| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0481 |
Drug test def 8-14 classes |
28,372 |
11,532 |
$1.11M |
| 80307 |
|
49,522 |
18,882 |
$1.11M |
| G0480 |
Drug test def 1-7 classes |
20,307 |
8,777 |
$546K |
| 87591 |
|
16,841 |
12,840 |
$233K |
| 87491 |
|
16,816 |
12,819 |
$233K |
| 87661 |
|
15,334 |
11,637 |
$203K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,715 |
2,050 |
$174K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,244 |
1,617 |
$146K |
| 87801 |
|
3,941 |
3,654 |
$109K |
| 80050 |
|
6,910 |
5,607 |
$89K |
| 80074 |
|
5,382 |
4,135 |
$77K |
| 87389 |
|
3,640 |
3,092 |
$36K |
| 80061 |
|
6,298 |
5,115 |
$28K |
| 86708 |
|
4,424 |
3,663 |
$24K |
| 86706 |
|
4,518 |
3,740 |
$23K |
| 82306 |
|
2,612 |
2,152 |
$21K |
| U0005 |
Infec agen detec ampli probe |
1,165 |
795 |
$20K |
| 86703 |
|
4,657 |
3,527 |
$20K |
| 87086 |
|
6,108 |
4,969 |
$16K |
| 86780 |
|
2,974 |
2,467 |
$16K |
| 87563 |
|
1,063 |
840 |
$10K |
| 83735 |
|
3,822 |
2,937 |
$10K |
| 84481 |
|
2,054 |
1,573 |
$8K |
| 80053 |
|
3,553 |
2,932 |
$8K |
| 84439 |
|
2,595 |
1,981 |
$7K |
| 86592 |
|
4,362 |
3,403 |
$7K |
| 82607 |
|
1,185 |
947 |
$7K |
| 83036 |
|
3,189 |
2,460 |
$7K |
| 87529 |
|
309 |
260 |
$7K |
| 82746 |
|
979 |
783 |
$6K |
| G2023 |
Specimen collect covid-19 |
669 |
383 |
$6K |
| 87186 |
|
1,383 |
1,145 |
$5K |
| 36415 |
|
9,862 |
7,556 |
$5K |
| 86803 |
|
812 |
647 |
$5K |
| 85025 |
|
2,243 |
1,823 |
$4K |
| 83970 |
|
504 |
410 |
$4K |
| 84403 |
|
390 |
290 |
$4K |
| 85027 |
|
4,068 |
3,168 |
$4K |
| 87077 |
|
1,355 |
1,145 |
$4K |
| 87070 |
|
1,107 |
898 |
$4K |
| 82670 |
|
285 |
198 |
$4K |
| 84443 |
|
1,298 |
1,089 |
$3K |
| 84402 |
|
269 |
185 |
$3K |
| 87633 |
|
76 |
42 |
$3K |
| 84270 |
|
276 |
187 |
$2K |
| 80069 |
|
1,495 |
1,214 |
$2K |
| 81015 |
|
2,187 |
1,652 |
$2K |
| 84146 |
|
257 |
172 |
$2K |
| 83001 |
|
248 |
163 |
$2K |
| 83002 |
|
248 |
163 |
$2K |
| 81025 |
|
671 |
489 |
$2K |
| 86769 |
|
63 |
52 |
$2K |
| 87636 |
|
20 |
17 |
$2K |
| 81001 |
|
2,866 |
2,340 |
$2K |
| 82248 |
|
938 |
786 |
$1K |
| 84144 |
|
154 |
109 |
$1K |
| 84153 |
|
409 |
321 |
$1K |
| 86376 |
|
169 |
111 |
$1K |
| 80048 |
|
1,092 |
723 |
$1K |
| 82728 |
|
408 |
338 |
$990.94 |
| 84703 |
|
310 |
260 |
$971.94 |
| 87075 |
|
317 |
252 |
$940.66 |
| 87635 |
|
60 |
42 |
$840.91 |
| 87205 |
|
555 |
458 |
$832.44 |
| 83090 |
|
231 |
112 |
$822.34 |
| 82951 |
|
129 |
119 |
$650.58 |
| 84460 |
|
174 |
159 |
$623.17 |
| 85014 |
|
438 |
374 |
$606.55 |
| 85018 |
|
436 |
373 |
$606.51 |
| 84450 |
|
170 |
156 |
$602.69 |
| 80164 |
|
215 |
161 |
$598.34 |
| 82627 |
|
62 |
41 |
$566.30 |
| 83540 |
|
542 |
414 |
$531.13 |
| 82570 |
|
515 |
443 |
$500.31 |
| 86140 |
|
324 |
248 |
$481.21 |
| 82533 |
|
62 |
42 |
$442.12 |
| 84100 |
|
272 |
206 |
$442.10 |
| 84436 |
|
621 |
349 |
$413.50 |
| 83550 |
|
316 |
270 |
$403.85 |
| 82977 |
|
100 |
87 |
$391.72 |
| 83525 |
|
89 |
80 |
$361.06 |
| 82043 |
|
276 |
226 |
$356.69 |
| 80184 |
|
70 |
67 |
$247.19 |
| 84156 |
|
439 |
369 |
$239.93 |
| G0482 |
Drug test def 15-21 classes |
626 |
526 |
$232.29 |
| 85652 |
|
203 |
175 |
$221.36 |
| 82150 |
|
58 |
40 |
$206.56 |
| 85651 |
|
164 |
124 |
$203.90 |
| 84480 |
|
493 |
209 |
$201.32 |
| 83690 |
|
59 |
40 |
$196.62 |
| 84134 |
|
145 |
105 |
$128.07 |
| G0483 |
Drug test def 22+ classes |
65 |
47 |
$105.56 |
| 83721 |
|
100 |
35 |
$102.42 |
| 82550 |
|
211 |
159 |
$86.52 |
| 87340 |
|
18 |
15 |
$86.35 |
| 84550 |
|
48 |
33 |
$37.55 |
| 85610 |
|
50 |
25 |
$30.11 |
| 82247 |
|
17 |
15 |
$21.01 |
| 85007 |
|
240 |
199 |
$17.62 |
| 85049 |
|
49 |
39 |
$6.78 |
| 85048 |
|
232 |
157 |
$5.06 |
| 85041 |
|
48 |
38 |
$3.37 |
| P9604 |
One-way allow prorated trip |
453 |
333 |
$0.00 |
| G0471 |
Ven blood coll snf/hha |
994 |
692 |
$0.00 |
| P9603 |
One-way allow prorated miles |
2,607 |
1,490 |
$0.00 |
| 99999 |
|
61 |
44 |
$0.00 |