6,201 |
6,043 |
$201K |
| 86235 |
|
4,800 |
4,627 |
$199K |
| 82607 |
|
17,223 |
16,667 |
$188K |
| U0005 |
Infec agen detec ampli probe |
30,717 |
27,881 |
$184K |
| 80074 |
|
4,287 |
4,132 |
$176K |
| 88341 |
|
3,787 |
3,111 |
$172K |
| 83970 |
|
4,776 |
4,641 |
$171K |
| 84702 |
|
11,234 |
8,997 |
$171K |
| 86618 |
|
5,483 |
5,379 |
$167K |
| 84403 |
|
6,484 |
6,330 |
$163K |
| 84439 |
|
21,031 |
20,327 |
$147K |
| 87340 |
|
10,972 |
10,744 |
$147K |
| 82570 |
|
23,270 |
22,663 |
$143K |
| 83540 |
|
19,367 |
18,811 |
$143K |
| 88112 |
|
2,953 |
2,326 |
$140K |
| 88360 |
|
2,025 |
1,606 |
$135K |
| 84153 |
|
5,948 |
5,818 |
$126K |
| 82043 |
|
18,356 |
18,024 |
$125K |
| 86038 |
|
8,167 |
7,970 |
$114K |
| 87186 |
|
15,654 |
15,025 |
$112K |
| 87077 |
|
16,279 |
15,631 |
$107K |
| 82784 |
|
6,840 |
6,649 |
$107K |
| 83655 |
|
10,374 |
10,204 |
$106K |
| 87507 |
|
839 |
819 |
$105K |
| 84146 |
|
4,596 |
4,490 |
$103K |
| 88304 |
|
8,866 |
7,613 |
$99K |
| G0476 |
Hpv combo assay ca screen |
2,664 |
2,645 |
$99K |
| 87633 |
|
213 |
207 |
$95K |
| 86704 |
|
6,858 |
6,699 |
$95K |
| 83735 |
|
16,067 |
13,784 |
$91K |
| 81001 |
|
34,618 |
33,251 |
$91K |
| 86708 |
|
6,591 |
6,429 |
$89K |
| 86360 |
|
1,489 |
1,459 |
$85K |
| 86696 |
|
3,852 |
3,768 |
$85K |
| 83001 |
|
5,016 |
4,905 |
$82K |
| 84270 |
|
3,334 |
3,260 |
$80K |
| 85610 |
|
23,354 |
14,510 |
$77K |
| 88189 |
|
1,106 |
1,047 |
$76K |
| 82670 |
|
3,766 |
3,668 |
$76K |
| 86225 |
|
4,911 |
4,805 |
$67K |
| 86160 |
|
3,152 |
3,060 |
$67K |
| 86359 |
|
1,492 |
1,462 |
$67K |
| 88312 |
|
1,439 |
1,103 |
$66K |
| 0202U |
|
371 |
356 |
$62K |
| 87801 |
|
1,617 |
1,567 |
$60K |
| 88313 |
|
2,143 |
1,875 |
$60K |
| 86695 |
|
3,098 |
3,039 |
$59K |
| 84481 |
|
2,844 |
2,781 |
$58K |
| 36415 |
|
97,991 |
82,463 |
$58K |
| 82746 |
|
6,104 |
5,904 |
$58K |
| 83525 |
|
5,352 |
5,216 |
$56K |
| 86665 |
|
1,696 |
1,658 |
$56K |
| 86200 |
|
4,076 |
4,010 |
$55K |
| 83002 |
|
3,397 |
3,327 |
$54K |
| 85652 |
|
19,654 |
18,819 |
$54K |
| 86140 |
|
19,122 |
17,992 |
$54K |
| 82105 |
|
2,946 |
2,847 |
$53K |
| 81329 |
|
593 |
563 |
$53K |
| 81514 |
|
761 |
738 |
$52K |
| 88141 |
|
7,658 |
7,567 |
$51K |
| 84165 |
|
4,392 |
3,997 |
$51K |
| 81003 |
|
17,937 |
17,511 |
$49K |
| 80164 |
|
3,434 |
3,191 |
$48K |
| 83880 |
|
1,789 |
1,647 |
$47K |
| 87634 |
|
673 |
658 |
$44K |
| 86147 |
|
779 |
762 |
$44K |
| G0472 |
Hep c screen high risk/other |
2,181 |
2,148 |
$43K |
| 87081 |
|
8,341 |
8,070 |
$43K |
| 86039 |
|
2,950 |
2,891 |
$41K |
| 86617 |
|
1,412 |
1,364 |
$40K |
| 86800 |
|
2,392 |
2,338 |
$40K |
| 86431 |
|
5,506 |
5,412 |
$39K |
| 82950 |
|
5,959 |
5,866 |
$38K |
| 86762 |
|
2,057 |
1,998 |
$37K |
| 80076 |
|
4,537 |
4,309 |
$37K |
| 87070 |
|
5,572 |
5,294 |
$35K |
| 82627 |
|
1,682 |
1,651 |
$34K |
| 81374 |
|
522 |
501 |
$34K |
| 86850 |
|
4,186 |
3,950 |
$33K |
| 86664 |
|
1,640 |
1,611 |
$31K |
| 88311 |
|
2,278 |
1,811 |
$31K |
| 83021 |
|
1,600 |
1,532 |
$30K |
| 82977 |
|
3,897 |
3,515 |
$29K |
| 84100 |
|
5,682 |
4,808 |
$29K |
| 84156 |
|
7,727 |
7,089 |
$29K |
| 86663 |
|
1,647 |
1,618 |
$27K |
| 86787 |
|
1,622 |
1,559 |
$27K |
| 84550 |
|
4,992 |
4,705 |
$26K |
| 87209 |
|
1,341 |
1,143 |
$26K |
| 82248 |
|
5,143 |
4,702 |
$26K |
| 86146 |
|
588 |
572 |
$26K |
| 82533 |
|
2,254 |
2,109 |
$26K |
| 83498 |
|
1,244 |
1,216 |
$25K |
| 88173 |
|
754 |
629 |
$23K |
| 84460 |
|
3,548 |
3,462 |
$23K |
| 88142 |
|
1,440 |
1,431 |
$23K |
| 86376 |
|
2,999 |
2,939 |
$23K |
| 88302 |
|
2,451 |
2,234 |
$23K |
| 84630 |
|
1,795 |
1,753 |
$22K |
| 87529 |
|
1,003 |
976 |
$22K |
| 82550 |
|
3,481 |
3,276 |
$22K |
| 84480 |
|
2,994 |
2,889 |
$22K |
| 87205 |
|
5,254 |
4,986 |
$21K |
| 82951 |
|
1,697 |
1,667 |
$21K |
| 80197 |
|
1,902 |
1,288 |
$20K |
| G2023 |
Specimen collect covid-19 |
2,275 |
2,153 |
$20K |
| 84590 |
|
1,545 |
1,513 |
$19K |
| 86705 |
|
1,238 |
1,220 |
$19K |
| 84436 |
|
2,561 |
2,487 |
$18K |
| 87798 |
|
398 |
388 |
$18K |
| 82024 |
|
468 |
451 |
$17K |
| 83993 |
|
850 |
830 |
$17K |
| 86900 |
|
4,460 |
4,226 |
$17K |
| 86901 |
|
4,367 |
4,136 |
$17K |
| 85730 |
|
2,778 |
2,670 |
$17K |
| 86318 |
|
1,005 |
987 |
$17K |
| 84144 |
|
1,149 |
1,057 |
$17K |
| 87902 |
|
187 |
178 |
$16K |
| 88309 |
|
359 |
319 |
$16K |
| 84425 |
|
2,250 |
2,192 |
$16K |
| 84305 |
|
653 |
638 |
$15K |
| 87075 |
|
1,637 |
1,591 |
$15K |
| 80069 |
|
1,983 |
1,821 |
$15K |
| 87088 |
|
1,995 |
1,942 |
$15K |
| 87147 |
|
4,265 |
4,145 |
$14K |
| P9604 |
One-way allow prorated trip |
21,893 |
13,588 |
$14K |
| 87517 |
|
399 |
379 |
$14K |
| 84432 |
|
664 |
642 |
$14K |
| 84445 |
|
675 |
658 |
$14K |
| 86364 |
|
2,689 |
2,626 |
$13K |
| 83921 |
|
813 |
788 |
$13K |
| 84166 |
|
825 |
737 |
$13K |
| 84207 |
|
395 |
377 |
$13K |
| 87493 |
|
375 |
371 |
$13K |
| 83690 |
|
2,761 |
2,668 |
$13K |
| 84154 |
|
766 |
749 |
$13K |
| 82247 |
|
1,893 |
1,318 |
$12K |
| 86765 |
|
1,092 |
1,057 |
$12K |
| 80178 |
|
1,856 |
1,581 |
$12K |
| 87486 |
|
325 |
317 |
$12K |
| 82785 |
|
721 |
707 |
$12K |
| 82565 |
|
2,099 |
1,592 |
$11K |
| 80177 |
|
978 |
929 |
$11K |
| 83615 |
|
1,815 |
1,588 |
$11K |
| 82274 |
|
3,507 |
3,420 |
$11K |
| 87637 |
|
115 |
109 |
$10K |
| 84402 |
|
404 |
393 |
$10K |
| 87177 |
|
1,339 |
1,143 |
$10K |
| 84134 |
|
533 |
474 |
$9K |
| 82378 |
|
624 |
525 |
$9K |
| 83721 |
|
1,011 |
964 |
$9K |
| 85007 |
|
2,124 |
2,057 |
$9K |
| 87581 |
|
477 |
466 |
$8K |
| 86255 |
|
363 |
359 |
$8K |
| 82947 |
|
2,241 |
2,180 |
$8K |
| 85045 |
|
1,843 |
1,746 |
$8K |
| 86769 |
|
452 |
440 |
$7K |
| 86008 |
|
109 |
96 |
$7K |
| 85379 |
|
765 |
728 |
$7K |
| 85613 |
|
579 |
566 |
$6K |
| 82575 |
|
609 |
594 |
$6K |
| 88331 |
|
252 |
229 |
$6K |
| 84450 |
|
925 |
900 |
$6K |
| 82330 |
|
708 |
640 |
$6K |
| 87338 |
|
951 |
932 |
$6K |
| 82652 |
|
128 |
125 |
$5K |
| 82525 |
|
473 |
457 |
$5K |
| 86334 |
|
282 |
274 |
$5K |
| 84681 |
|
201 |
198 |
$5K |
| 86592 |
|
1,393 |
1,349 |
$5K |
| 86036 |
|
485 |
467 |
$5K |
| 88300 |
|
1,268 |
1,137 |
$5K |
| 83516 |
|
656 |
598 |
$5K |
| 82952 |
|
1,412 |
1,388 |
$5K |
| 82150 |
|
1,011 |
972 |
$4K |
| 81596 |
|
98 |
94 |
$4K |
| 83521 |
|
239 |
226 |
$4K |
| 85018 |
|
1,723 |
1,548 |
$4K |
| 87651 |
|
275 |
265 |
$4K |
| 81015 |
|
1,546 |
1,520 |
$4K |
| 88333 |
|
92 |
84 |
$4K |
| 86645 |
|
177 |
171 |
$4K |
| 83520 |
|
427 |
403 |
$4K |
| 86709 |
|
260 |
252 |
$4K |
| 82088 |
|
142 |
134 |
$3K |
| 82164 |
|
181 |
178 |
$3K |
| 87563 |
|
122 |
120 |
$3K |
| 86644 |
|
182 |
176 |
$3K |
| G0481 |
Drug test def 8-14 classes |
36 |
30 |
$3K |
| 84155 |
|
775 |
748 |
$3K |
| 82310 |
|
520 |
488 |
$3K |
| 86812 |
|
243 |
236 |
$3K |
| 80175 |
|
228 |
224 |
$3K |
| 87481 |
|
103 |
92 |
$3K |
| 80156 |
|
163 |
149 |
$3K |
| 85245 |
|
84 |
81 |
$2K |
| 86304 |
|
131 |
111 |
$2K |
| 89051 |
|
376 |
295 |
$2K |
| 85014 |
|
1,056 |
900 |
$2K |
| 82140 |
|
504 |
461 |
$2K |
| 87102 |
|
252 |
240 |
$2K |
| 87101 |
|
220 |
219 |
$2K |
| 86015 |
|
232 |
225 |
$2K |
| 82085 |
|
232 |
226 |
$2K |
| 82390 |
|
209 |
204 |
$2K |
| 86308 |
|
277 |
274 |
$2K |
| 86735 |
|
432 |
415 |
$2K |
| 84244 |
|
139 |
133 |
$2K |
| 84478 |
|
248 |
228 |
$2K |
| 82672 |
|
110 |
108 |
$1K |
| 86300 |
|
61 |
51 |
$1K |
| 83835 |
|
108 |
98 |
$1K |
| 83010 |
|
118 |
113 |
$1K |
| 84520 |
|
272 |
264 |
$1K |
| 86317 |
|
20 |
14 |
$1K |
| 82103 |
|
77 |
70 |
$1K |
| 81511 |
|
12 |
12 |
$1K |
| 85246 |
|
38 |
37 |
$1K |
| 82955 |
|
127 |
127 |
$1K |
| 82239 |
|
68 |
58 |
$991.08 |
| 88344 |
|
16 |
16 |
$991.08 |
| 82157 |
|
39 |
38 |
$974.93 |
| 81025 |
|
240 |
232 |
$960.70 |
| 88377 |
|
18 |
15 |
$938.77 |
| 87220 |
|
241 |
240 |
$924.69 |
| 87641 |
|
31 |
31 |
$853.51 |
| 86593 |
|
127 |
121 |
$708.26 |
| 86341 |
|
26 |
25 |
$689.31 |
| 87497 |
|
24 |
12 |
$676.80 |
| 84132 |
|
118 |
104 |
$638.98 |
| 85097 |
|
40 |
39 |
$632.88 |
| 81241 |
|
12 |
12 |
$596.97 |
| 87521 |
Neg quan hep c or qual rna |
14 |
14 |
$550.22 |
| 85240 |
|
44 |
42 |
$537.86 |
| 86381 |
|
69 |
67 |
$527.47 |
| 81050 |
|
408 |
398 |
$503.93 |
| 86141 |
|
52 |
50 |
$502.10 |
| 82653 |
|
27 |
26 |
$476.34 |
| 86256 |
|
55 |
52 |
$456.09 |
| 82787 |
|
13 |
13 |
$415.92 |
| 84484 |
|
47 |
41 |
$390.90 |
| 87110 |
|
16 |
16 |
$378.14 |
| 89060 |
|
52 |
48 |
$320.66 |
| P9603 |
One-way allow prorated miles |
156 |
128 |
$315.54 |
| 82040 |
|
113 |
105 |
$310.71 |
| 87329 |
|
24 |
24 |
$290.92 |
| 87045 |
|
38 |
37 |
$254.91 |
| 86231 |
|
28 |
28 |
$243.57 |
| 87076 |
|
25 |
24 |
$195.72 |
| 84145 |
|
26 |
25 |
$183.10 |
| 85660 |
|
59 |
58 |
$179.03 |
| 82340 |
|
25 |
25 |
$175.70 |
| 86611 |
|
12 |
12 |
$159.09 |
| 87040 |
|
14 |
12 |
$145.38 |
| 87107 |
|
12 |
12 |
$142.17 |
| 82397 |
|
27 |
27 |
$128.35 |
| 86666 |
|
12 |
12 |
$119.71 |
| 87449 |
|
29 |
28 |
$110.29 |
| 87324 |
|
28 |
27 |
$110.29 |
| 83605 |
|
15 |
15 |
$100.32 |
| G0471 |
Ven blood coll snf/hha |
3,894 |
2,259 |
$98.67 |
| 82945 |
|
27 |
24 |
$93.44 |
| 86060 |
|
13 |
13 |
$84.16 |
| 84300 |
|
14 |
12 |
$80.30 |
| 82465 |
|
14 |
14 |
$79.63 |
| 85004 |
|
15 |
12 |
$61.12 |
| 89055 |
|
13 |
12 |
$54.00 |
| 84075 |
|
12 |
12 |
$53.07 |
| 82438 |
|
15 |
15 |
$48.90 |
| 87140 |
|
16 |
16 |
$45.62 |
| 86682 |
|
38 |
38 |
$8.46 |
| 36416 |
|
346 |
241 |
$3.41 |