| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
33,166 |
29,212 |
$2.31M |
| 81420 |
|
6,680 |
5,205 |
$1.81M |
| 80050 |
|
99,281 |
82,816 |
$1.42M |
| 80061 |
|
232,967 |
193,748 |
$741K |
| 80307 |
|
25,577 |
19,703 |
$729K |
| 82306 |
|
99,078 |
76,017 |
$703K |
| 80053 |
|
254,606 |
212,491 |
$619K |
| 81220 |
|
3,111 |
2,393 |
$605K |
| 85025 |
|
220,061 |
180,430 |
$582K |
| 87389 |
|
43,110 |
34,985 |
$458K |
| 84443 |
|
143,609 |
116,683 |
$457K |
| 87491 |
|
30,350 |
24,813 |
$384K |
| 87591 |
|
30,261 |
24,739 |
$381K |
| 88175 |
|
34,290 |
31,294 |
$355K |
| U0005 |
Infec agen detec ampli probe |
15,403 |
13,444 |
$311K |
| 83036 |
|
157,150 |
129,549 |
$310K |
| 87086 |
|
134,739 |
112,985 |
$298K |
| 80081 |
|
13,366 |
11,382 |
$295K |
| G0481 |
Drug test def 8-14 classes |
7,569 |
5,655 |
$282K |
| 87624 |
|
21,668 |
19,551 |
$282K |
| 36415 |
|
114,938 |
96,308 |
$251K |
| 80055 |
|
6,577 |
4,239 |
$245K |
| 82607 |
|
66,321 |
49,467 |
$227K |
| G0483 |
Drug test def 22+ classes |
3,848 |
2,617 |
$226K |
| 87633 |
|
3,652 |
3,186 |
$204K |
| 86803 |
|
34,957 |
28,176 |
$175K |
| 84439 |
|
77,373 |
63,978 |
$165K |
| 80074 |
|
15,477 |
12,308 |
$147K |
| 82746 |
|
42,085 |
31,291 |
$138K |
| 88305 |
|
5,721 |
5,315 |
$137K |
| 82728 |
|
39,412 |
30,665 |
$111K |
| 86235 |
|
3,756 |
2,988 |
$111K |
| 87186 |
|
40,170 |
35,650 |
$105K |
| 84403 |
|
14,206 |
11,304 |
$105K |
| 87070 |
|
34,321 |
31,696 |
$100K |
| 84702 |
|
16,169 |
10,570 |
$95K |
| 87150 |
|
7,074 |
6,285 |
$94K |
| 83880 |
|
10,759 |
8,379 |
$88K |
| 83970 |
|
11,769 |
9,561 |
$88K |
| 83550 |
|
47,740 |
36,349 |
$85K |
| 87088 |
|
38,048 |
33,484 |
$84K |
| 86480 |
|
4,231 |
3,624 |
$83K |
| 87077 |
|
33,624 |
29,690 |
$82K |
| G0480 |
Drug test def 1-7 classes |
3,428 |
2,570 |
$81K |
| 86003 |
|
4,048 |
3,298 |
$80K |
| 86850 |
|
14,268 |
12,039 |
$78K |
| 81329 |
|
2,511 |
1,933 |
$78K |
| 87081 |
|
25,601 |
23,344 |
$72K |
| 84153 |
|
19,738 |
15,620 |
$69K |
| 83540 |
|
52,162 |
39,699 |
$69K |
| 87661 |
|
9,111 |
7,754 |
$68K |
| 80048 |
|
35,798 |
29,977 |
$64K |
| 82570 |
|
37,149 |
30,827 |
$61K |
| 87522 |
Neg quan hep c or qual rna |
4,965 |
3,974 |
$60K |
| 82670 |
|
6,262 |
5,078 |
$60K |
| 83001 |
|
8,951 |
7,378 |
$60K |
| 0202U |
|
1,160 |
1,104 |
$57K |
| 84144 |
|
7,437 |
5,371 |
$56K |
| 82950 |
|
21,026 |
18,318 |
$55K |
| 82951 |
|
7,331 |
6,652 |
$53K |
| 83735 |
|
26,035 |
20,431 |
$51K |
| 0099U |
|
553 |
496 |
$49K |
| 84402 |
|
6,793 |
5,423 |
$49K |
| 83002 |
|
7,344 |
6,023 |
$49K |
| 85027 |
|
24,623 |
20,592 |
$47K |
| 86376 |
|
11,239 |
9,336 |
$46K |
| 86038 |
|
12,852 |
10,263 |
$43K |
| 87902 |
|
542 |
449 |
$42K |
| 84436 |
|
27,049 |
21,958 |
$42K |
| 84481 |
|
8,819 |
7,298 |
$41K |
| 86696 |
|
5,780 |
4,250 |
$40K |
| 84146 |
|
6,039 |
4,865 |
$39K |
| 84480 |
|
10,729 |
8,947 |
$39K |
| 87340 |
|
11,513 |
9,406 |
$37K |
| 81001 |
|
30,148 |
24,591 |
$36K |
| 86140 |
|
24,584 |
20,653 |
$36K |
| 83525 |
|
8,631 |
6,982 |
$36K |
| 82784 |
|
5,897 |
4,812 |
$36K |
| 81257 |
|
584 |
407 |
$34K |
| 87507 |
|
558 |
494 |
$34K |
| 84479 |
|
21,221 |
17,063 |
$32K |
| 87798 |
|
2,619 |
1,696 |
$32K |
| 82043 |
|
31,501 |
26,765 |
$31K |
| 84550 |
|
24,181 |
18,907 |
$30K |
| 83690 |
|
11,208 |
9,423 |
$30K |
| 86762 |
|
5,714 |
4,570 |
$30K |
| 86769 |
|
840 |
530 |
$26K |
| 82248 |
|
11,440 |
9,071 |
$26K |
| 82565 |
|
11,605 |
9,318 |
$26K |
| 85652 |
|
23,340 |
19,062 |
$26K |
| 82785 |
|
4,729 |
3,906 |
$25K |
| 85730 |
|
9,288 |
7,758 |
$24K |
| 85610 |
|
14,555 |
11,441 |
$24K |
| 86592 |
|
15,759 |
13,223 |
$24K |
| 82150 |
|
9,214 |
7,684 |
$22K |
| 84425 |
|
4,003 |
3,048 |
$22K |
| 80076 |
|
7,353 |
6,259 |
$22K |
| 84520 |
|
11,304 |
8,941 |
$21K |
| 84460 |
|
10,417 |
8,073 |
$20K |
| 83615 |
|
8,431 |
6,245 |
$20K |
| 88112 |
|
2,618 |
2,245 |
$20K |
| 84450 |
|
10,484 |
8,122 |
$20K |
| 82247 |
|
7,848 |
5,986 |
$19K |
| 86665 |
|
1,569 |
1,285 |
$19K |
| 86800 |
|
3,576 |
2,945 |
$18K |
| 84156 |
|
15,344 |
12,005 |
$18K |
| 86200 |
|
4,585 |
3,677 |
$17K |
| 86431 |
|
10,188 |
8,251 |
$17K |
| 86160 |
|
2,740 |
2,086 |
$16K |
| 87075 |
|
5,079 |
4,681 |
$15K |
| 87486 |
|
1,354 |
1,107 |
$15K |
| 87581 |
|
1,354 |
1,107 |
$15K |
| 84681 |
|
2,780 |
2,303 |
$14K |
| 86706 |
|
4,475 |
3,656 |
$14K |
| 87625 |
|
811 |
712 |
$14K |
| 86225 |
|
3,760 |
3,013 |
$14K |
| 82627 |
|
1,663 |
1,361 |
$13K |
| 82747 |
|
3,330 |
2,558 |
$13K |
| 81243 |
|
1,995 |
1,529 |
$13K |
| 84630 |
|
4,095 |
3,148 |
$12K |
| 86677 |
|
2,119 |
1,749 |
$12K |
| 83721 |
|
5,344 |
3,590 |
$11K |
| 82550 |
|
5,140 |
4,130 |
$11K |
| 82105 |
|
2,725 |
2,055 |
$11K |
| 82947 |
|
6,266 |
5,448 |
$11K |
| 82533 |
|
2,218 |
1,818 |
$11K |
| 84100 |
|
10,431 |
8,209 |
$10K |
| 86704 |
|
2,888 |
2,292 |
$10K |
| 86900 |
|
6,338 |
5,222 |
$10K |
| 86901 |
|
6,320 |
5,210 |
$10K |
| 81361 |
|
585 |
407 |
$10K |
| 88142 |
|
1,272 |
1,198 |
$9K |
| 86695 |
|
2,151 |
1,716 |
$9K |
| G0482 |
Drug test def 15-21 classes |
187 |
126 |
$9K |
| 80164 |
|
3,090 |
2,643 |
$9K |
| 83516 |
|
1,509 |
1,234 |
$9K |
| 82977 |
|
5,747 |
4,312 |
$9K |
| 83655 |
|
1,314 |
1,172 |
$9K |
| 82672 |
|
1,234 |
1,008 |
$8K |
| 85045 |
|
7,920 |
6,192 |
$8K |
| 84703 |
|
1,741 |
1,529 |
$7K |
| 86593 |
|
4,268 |
3,378 |
$7K |
| 86008 |
|
1,831 |
1,545 |
$7K |
| 80051 |
|
2,242 |
2,016 |
$7K |
| 82952 |
|
3,941 |
3,569 |
$7K |
| 82140 |
|
1,379 |
1,119 |
$6K |
| 81255 |
|
584 |
407 |
$6K |
| 85018 |
|
4,952 |
4,504 |
$6K |
| 86757 |
|
551 |
438 |
$6K |
| 86664 |
|
1,160 |
955 |
$6K |
| 81251 |
|
584 |
407 |
$6K |
| 87427 |
|
1,750 |
1,585 |
$6K |
| 86618 |
|
890 |
692 |
$5K |
| 84155 |
|
4,175 |
3,493 |
$5K |
| 80177 |
|
2,033 |
1,679 |
$5K |
| 86364 |
|
775 |
612 |
$5K |
| 84295 |
|
2,922 |
2,471 |
$5K |
| 82575 |
|
1,144 |
1,001 |
$5K |
| 87046 |
|
1,753 |
1,587 |
$5K |
| 86870 |
|
282 |
228 |
$5K |
| 84075 |
|
4,623 |
3,973 |
$5K |
| 87045 |
|
1,750 |
1,585 |
$5K |
| 81200 |
|
584 |
407 |
$5K |
| 85379 |
|
1,219 |
1,057 |
$5K |
| 82310 |
|
3,827 |
3,198 |
$4K |
| 82677 |
|
384 |
266 |
$4K |
| 82040 |
|
4,029 |
3,457 |
$4K |
| 80185 |
|
1,743 |
1,483 |
$4K |
| 81330 |
|
584 |
407 |
$4K |
| 87521 |
Neg quan hep c or qual rna |
415 |
322 |
$4K |
| 82340 |
|
1,900 |
1,742 |
$4K |
| 84165 |
|
2,008 |
1,592 |
$4K |
| 87209 |
|
807 |
724 |
$4K |
| 82465 |
|
2,066 |
1,864 |
$3K |
| 86360 |
|
271 |
252 |
$3K |
| 82103 |
|
788 |
634 |
$3K |
| 80069 |
|
2,339 |
1,942 |
$3K |
| 84466 |
|
882 |
712 |
$3K |
| 82330 |
|
1,197 |
1,000 |
$3K |
| 81003 |
|
3,415 |
2,924 |
$3K |
| 87529 |
|
250 |
204 |
$3K |
| 83013 |
|
128 |
107 |
$3K |
| 82435 |
|
2,759 |
2,330 |
$3K |
| 0097U |
|
69 |
57 |
$3K |
| 86705 |
|
745 |
635 |
$3K |
| 86147 |
|
87 |
65 |
$3K |
| 86334 |
|
728 |
564 |
$3K |
| 81290 |
|
583 |
407 |
$3K |
| 81260 |
|
583 |
407 |
$3K |
| 86336 |
|
370 |
252 |
$3K |
| 82652 |
|
313 |
242 |
$3K |
| 81377 |
|
27 |
27 |
$3K |
| 81242 |
|
585 |
407 |
$2K |
| 80197 |
|
1,124 |
788 |
$2K |
| 80178 |
|
1,450 |
1,214 |
$2K |
| 84132 |
|
1,632 |
1,310 |
$2K |
| 86037 |
|
294 |
248 |
$2K |
| 81209 |
|
584 |
407 |
$2K |
| 86317 |
|
419 |
347 |
$2K |
| 85014 |
|
2,040 |
1,828 |
$2K |
| 81401 |
|
442 |
377 |
$2K |
| 84478 |
|
1,387 |
1,158 |
$2K |
| 82374 |
|
1,946 |
1,661 |
$2K |
| 86617 |
|
199 |
150 |
$2K |
| 86708 |
|
603 |
478 |
$2K |
| 86231 |
|
334 |
249 |
$2K |
| 86141 |
|
712 |
530 |
$2K |
| 87536 |
|
74 |
69 |
$2K |
| 86787 |
|
404 |
353 |
$2K |
| 86015 |
|
398 |
313 |
$2K |
| 82107 |
|
89 |
77 |
$2K |
| 87177 |
|
819 |
736 |
$2K |
| 84445 |
|
129 |
106 |
$2K |
| 84134 |
|
479 |
388 |
$2K |
| 82085 |
|
516 |
434 |
$2K |
| 86663 |
|
351 |
298 |
$1K |
| 84154 |
|
514 |
411 |
$1K |
| 86258 |
|
270 |
243 |
$1K |
| G0306 |
Cbc/diffwbc w/o platelet |
1,146 |
971 |
$1K |
| 86256 |
|
264 |
239 |
$1K |
| 84484 |
|
341 |
280 |
$1K |
| 86381 |
|
149 |
124 |
$1K |
| 84590 |
|
446 |
346 |
$1K |
| 86308 |
|
410 |
370 |
$1K |
| 81374 |
|
51 |
32 |
$1K |
| 82104 |
|
226 |
188 |
$1K |
| 86666 |
|
131 |
94 |
$1K |
| G0472 |
Hep c screen high risk/other |
1,043 |
832 |
$1K |
| 86335 |
|
196 |
156 |
$994.14 |
| 87350 |
|
288 |
255 |
$969.65 |
| 84446 |
|
287 |
229 |
$905.80 |
| 87799 |
|
65 |
43 |
$845.35 |
| 80156 |
|
424 |
374 |
$828.95 |
| 86671 |
|
171 |
153 |
$828.16 |
| 82390 |
|
196 |
150 |
$823.60 |
| 84166 |
|
252 |
211 |
$756.71 |
| 86780 |
|
130 |
113 |
$729.23 |
| 82378 |
|
218 |
174 |
$729.13 |
| G0103 |
Psa screening |
6,740 |
5,635 |
$702.96 |
| 85007 |
|
716 |
635 |
$663.85 |
| 81596 |
|
101 |
91 |
$663.28 |
| 87279 |
|
223 |
219 |
$652.67 |
| 87276 |
|
223 |
219 |
$652.45 |
| 87260 |
|
223 |
219 |
$651.71 |
| 87280 |
|
223 |
219 |
$651.71 |
| 87275 |
|
223 |
219 |
$651.70 |
| G0475 |
Hiv combination assay |
917 |
717 |
$593.40 |
| 80175 |
|
253 |
212 |
$585.40 |
| 87801 |
|
18 |
16 |
$564.86 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
2,301 |
2,029 |
$556.28 |
| 86304 |
|
83 |
64 |
$554.53 |
| 87184 |
|
208 |
190 |
$548.23 |
| 82024 |
|
45 |
40 |
$545.48 |
| 83010 |
|
131 |
106 |
$461.54 |
| 86753 |
|
46 |
29 |
$446.44 |
| 82668 |
|
102 |
79 |
$397.10 |
| 87804 |
|
23 |
21 |
$371.18 |
| 82239 |
|
68 |
57 |
$369.93 |
| 83921 |
|
62 |
44 |
$343.71 |
| 86645 |
|
49 |
30 |
$325.23 |
| 86765 |
|
98 |
84 |
$306.78 |
| 83883 |
|
93 |
73 |
$297.13 |
| 85004 |
|
148 |
139 |
$296.28 |
| 86735 |
|
83 |
71 |
$282.10 |
| 84080 |
|
90 |
83 |
$281.65 |
| 82525 |
|
104 |
86 |
$276.11 |
| 81015 |
|
309 |
275 |
$274.66 |
| 87205 |
|
154 |
135 |
$271.92 |
| 83695 |
|
105 |
80 |
$254.68 |
| 86698 |
|
48 |
36 |
$246.47 |
| 86060 |
|
99 |
82 |
$233.83 |
| 86036 |
|
72 |
72 |
$212.62 |
| 84482 |
|
72 |
54 |
$211.25 |
| 84207 |
|
37 |
28 |
$209.45 |
| 83520 |
|
33 |
26 |
$206.76 |
| 83021 |
|
29 |
24 |
$193.92 |
| 86300 |
|
40 |
40 |
$191.87 |
| 82553 |
|
42 |
38 |
$188.97 |
| 86747 |
|
12 |
12 |
$174.00 |
| 85048 |
|
197 |
187 |
$159.70 |
| 84410 |
|
12 |
12 |
$155.56 |
| 83498 |
|
14 |
12 |
$154.65 |
| 85049 |
|
112 |
102 |
$149.20 |
| 85613 |
|
29 |
26 |
$149.17 |
| 86709 |
|
50 |
45 |
$146.45 |
| 80184 |
|
95 |
78 |
$146.39 |
| 85732 |
|
29 |
26 |
$143.83 |
| 87076 |
|
65 |
61 |
$121.97 |
| 83527 |
|
37 |
32 |
$110.66 |
| 85660 |
|
30 |
25 |
$94.20 |
| 84597 |
|
29 |
26 |
$85.66 |
| 84270 |
|
15 |
12 |
$82.05 |
| 83521 |
|
16 |
13 |
$75.12 |
| 87324 |
|
33 |
27 |
$69.24 |
| 85060 |
|
12 |
12 |
$59.40 |
| G0307 |
Cbc without platelet |
53 |
48 |
$58.83 |
| 82180 |
|
17 |
14 |
$44.66 |
| 85041 |
|
32 |
28 |
$43.76 |
| 83090 |
|
17 |
12 |
$35.34 |
| 89055 |
|
41 |
37 |
$30.98 |
| 83935 |
|
18 |
13 |
$27.65 |
| 82172 |
|
35 |
28 |
$24.96 |
| 84432 |
|
13 |
12 |
$22.92 |
| S3600 |
Stat lab |
772 |
593 |
$5.47 |
| 84300 |
|
13 |
12 |
$2.68 |
| 36416 |
|
1,025 |
950 |
$2.36 |
| G0123 |
Screen cerv/vag thin layer |
16 |
15 |
$0.00 |
| 88141 |
|
46 |
46 |
$0.00 |