| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
43,104 |
41,324 |
$3.02M |
| 87491 |
|
91,199 |
85,196 |
$2.03M |
| 87591 |
|
90,889 |
85,100 |
$1.97M |
| 80053 |
|
256,646 |
226,098 |
$1.54M |
| 87661 |
|
75,832 |
69,845 |
$1.53M |
| 84443 |
|
155,366 |
143,482 |
$1.40M |
| 80061 |
|
165,437 |
153,124 |
$1.18M |
| 80307 |
|
37,488 |
27,094 |
$1.18M |
| 85025 |
|
261,425 |
220,839 |
$1.15M |
| 87389 |
|
49,218 |
46,172 |
$757K |
| 82306 |
|
58,417 |
53,376 |
$719K |
| G0480 |
Drug test def 1-7 classes |
18,941 |
14,334 |
$667K |
| 88175 |
|
36,610 |
34,970 |
$551K |
| 36415 |
|
361,084 |
309,377 |
$535K |
| 87902 |
|
3,576 |
3,349 |
$489K |
| 87481 |
|
18,170 |
16,714 |
$482K |
| 81513 |
|
8,559 |
7,634 |
$470K |
| 83036 |
|
96,377 |
89,098 |
$457K |
| 87633 |
|
2,525 |
2,405 |
$456K |
| U0002 |
Covid-19 lab test non-cdc |
11,010 |
10,459 |
$450K |
| 87624 |
|
23,061 |
21,978 |
$449K |
| 87798 |
|
12,502 |
10,829 |
$449K |
| 86803 |
|
49,517 |
46,389 |
$434K |
| 86481 |
|
8,078 |
7,438 |
$365K |
| 84439 |
|
76,646 |
70,855 |
$361K |
| G2023 |
Specimen collect covid-19 |
19,886 |
19,250 |
$359K |
| 87086 |
|
72,054 |
66,452 |
$346K |
| 88305 |
|
6,389 |
5,883 |
$315K |
| 87522 |
Neg quan hep c or qual rna |
13,659 |
12,525 |
$276K |
| 82728 |
|
36,640 |
33,735 |
$270K |
| 82607 |
|
36,995 |
33,588 |
$257K |
| 87088 |
|
50,101 |
46,655 |
$254K |
| U0005 |
Infec agen detec ampli probe |
11,496 |
11,071 |
$231K |
| 85027 |
|
56,070 |
51,863 |
$218K |
| 80048 |
|
48,504 |
42,130 |
$217K |
| 87536 |
|
4,521 |
4,142 |
$200K |
| 84153 |
|
18,088 |
16,889 |
$183K |
| 80081 |
|
4,560 |
4,258 |
$172K |
| 83550 |
|
35,863 |
33,096 |
$171K |
| 87070 |
|
30,624 |
29,071 |
$170K |
| 80055 |
|
5,337 |
5,003 |
$168K |
| 88341 |
|
2,076 |
1,798 |
$167K |
| 87340 |
|
26,848 |
25,185 |
$164K |
| 86480 |
|
5,106 |
4,719 |
$156K |
| 80074 |
|
8,365 |
7,590 |
$151K |
| 83970 |
|
7,964 |
7,274 |
$151K |
| 82746 |
|
27,024 |
24,204 |
$151K |
| 84403 |
|
10,176 |
9,336 |
$144K |
| 88342 |
|
3,096 |
2,567 |
$143K |
| 83540 |
|
37,618 |
34,677 |
$142K |
| 84702 |
|
14,469 |
10,795 |
$132K |
| 81220 |
|
816 |
744 |
$129K |
| 86003 |
|
6,224 |
2,483 |
$116K |
| 87186 |
|
21,694 |
20,158 |
$114K |
| 87077 |
|
21,757 |
20,158 |
$109K |
| 86235 |
|
4,456 |
2,584 |
$105K |
| 87480 |
|
8,681 |
8,118 |
$105K |
| 87510 |
|
8,659 |
8,095 |
$103K |
| 86038 |
|
14,076 |
13,082 |
$101K |
| 88365 |
|
975 |
892 |
$99K |
| 86592 |
|
38,249 |
35,886 |
$99K |
| 87660 |
|
8,706 |
8,118 |
$91K |
| 82570 |
|
31,512 |
28,847 |
$89K |
| 84481 |
|
8,974 |
8,280 |
$86K |
| 83001 |
|
6,635 |
6,264 |
$82K |
| 84146 |
|
6,883 |
6,414 |
$81K |
| 88141 |
|
5,575 |
5,277 |
$81K |
| 80069 |
|
18,787 |
15,842 |
$81K |
| 87653 |
|
4,345 |
4,132 |
$75K |
| 86704 |
|
10,338 |
9,623 |
$73K |
| 86706 |
|
11,112 |
10,400 |
$72K |
| 80076 |
|
14,972 |
14,044 |
$71K |
| 81001 |
|
38,218 |
35,118 |
$68K |
| 86762 |
|
7,814 |
7,336 |
$68K |
| 82670 |
|
4,262 |
4,013 |
$68K |
| 87631 |
|
1,090 |
1,039 |
$67K |
| 83735 |
|
19,486 |
15,477 |
$65K |
| 82043 |
|
20,252 |
18,852 |
$64K |
| 82784 |
|
7,699 |
7,095 |
$63K |
| 82105 |
|
6,467 |
6,082 |
$61K |
| 80050 |
|
10,921 |
7,285 |
$60K |
| 82950 |
|
18,383 |
17,266 |
$59K |
| 84144 |
|
4,876 |
4,204 |
$58K |
| 85610 |
|
21,947 |
17,083 |
$57K |
| 81596 |
|
1,872 |
1,775 |
$57K |
| 84402 |
|
3,947 |
3,723 |
$56K |
| 86696 |
|
5,519 |
4,983 |
$54K |
| 86708 |
|
7,169 |
6,695 |
$53K |
| 86140 |
|
20,873 |
17,966 |
$53K |
| 83516 |
|
6,111 |
4,559 |
$52K |
| 87486 |
|
2,487 |
2,403 |
$51K |
| 87581 |
|
2,487 |
2,405 |
$51K |
| 87529 |
|
1,918 |
1,817 |
$51K |
| 87502 |
|
1,140 |
1,079 |
$50K |
| 87147 |
|
13,154 |
12,473 |
$48K |
| 82248 |
|
19,741 |
16,971 |
$47K |
| 83880 |
|
2,747 |
2,494 |
$47K |
| 83020 |
|
5,844 |
5,441 |
$47K |
| 82951 |
|
7,914 |
6,712 |
$46K |
| 86360 |
|
1,673 |
1,562 |
$46K |
| 83655 |
|
5,093 |
4,920 |
$42K |
| 83002 |
|
3,895 |
3,657 |
$42K |
| 86160 |
|
2,913 |
2,647 |
$39K |
| 87563 |
|
2,531 |
2,323 |
$38K |
| 85652 |
|
23,890 |
20,634 |
$37K |
| 86850 |
|
7,370 |
6,926 |
$36K |
| 84550 |
|
14,258 |
13,068 |
$36K |
| 83525 |
|
5,127 |
4,816 |
$35K |
| 83013 |
|
1,007 |
941 |
$35K |
| 84450 |
|
12,200 |
10,616 |
$35K |
| 86431 |
|
9,944 |
9,284 |
$34K |
| 84460 |
|
11,322 |
9,816 |
$34K |
| 83690 |
|
8,343 |
7,802 |
$32K |
| 86334 |
|
2,890 |
2,610 |
$32K |
| 86376 |
|
3,696 |
3,441 |
$31K |
| 86147 |
|
835 |
710 |
$31K |
| 86695 |
|
5,531 |
4,983 |
$31K |
| 82565 |
|
11,752 |
10,414 |
$31K |
| 87517 |
|
1,243 |
1,175 |
$29K |
| 83520 |
|
1,855 |
1,684 |
$28K |
| 84425 |
|
2,549 |
2,372 |
$28K |
| 86146 |
|
760 |
649 |
$28K |
| 88360 |
|
395 |
354 |
$28K |
| 84436 |
|
11,424 |
10,439 |
$25K |
| 82550 |
|
6,590 |
5,430 |
$25K |
| 80164 |
|
4,113 |
3,626 |
$24K |
| 82378 |
|
2,484 |
2,181 |
$23K |
| 86317 |
|
2,677 |
2,449 |
$23K |
| 84480 |
|
3,405 |
3,156 |
$23K |
| 84156 |
|
11,665 |
10,510 |
$23K |
| 86225 |
|
2,863 |
2,636 |
$22K |
| 82140 |
|
3,014 |
2,586 |
$22K |
| 86039 |
|
3,443 |
3,191 |
$22K |
| 87625 |
|
2,136 |
2,022 |
$22K |
| 82785 |
|
2,452 |
2,213 |
$22K |
| 86800 |
|
2,639 |
2,341 |
$22K |
| 88364 |
|
308 |
278 |
$22K |
| 86359 |
|
1,097 |
1,022 |
$22K |
| 86255 |
|
2,829 |
2,666 |
$22K |
| 84165 |
|
4,015 |
3,682 |
$21K |
| 87799 |
|
600 |
486 |
$21K |
| 86769 |
|
664 |
646 |
$20K |
| 80361 |
|
1,518 |
1,381 |
$20K |
| 86200 |
|
2,692 |
2,493 |
$20K |
| 80197 |
|
4,269 |
2,221 |
$20K |
| 87449 |
|
2,691 |
2,385 |
$20K |
| 88142 |
|
1,719 |
1,644 |
$20K |
| 83615 |
|
5,922 |
5,238 |
$19K |
| 82533 |
|
2,094 |
1,909 |
$19K |
| 86787 |
|
2,581 |
2,155 |
$19K |
| 84100 |
|
7,641 |
5,665 |
$19K |
| 80349 |
|
2,370 |
2,086 |
$18K |
| 88185 |
|
65 |
62 |
$17K |
| 80346 |
|
1,132 |
937 |
$17K |
| 87081 |
|
4,338 |
4,156 |
$17K |
| 84590 |
|
2,634 |
2,465 |
$16K |
| 87427 |
|
2,387 |
2,239 |
$16K |
| 86258 |
|
2,375 |
1,593 |
$16K |
| 84134 |
|
1,908 |
1,254 |
$15K |
| 83993 |
|
1,422 |
1,350 |
$15K |
| 86364 |
|
2,789 |
2,479 |
$15K |
| 86361 |
|
1,084 |
1,027 |
$14K |
| 87493 |
|
1,034 |
965 |
$14K |
| 86300 |
|
1,486 |
1,369 |
$14K |
| 82274 |
|
1,557 |
1,443 |
$14K |
| 82627 |
|
1,323 |
1,259 |
$14K |
| 84703 |
|
2,992 |
2,788 |
$13K |
| 82150 |
|
4,558 |
4,142 |
$13K |
| 80348 |
|
1,552 |
1,151 |
$13K |
| 86709 |
|
1,933 |
1,788 |
$13K |
| 83883 |
|
1,322 |
1,057 |
$13K |
| 87045 |
|
2,389 |
2,246 |
$12K |
| 84075 |
|
6,667 |
5,525 |
$12K |
| 85018 |
|
8,838 |
8,260 |
$12K |
| 84520 |
|
6,574 |
5,721 |
$12K |
| 82247 |
|
5,604 |
4,397 |
$12K |
| 87329 |
|
1,825 |
1,707 |
$12K |
| 86060 |
|
2,699 |
2,546 |
$12K |
| 82977 |
|
3,261 |
2,759 |
$12K |
| 87046 |
|
2,409 |
2,260 |
$12K |
| 86780 |
|
1,670 |
1,555 |
$12K |
| 87328 |
|
1,667 |
1,565 |
$11K |
| 83521 |
|
958 |
807 |
$11K |
| 85730 |
|
3,998 |
3,539 |
$11K |
| 86849 |
|
445 |
341 |
$11K |
| 82525 |
|
1,674 |
1,532 |
$11K |
| 85014 |
|
7,917 |
7,388 |
$11K |
| 86231 |
|
1,661 |
1,509 |
$11K |
| 84155 |
|
5,749 |
5,058 |
$10K |
| 84630 |
|
1,807 |
1,678 |
$10K |
| 86381 |
|
875 |
793 |
$10K |
| 82040 |
|
4,673 |
4,171 |
$10K |
| 80354 |
|
1,211 |
945 |
$10K |
| 84478 |
|
3,887 |
3,016 |
$9K |
| 82390 |
|
1,502 |
1,398 |
$9K |
| 87324 |
|
1,727 |
1,632 |
$9K |
| 82677 |
|
563 |
526 |
$9K |
| 82652 |
|
487 |
445 |
$9K |
| 86901 |
|
4,674 |
4,399 |
$9K |
| 80051 |
|
2,804 |
2,222 |
$9K |
| 82310 |
|
3,870 |
3,547 |
$9K |
| 86665 |
|
444 |
416 |
$8K |
| 81003 |
|
6,876 |
6,273 |
$8K |
| 80178 |
|
2,417 |
2,158 |
$8K |
| 86705 |
|
1,088 |
1,026 |
$8K |
| 84154 |
|
881 |
817 |
$8K |
| 86900 |
|
4,740 |
4,452 |
$8K |
| 87512 |
|
297 |
247 |
$8K |
| 86021 |
|
955 |
820 |
$8K |
| 84270 |
|
706 |
644 |
$7K |
| 85045 |
|
3,635 |
3,317 |
$7K |
| 80353 |
|
1,085 |
967 |
$7K |
| 84681 |
|
684 |
642 |
$7K |
| 80365 |
|
888 |
811 |
$7K |
| 80324 |
|
1,112 |
986 |
$7K |
| 86765 |
|
895 |
824 |
$7K |
| 87210 |
|
2,505 |
2,303 |
$7K |
| 83718 |
|
2,010 |
1,967 |
$6K |
| 86015 |
|
1,268 |
1,138 |
$6K |
| 80362 |
|
399 |
306 |
$6K |
| 86403 |
|
990 |
928 |
$6K |
| 81025 |
|
1,450 |
1,302 |
$6K |
| 87801 |
|
610 |
567 |
$6K |
| 82465 |
|
2,992 |
2,877 |
$6K |
| 86735 |
|
737 |
689 |
$6K |
| 86336 |
|
541 |
518 |
$5K |
| 0001A |
|
62 |
62 |
$5K |
| 86301 |
|
582 |
504 |
$5K |
| 84207 |
|
357 |
332 |
$5K |
| 82103 |
|
778 |
723 |
$5K |
| 86707 |
|
776 |
729 |
$5K |
| 82947 |
|
2,657 |
2,451 |
$5K |
| 86141 |
|
631 |
575 |
$4K |
| 80321 |
|
422 |
372 |
$4K |
| 87634 |
|
118 |
117 |
$4K |
| 81241 |
|
150 |
136 |
$4K |
| 84482 |
|
464 |
407 |
$4K |
| 86304 |
|
354 |
319 |
$4K |
| 82672 |
|
349 |
326 |
$4K |
| 88112 |
|
145 |
124 |
$4K |
| 84132 |
|
1,761 |
1,563 |
$4K |
| 0202U |
|
16 |
16 |
$4K |
| 87350 |
|
588 |
556 |
$4K |
| 82653 |
|
388 |
356 |
$4K |
| 85379 |
|
740 |
682 |
$4K |
| 83921 |
|
326 |
307 |
$3K |
| 82024 |
|
190 |
174 |
$3K |
| 83519 |
|
269 |
244 |
$3K |
| 86664 |
|
343 |
317 |
$3K |
| 86036 |
|
508 |
448 |
$3K |
| 87102 |
|
592 |
574 |
$3K |
| 85613 |
|
567 |
495 |
$3K |
| 87497 |
|
177 |
87 |
$3K |
| 86148 |
|
593 |
344 |
$3K |
| 81240 |
|
107 |
93 |
$3K |
| 83010 |
|
432 |
374 |
$3K |
| 86593 |
|
1,060 |
965 |
$3K |
| 83090 |
|
572 |
508 |
$3K |
| 0002A |
|
48 |
48 |
$3K |
| 83721 |
|
1,263 |
1,181 |
$2K |
| 82542 |
|
217 |
202 |
$2K |
| 84295 |
|
1,312 |
1,216 |
$2K |
| 86677 |
|
334 |
295 |
$2K |
| 85670 |
|
566 |
505 |
$2K |
| 83498 |
|
107 |
104 |
$2K |
| 88184 |
|
65 |
62 |
$2K |
| 86812 |
|
95 |
93 |
$2K |
| 84166 |
|
185 |
171 |
$2K |
| 85660 |
|
434 |
406 |
$1K |
| 80177 |
|
329 |
309 |
$1K |
| 84432 |
|
191 |
168 |
$1K |
| 81270 |
|
46 |
40 |
$1K |
| 81050 |
|
861 |
800 |
$1K |
| 87650 |
|
104 |
102 |
$1K |
| 86682 |
|
191 |
179 |
$1K |
| 85347 |
|
565 |
494 |
$1K |
| 87338 |
|
203 |
188 |
$1K |
| 85049 |
|
700 |
632 |
$1K |
| 85004 |
|
382 |
340 |
$1K |
| 82374 |
|
948 |
897 |
$1K |
| 82088 |
|
58 |
51 |
$1K |
| 82435 |
|
925 |
873 |
$1K |
| G0472 |
Hep c screen high risk/other |
376 |
329 |
$1K |
| 84445 |
|
59 |
56 |
$982.23 |
| 87220 |
|
383 |
365 |
$961.16 |
| 80159 |
|
182 |
128 |
$877.23 |
| 87205 |
|
343 |
309 |
$802.96 |
| 87209 |
|
60 |
54 |
$740.25 |
| 80359 |
|
188 |
153 |
$733.57 |
| 88304 |
|
41 |
40 |
$729.85 |
| 83930 |
|
174 |
93 |
$710.08 |
| 85306 |
|
96 |
86 |
$694.50 |
| 82952 |
|
295 |
259 |
$691.72 |
| 85240 |
|
70 |
66 |
$683.71 |
| 86870 |
|
45 |
38 |
$624.49 |
| 80360 |
|
88 |
76 |
$623.97 |
| 87341 |
|
118 |
103 |
$609.97 |
| 80320 |
|
56 |
53 |
$563.74 |
| 80156 |
|
88 |
81 |
$527.92 |
| 80367 |
|
83 |
79 |
$512.42 |
| 85300 |
|
110 |
99 |
$507.35 |
| 82104 |
|
75 |
70 |
$506.35 |
| 85303 |
|
88 |
80 |
$490.55 |
| 86618 |
|
42 |
41 |
$483.40 |
| 85307 |
|
93 |
79 |
$480.33 |
| 80414 |
|
12 |
12 |
$439.87 |
| 80355 |
|
53 |
38 |
$433.48 |
| 82668 |
|
47 |
40 |
$427.57 |
| 84244 |
|
42 |
38 |
$427.45 |
| 88189 |
|
12 |
12 |
$423.98 |
| 84466 |
|
99 |
90 |
$412.21 |
| 86308 |
|
117 |
111 |
$398.22 |
| 85705 |
|
82 |
55 |
$393.37 |
| 86341 |
|
35 |
24 |
$377.37 |
| 87177 |
|
60 |
54 |
$376.33 |
| 81015 |
|
768 |
713 |
$375.42 |
| 87184 |
|
90 |
87 |
$358.89 |
| 83014 |
|
64 |
61 |
$302.81 |
| 80185 |
|
44 |
37 |
$258.63 |
| G0471 |
Ven blood coll snf/hha |
5,201 |
3,253 |
$246.66 |
| 84597 |
|
25 |
24 |
$198.96 |
| 82330 |
|
30 |
25 |
$176.41 |
| 85048 |
|
329 |
313 |
$169.34 |
| 83992 |
|
15 |
14 |
$151.90 |
| 82656 |
|
25 |
25 |
$146.00 |
| 89055 |
|
47 |
45 |
$139.26 |
| 85597 |
|
14 |
13 |
$137.64 |
| 84300 |
|
55 |
52 |
$134.09 |
| 80175 |
|
26 |
26 |
$123.07 |
| 85305 |
|
31 |
26 |
$118.62 |
| 80162 |
|
22 |
13 |
$107.81 |
| 80373 |
|
15 |
14 |
$106.54 |
| 80377 |
|
15 |
14 |
$106.54 |
| 87040 |
|
18 |
12 |
$100.94 |
| 82164 |
|
13 |
12 |
$99.01 |
| G0103 |
Psa screening |
567 |
526 |
$95.97 |
| 84446 |
|
15 |
14 |
$93.20 |
| 80345 |
|
15 |
13 |
$91.48 |
| 36416 |
|
63 |
38 |
$89.08 |
| 85041 |
|
232 |
221 |
$79.02 |
| P9603 |
One-way allow prorated miles |
4,901 |
3,056 |
$74.67 |
| 87076 |
|
13 |
12 |
$73.28 |
| 85732 |
|
18 |
13 |
$66.63 |
| 87101 |
|
15 |
12 |
$61.88 |
| 82575 |
|
13 |
13 |
$55.42 |
| 80374 |
|
15 |
12 |
$54.86 |
| 85420 |
|
13 |
12 |
$43.37 |
| 85007 |
|
110 |
108 |
$39.72 |
| G0123 |
Screen cerv/vag thin layer |
265 |
253 |
$0.00 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,663 |
1,628 |
$0.00 |
| P3001 |
Screening pap smear by phys |
25 |
24 |
$0.00 |
| 80375 |
|
263 |
254 |
$0.00 |
| P9604 |
One-way allow prorated trip |
228 |
157 |
$0.00 |
| 81329 |
|
14 |
14 |
$0.00 |
| 81206 |
|
12 |
12 |
$0.00 |
| 81291 |
|
18 |
15 |
$0.00 |