| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
143,258 |
84,875 |
$8.25M |
| 87491 |
|
91,445 |
85,756 |
$2.53M |
| 87591 |
|
89,678 |
84,134 |
$2.47M |
| 87806 |
|
49,802 |
37,558 |
$1.22M |
| G2023 |
Specimen collect covid-19 |
64,351 |
34,710 |
$1.17M |
| 87389 |
|
45,936 |
40,553 |
$858K |
| 80307 |
|
23,575 |
14,176 |
$846K |
| 87635 |
|
25,855 |
9,279 |
$683K |
| U0005 |
Infec agen detec ampli probe |
58,422 |
30,506 |
$583K |
| 80055 |
|
11,996 |
11,967 |
$380K |
| 83021 |
|
43,522 |
42,735 |
$363K |
| 85025 |
|
82,322 |
76,880 |
$329K |
| 84443 |
|
44,871 |
43,973 |
$320K |
| 80053 |
|
61,435 |
58,831 |
$293K |
| 82306 |
|
24,444 |
24,021 |
$292K |
| 80061 |
|
46,835 |
46,085 |
$269K |
| G0483 |
Drug test def 22+ classes |
4,424 |
1,141 |
$266K |
| 86780 |
|
24,001 |
23,948 |
$261K |
| 87633 |
|
836 |
682 |
$260K |
| 86481 |
|
4,712 |
4,675 |
$247K |
| 86592 |
|
64,634 |
59,663 |
$222K |
| 86003 |
|
878 |
826 |
$154K |
| G0480 |
Drug test def 1-7 classes |
3,542 |
1,911 |
$136K |
| 84702 |
|
10,426 |
7,594 |
$117K |
| G0482 |
Drug test def 15-21 classes |
1,427 |
1,068 |
$114K |
| 87086 |
|
20,138 |
19,118 |
$88K |
| 88142 |
|
6,401 |
6,369 |
$82K |
| 87340 |
|
10,402 |
10,271 |
$76K |
| 86762 |
|
6,283 |
6,270 |
$73K |
| 87624 |
|
3,179 |
3,037 |
$66K |
| 84439 |
|
16,429 |
16,196 |
$65K |
| 86803 |
|
6,272 |
6,153 |
$57K |
| 84153 |
|
6,895 |
6,754 |
$57K |
| 87661 |
|
2,261 |
1,928 |
$56K |
| 88305 |
|
1,945 |
1,779 |
$56K |
| 82607 |
|
9,724 |
9,559 |
$44K |
| 82746 |
|
6,979 |
6,906 |
$43K |
| 86235 |
|
345 |
345 |
$43K |
| 81003 |
|
33,903 |
32,462 |
$36K |
| 83880 |
|
2,823 |
2,737 |
$36K |
| 80074 |
|
1,330 |
1,301 |
$34K |
| 84403 |
|
2,099 |
2,072 |
$33K |
| 86706 |
|
4,405 |
4,321 |
$32K |
| 87081 |
|
6,286 |
5,573 |
$31K |
| 0202U |
|
102 |
89 |
$30K |
| 87522 |
Neg quan hep c or qual rna |
1,018 |
1,014 |
$29K |
| S3600 |
Stat lab |
11,831 |
6,140 |
$29K |
| 82728 |
|
4,500 |
4,346 |
$28K |
| 82274 |
|
4,146 |
3,086 |
$28K |
| U0002 |
Covid-19 lab test non-cdc |
560 |
515 |
$28K |
| 82951 |
|
2,797 |
2,612 |
$28K |
| 87077 |
|
6,182 |
5,928 |
$27K |
| 80164 |
|
3,355 |
3,136 |
$27K |
| 82570 |
|
13,525 |
10,768 |
$25K |
| 99000 |
|
7,615 |
6,898 |
$25K |
| 87486 |
|
690 |
594 |
$25K |
| 82043 |
|
10,397 |
10,253 |
$25K |
| 84466 |
|
4,207 |
4,138 |
$25K |
| 84480 |
|
3,261 |
3,247 |
$24K |
| 86038 |
|
3,696 |
3,653 |
$22K |
| 86790 |
|
2,510 |
2,454 |
$21K |
| 84550 |
|
11,301 |
10,925 |
$21K |
| 86704 |
|
2,742 |
2,695 |
$20K |
| 82785 |
|
1,421 |
1,412 |
$19K |
| 87481 |
|
542 |
534 |
$19K |
| 80048 |
|
4,795 |
3,967 |
$18K |
| 87581 |
|
690 |
594 |
$18K |
| 83735 |
|
4,845 |
4,439 |
$17K |
| 86696 |
|
1,151 |
1,124 |
$16K |
| 83540 |
|
5,433 |
5,310 |
$16K |
| 87070 |
|
3,358 |
3,097 |
$16K |
| 86709 |
|
2,332 |
2,306 |
$15K |
| 82950 |
|
4,224 |
3,878 |
$15K |
| 84436 |
|
5,605 |
5,527 |
$15K |
| 81220 |
|
47 |
47 |
$15K |
| 83655 |
|
1,409 |
1,404 |
$14K |
| 87631 |
|
280 |
265 |
$14K |
| 86705 |
|
1,886 |
1,861 |
$14K |
| 84481 |
|
1,982 |
1,962 |
$13K |
| 80159 |
|
931 |
737 |
$13K |
| 86140 |
|
4,463 |
4,003 |
$13K |
| 87801 |
|
371 |
371 |
$12K |
| 84100 |
|
6,573 |
6,217 |
$12K |
| 86141 |
|
1,476 |
1,433 |
$12K |
| 85730 |
|
3,342 |
3,230 |
$11K |
| 86695 |
|
1,168 |
1,140 |
$11K |
| G2024 |
Spec coll snf/lab covid-19 |
493 |
237 |
$11K |
| 86403 |
|
1,269 |
1,249 |
$11K |
| 86430 |
|
4,351 |
4,321 |
$11K |
| 87186 |
|
2,885 |
2,820 |
$11K |
| 82947 |
|
4,371 |
4,165 |
$10K |
| 85610 |
|
4,664 |
4,201 |
$10K |
| 82248 |
|
4,473 |
4,368 |
$10K |
| 85651 |
|
7,084 |
6,621 |
$9K |
| 83970 |
|
695 |
692 |
$9K |
| 84270 |
|
643 |
641 |
$9K |
| 82378 |
|
2,017 |
1,915 |
$9K |
| G0481 |
Drug test def 8-14 classes |
117 |
46 |
$9K |
| 86376 |
|
772 |
763 |
$8K |
| 84146 |
|
775 |
759 |
$8K |
| 86635 |
|
370 |
370 |
$8K |
| 82977 |
|
2,480 |
2,439 |
$8K |
| 84479 |
|
2,775 |
2,744 |
$8K |
| 85027 |
|
2,583 |
2,509 |
$7K |
| 83001 |
|
658 |
645 |
$7K |
| 36415 |
|
14,249 |
12,694 |
$7K |
| 84154 |
|
749 |
747 |
$6K |
| 81015 |
|
8,597 |
8,366 |
$6K |
| 82670 |
|
353 |
351 |
$6K |
| 87210 |
|
2,353 |
2,349 |
$6K |
| 87184 |
|
2,004 |
1,953 |
$6K |
| 86225 |
|
448 |
447 |
$6K |
| P9604 |
One-way allow prorated trip |
4,885 |
4,037 |
$5K |
| 82105 |
|
298 |
289 |
$5K |
| 86901 |
|
2,349 |
2,277 |
$5K |
| 82140 |
|
726 |
685 |
$5K |
| 80178 |
|
1,204 |
1,060 |
$5K |
| 86900 |
|
2,281 |
2,277 |
$5K |
| 84134 |
|
588 |
497 |
$4K |
| 83002 |
|
412 |
409 |
$4K |
| S5102 |
Adult day care per diem |
49 |
49 |
$4K |
| P9603 |
One-way allow prorated miles |
980 |
837 |
$4K |
| 83090 |
|
181 |
181 |
$4K |
| 80076 |
|
1,227 |
1,207 |
$4K |
| 86787 |
|
376 |
373 |
$4K |
| 85045 |
|
1,189 |
1,184 |
$4K |
| 83615 |
|
1,899 |
1,836 |
$3K |
| 88312 |
|
490 |
448 |
$3K |
| 86301 |
|
723 |
718 |
$3K |
| 83690 |
|
1,196 |
1,164 |
$3K |
| 84311 |
|
3,033 |
594 |
$3K |
| 86735 |
|
280 |
278 |
$3K |
| 87798 |
|
374 |
341 |
$3K |
| 86765 |
|
280 |
278 |
$3K |
| 82150 |
|
917 |
897 |
$3K |
| 86769 |
|
99 |
50 |
$3K |
| 83525 |
|
267 |
267 |
$3K |
| 88313 |
|
463 |
421 |
$3K |
| 82465 |
|
1,013 |
998 |
$3K |
| 80177 |
|
416 |
403 |
$3K |
| 86480 |
|
58 |
58 |
$3K |
| 80051 |
|
437 |
431 |
$2K |
| 80202 |
|
261 |
130 |
$2K |
| 86677 |
|
282 |
281 |
$2K |
| 86160 |
|
69 |
68 |
$2K |
| 87804 |
|
275 |
181 |
$2K |
| 83036 |
|
3,546 |
3,522 |
$2K |
| 83605 |
|
353 |
352 |
$2K |
| 85007 |
|
1,340 |
1,296 |
$2K |
| 82550 |
|
1,030 |
911 |
$2K |
| 85018 |
|
1,461 |
1,411 |
$2K |
| 87147 |
|
589 |
579 |
$2K |
| 84156 |
|
460 |
446 |
$2K |
| 83986 |
|
3,099 |
594 |
$2K |
| 83516 |
|
57 |
55 |
$2K |
| 84144 |
|
108 |
108 |
$2K |
| 87150 |
|
74 |
72 |
$2K |
| 87338 |
|
60 |
59 |
$1K |
| 87529 |
|
28 |
28 |
$1K |
| 86593 |
|
401 |
399 |
$1K |
| 87536 |
|
44 |
44 |
$1K |
| 86708 |
|
156 |
152 |
$1K |
| 86039 |
|
203 |
201 |
$1K |
| 86063 |
|
495 |
494 |
$1K |
| 86304 |
|
309 |
304 |
$1K |
| 81025 |
|
391 |
385 |
$1K |
| K1034 |
Covid test self-admn/collect |
1,216 |
1,168 |
$1K |
| 84703 |
|
218 |
216 |
$1K |
| 85013 |
|
820 |
811 |
$1K |
| 84681 |
|
50 |
50 |
$800.03 |
| 87177 |
|
74 |
59 |
$737.95 |
| 83718 |
|
144 |
144 |
$649.48 |
| 82533 |
|
108 |
106 |
$590.13 |
| 84478 |
|
228 |
190 |
$572.72 |
| 86694 |
|
55 |
53 |
$530.33 |
| 87807 |
|
72 |
69 |
$529.05 |
| 86300 |
|
91 |
86 |
$502.85 |
| 86850 |
|
203 |
203 |
$485.97 |
| 87634 |
|
17 |
15 |
$477.36 |
| 99058 |
|
43 |
31 |
$477.23 |
| 86200 |
|
122 |
122 |
$351.49 |
| 84484 |
|
70 |
64 |
$289.47 |
| 82565 |
|
197 |
195 |
$287.04 |
| 82310 |
|
193 |
193 |
$284.90 |
| 84402 |
|
12 |
12 |
$246.95 |
| 87517 |
|
16 |
16 |
$222.77 |
| 80185 |
|
44 |
41 |
$205.18 |
| 84460 |
|
74 |
74 |
$171.49 |
| 82040 |
|
97 |
96 |
$157.83 |
| 84520 |
|
167 |
165 |
$157.57 |
| 84075 |
|
119 |
119 |
$152.45 |
| 80069 |
|
52 |
52 |
$132.53 |
| 84132 |
|
59 |
59 |
$131.04 |
| 86800 |
|
15 |
15 |
$122.43 |
| 86060 |
|
28 |
28 |
$120.87 |
| 80156 |
|
14 |
14 |
$112.58 |
| 85048 |
|
135 |
126 |
$107.31 |
| 84295 |
|
45 |
44 |
$99.66 |
| 82747 |
|
12 |
12 |
$87.21 |
| 85049 |
|
340 |
340 |
$82.01 |
| 85014 |
|
130 |
129 |
$68.26 |
| 84450 |
|
61 |
61 |
$64.89 |
| 83721 |
|
49 |
49 |
$57.30 |
| 87045 |
|
13 |
13 |
$53.05 |
| 86356 |
|
12 |
12 |
$47.12 |
| 82435 |
|
24 |
24 |
$38.92 |
| 87088 |
|
12 |
12 |
$29.06 |
| 82247 |
|
25 |
25 |
$19.18 |
| 84155 |
|
26 |
26 |
$18.05 |
| 88311 |
|
15 |
14 |
$7.82 |
| 82652 |
|
58 |
58 |
$0.00 |
| 83013 |
|
53 |
52 |
$0.00 |
| U0001 |
2019-ncov diagnostic p |
15 |
15 |
$0.00 |
| 3046F |
|
44 |
44 |
$0.00 |
| 3045F |
|
12 |
12 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
226 |
104 |
$0.00 |
| 3044F |
|
1,642 |
1,635 |
$0.00 |