| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
47,090 |
44,824 |
$3.81M |
| 87491 |
|
100,970 |
92,590 |
$2.63M |
| 87591 |
|
100,864 |
92,474 |
$2.51M |
| 87661 |
|
70,241 |
64,642 |
$1.76M |
| 84443 |
|
142,184 |
134,405 |
$1.68M |
| 80307 |
|
36,321 |
29,641 |
$1.64M |
| 82306 |
|
76,539 |
72,784 |
$1.43M |
| 80053 |
|
186,758 |
172,038 |
$1.41M |
| 80061 |
|
131,754 |
125,292 |
$1.24M |
| 88175 |
|
58,588 |
55,838 |
$1.15M |
| 81220 |
|
3,642 |
3,320 |
$1.13M |
| 87625 |
|
39,895 |
35,902 |
$1.11M |
| 87636 |
|
8,879 |
8,467 |
$1.10M |
| 85025 |
|
181,229 |
161,878 |
$999K |
| 36415 |
|
459,011 |
402,832 |
$992K |
| 83036 |
|
124,167 |
118,392 |
$845K |
| U0005 |
Infec agen detec ampli probe |
28,206 |
26,766 |
$670K |
| 87480 |
|
42,511 |
38,922 |
$610K |
| 86703 |
|
59,810 |
55,877 |
$590K |
| 87510 |
|
42,501 |
38,912 |
$579K |
| 86803 |
|
52,033 |
48,646 |
$532K |
| 82607 |
|
49,883 |
47,280 |
$524K |
| 80055 |
|
13,661 |
12,729 |
$471K |
| 87086 |
|
79,956 |
73,462 |
$469K |
| 87660 |
|
28,416 |
25,993 |
$416K |
| 88305 |
|
12,735 |
12,022 |
$400K |
| 82728 |
|
40,983 |
38,359 |
$383K |
| G0480 |
Drug test def 1-7 classes |
5,288 |
4,105 |
$376K |
| G0482 |
Drug test def 15-21 classes |
2,749 |
2,491 |
$360K |
| 87653 |
|
14,642 |
13,997 |
$349K |
| 85027 |
|
72,050 |
66,624 |
$334K |
| 87507 |
|
1,288 |
1,253 |
$299K |
| 82746 |
|
28,966 |
27,238 |
$294K |
| 80048 |
|
48,935 |
44,118 |
$273K |
| 84702 |
|
23,072 |
18,008 |
$264K |
| U0002 |
Covid-19 lab test non-cdc |
5,291 |
5,211 |
$259K |
| 86780 |
|
25,434 |
23,700 |
$259K |
| 84153 |
|
19,206 |
18,265 |
$243K |
| 83550 |
|
39,761 |
37,371 |
$238K |
| 87902 |
|
1,222 |
1,118 |
$230K |
| 83970 |
|
8,785 |
8,330 |
$219K |
| 86480 |
|
4,767 |
4,511 |
$208K |
| 84439 |
|
32,864 |
31,065 |
$206K |
| 87502 |
|
2,714 |
2,591 |
$198K |
| 87522 |
Neg quan hep c or qual rna |
6,500 |
6,050 |
$195K |
| 84403 |
|
10,798 |
10,104 |
$193K |
| 83540 |
|
40,764 |
38,234 |
$185K |
| 87506 |
|
1,096 |
1,021 |
$175K |
| 87340 |
|
22,601 |
21,026 |
$166K |
| 87070 |
|
24,747 |
23,581 |
$164K |
| 83013 |
|
3,107 |
2,950 |
$150K |
| 87077 |
|
21,975 |
20,602 |
$137K |
| 80050 |
|
5,197 |
5,001 |
$131K |
| 87186 |
|
20,546 |
19,291 |
$129K |
| 82670 |
|
6,105 |
5,669 |
$122K |
| 82570 |
|
33,829 |
31,874 |
$122K |
| 88342 |
|
2,375 |
2,221 |
$118K |
| 80346 |
|
6,172 |
4,699 |
$118K |
| 83001 |
|
8,046 |
7,562 |
$112K |
| 80348 |
|
11,994 |
8,610 |
$109K |
| 82043 |
|
26,893 |
25,635 |
$108K |
| 80361 |
|
6,328 |
4,806 |
$106K |
| 86787 |
|
10,881 |
10,117 |
$106K |
| 84146 |
|
7,263 |
6,780 |
$106K |
| 86038 |
|
11,592 |
11,013 |
$102K |
| 82105 |
|
7,922 |
7,452 |
$101K |
| 80074 |
|
3,693 |
3,513 |
$100K |
| 86235 |
|
4,175 |
3,895 |
$96K |
| 83021 |
|
6,729 |
6,220 |
$91K |
| 84481 |
|
7,327 |
6,974 |
$90K |
| 82677 |
|
4,326 |
4,145 |
$89K |
| 88341 |
|
1,145 |
1,066 |
$88K |
| 83880 |
|
3,669 |
3,412 |
$87K |
| 81001 |
|
37,449 |
34,914 |
$83K |
| 87529 |
|
1,883 |
1,753 |
$80K |
| 86706 |
|
9,265 |
8,705 |
$73K |
| 83735 |
|
16,983 |
13,795 |
$73K |
| 83002 |
|
5,147 |
4,832 |
$71K |
| 86140 |
|
19,330 |
16,622 |
$71K |
| 87536 |
|
1,219 |
1,153 |
$68K |
| 84207 |
|
3,488 |
3,317 |
$67K |
| 82784 |
|
5,807 |
5,391 |
$66K |
| 82950 |
|
17,303 |
16,494 |
$63K |
| 84270 |
|
4,225 |
3,952 |
$62K |
| 0097U |
|
246 |
242 |
$62K |
| 80076 |
|
10,802 |
9,988 |
$62K |
| 86147 |
|
1,558 |
1,458 |
$60K |
| 80349 |
|
6,630 |
5,056 |
$60K |
| 80354 |
|
6,298 |
4,778 |
$60K |
| 80365 |
|
6,302 |
4,786 |
$59K |
| 86696 |
|
4,179 |
3,946 |
$58K |
| 86762 |
|
5,564 |
5,086 |
$58K |
| 80353 |
|
6,350 |
4,820 |
$57K |
| G0483 |
Drug test def 22+ classes |
1,067 |
897 |
$57K |
| 80373 |
|
6,146 |
4,658 |
$57K |
| 82565 |
|
15,580 |
12,904 |
$56K |
| 86336 |
|
4,471 |
4,279 |
$55K |
| 80356 |
|
6,142 |
4,658 |
$55K |
| 84154 |
|
4,216 |
4,045 |
$54K |
| 86592 |
|
17,401 |
16,388 |
$54K |
| 86704 |
|
6,076 |
5,737 |
$53K |
| 80358 |
|
5,883 |
4,396 |
$53K |
| 80321 |
|
4,508 |
3,538 |
$53K |
| 80359 |
|
5,868 |
4,443 |
$53K |
| 80324 |
|
5,285 |
3,898 |
$50K |
| 85652 |
|
24,899 |
21,808 |
$48K |
| 84425 |
|
3,275 |
3,121 |
$48K |
| 86334 |
|
3,337 |
3,101 |
$46K |
| 86376 |
|
4,328 |
4,114 |
$46K |
| 86850 |
|
8,027 |
7,322 |
$46K |
| 84460 |
|
12,170 |
11,049 |
$45K |
| 87205 |
|
14,204 |
13,377 |
$45K |
| 86200 |
|
4,772 |
4,538 |
$45K |
| 80069 |
|
8,461 |
7,326 |
$44K |
| 84450 |
|
12,097 |
10,982 |
$44K |
| 80345 |
|
4,808 |
3,499 |
$44K |
| 87147 |
|
6,749 |
6,375 |
$43K |
| 84144 |
|
2,993 |
2,615 |
$43K |
| 85610 |
|
15,304 |
12,515 |
$42K |
| 86146 |
|
1,161 |
1,061 |
$41K |
| 84550 |
|
12,276 |
11,310 |
$39K |
| 87081 |
|
8,233 |
7,758 |
$39K |
| 86695 |
|
3,905 |
3,694 |
$38K |
| 84402 |
|
1,697 |
1,593 |
$38K |
| 80362 |
|
2,684 |
1,534 |
$38K |
| 83520 |
|
2,633 |
2,411 |
$37K |
| 80355 |
|
3,935 |
2,972 |
$36K |
| 83992 |
|
2,912 |
2,630 |
$36K |
| 82248 |
|
10,965 |
9,602 |
$36K |
| 86431 |
|
8,486 |
8,089 |
$36K |
| 83521 |
|
1,498 |
1,355 |
$35K |
| 86800 |
|
3,019 |
2,855 |
$35K |
| 86225 |
|
3,535 |
3,340 |
$34K |
| 82951 |
|
3,671 |
3,517 |
$33K |
| 83615 |
|
7,690 |
6,888 |
$33K |
| 87798 |
|
886 |
800 |
$32K |
| 82627 |
|
1,971 |
1,881 |
$32K |
| 86160 |
|
2,452 |
2,281 |
$31K |
| 80372 |
|
3,368 |
3,078 |
$30K |
| 86708 |
|
3,097 |
2,877 |
$28K |
| 83721 |
|
4,731 |
4,440 |
$26K |
| 83516 |
|
2,371 |
2,165 |
$26K |
| 84480 |
|
2,637 |
2,488 |
$26K |
| 84165 |
|
3,944 |
3,672 |
$26K |
| 86003 |
|
504 |
484 |
$26K |
| 82330 |
|
2,444 |
1,770 |
$24K |
| 86255 |
|
1,276 |
1,174 |
$24K |
| 83690 |
|
4,706 |
4,445 |
$24K |
| 88304 |
|
1,153 |
1,114 |
$24K |
| 82533 |
|
2,045 |
1,815 |
$23K |
| 84630 |
|
2,877 |
2,756 |
$23K |
| 82652 |
|
1,078 |
1,009 |
$23K |
| 83525 |
|
2,665 |
2,497 |
$22K |
| 82378 |
|
1,546 |
1,338 |
$21K |
| 80369 |
|
2,290 |
2,173 |
$21K |
| 80366 |
|
2,254 |
2,123 |
$21K |
| 84156 |
|
8,531 |
7,634 |
$21K |
| 84703 |
|
3,353 |
3,131 |
$20K |
| 84445 |
|
522 |
507 |
$20K |
| 80320 |
|
1,636 |
1,539 |
$20K |
| 80363 |
|
1,151 |
1,123 |
$19K |
| 80164 |
|
2,271 |
2,089 |
$19K |
| 83883 |
|
1,111 |
1,040 |
$19K |
| 83655 |
|
1,878 |
1,779 |
$19K |
| 81025 |
|
3,119 |
2,914 |
$19K |
| 82550 |
|
3,899 |
3,262 |
$18K |
| 84590 |
|
2,282 |
2,171 |
$18K |
| 82947 |
|
6,694 |
5,849 |
$18K |
| 84100 |
|
5,772 |
4,482 |
$18K |
| 82172 |
|
1,314 |
1,269 |
$18K |
| 83704 |
|
750 |
716 |
$18K |
| 85730 |
|
4,351 |
4,075 |
$17K |
| 85045 |
|
6,288 |
5,767 |
$17K |
| 86705 |
|
1,690 |
1,587 |
$17K |
| 86901 |
|
7,996 |
7,285 |
$17K |
| 83921 |
|
1,192 |
1,127 |
$16K |
| 86900 |
|
7,693 |
6,997 |
$16K |
| 80368 |
|
1,791 |
1,736 |
$16K |
| 87517 |
|
526 |
500 |
$16K |
| 87801 |
|
586 |
565 |
$15K |
| 86765 |
|
1,424 |
1,377 |
$15K |
| 86735 |
|
1,387 |
1,341 |
$15K |
| 80323 |
|
1,626 |
1,300 |
$14K |
| 86364 |
|
1,685 |
1,540 |
$14K |
| 84520 |
|
5,326 |
4,233 |
$14K |
| 80051 |
|
3,421 |
2,805 |
$14K |
| 82310 |
|
3,595 |
3,380 |
$13K |
| 81596 |
|
330 |
276 |
$12K |
| 82977 |
|
2,344 |
1,821 |
$12K |
| 87254 |
|
668 |
629 |
$12K |
| 82040 |
|
3,706 |
3,342 |
$12K |
| 80197 |
|
1,949 |
999 |
$12K |
| 86769 |
|
326 |
320 |
$12K |
| 87106 |
|
1,597 |
1,501 |
$12K |
| 81241 |
|
272 |
245 |
$11K |
| 80360 |
|
1,179 |
1,083 |
$11K |
| 82952 |
|
3,652 |
3,501 |
$11K |
| 82140 |
|
1,013 |
930 |
$10K |
| 86304 |
|
736 |
661 |
$10K |
| 83498 |
|
523 |
497 |
$10K |
| 88185 |
|
51 |
37 |
$10K |
| 86709 |
|
1,210 |
1,119 |
$10K |
| 80325 |
|
987 |
906 |
$9K |
| 87075 |
|
1,405 |
1,321 |
$9K |
| 84436 |
|
1,924 |
1,842 |
$9K |
| 80364 |
|
536 |
518 |
$9K |
| 84681 |
|
638 |
609 |
$9K |
| 86870 |
|
402 |
362 |
$9K |
| 80352 |
|
1,003 |
943 |
$9K |
| 85018 |
|
4,795 |
4,377 |
$8K |
| 84134 |
|
886 |
763 |
$8K |
| 86812 |
|
509 |
467 |
$8K |
| 86481 |
|
121 |
119 |
$8K |
| 85613 |
|
1,206 |
1,121 |
$8K |
| 81003 |
|
4,005 |
3,689 |
$8K |
| 80177 |
|
725 |
676 |
$7K |
| 84432 |
|
628 |
588 |
$7K |
| 88112 |
|
348 |
325 |
$7K |
| 82150 |
|
1,542 |
1,391 |
$7K |
| 87880 |
|
612 |
547 |
$7K |
| 88307 |
|
56 |
54 |
$7K |
| 85007 |
|
2,529 |
1,997 |
$7K |
| 86036 |
|
416 |
375 |
$7K |
| 85379 |
|
891 |
859 |
$6K |
| 85014 |
|
3,557 |
3,190 |
$6K |
| 86039 |
|
670 |
651 |
$6K |
| 82525 |
|
715 |
666 |
$6K |
| 82785 |
|
454 |
443 |
$5K |
| 80178 |
|
1,126 |
1,011 |
$5K |
| 84132 |
|
1,664 |
1,528 |
$5K |
| 82077 |
|
916 |
822 |
$5K |
| 84075 |
|
1,725 |
1,183 |
$5K |
| 82390 |
|
677 |
622 |
$5K |
| 84155 |
|
2,007 |
1,890 |
$5K |
| 80371 |
|
488 |
477 |
$5K |
| 86677 |
|
461 |
420 |
$5K |
| 80357 |
|
461 |
450 |
$4K |
| 80175 |
|
424 |
407 |
$4K |
| 80336 |
|
439 |
428 |
$4K |
| 87563 |
|
180 |
156 |
$4K |
| 82088 |
|
172 |
161 |
$4K |
| 82247 |
|
1,606 |
1,019 |
$4K |
| 87350 |
|
529 |
482 |
$4K |
| 80332 |
|
429 |
420 |
$4K |
| 88184 |
|
97 |
71 |
$4K |
| 87804 |
|
359 |
332 |
$4K |
| 81050 |
|
1,602 |
1,517 |
$4K |
| 83519 |
|
128 |
112 |
$4K |
| 87624 |
|
139 |
139 |
$4K |
| 80343 |
|
397 |
390 |
$4K |
| 82024 |
|
132 |
126 |
$4K |
| 81240 |
|
94 |
91 |
$4K |
| 86618 |
|
308 |
276 |
$4K |
| 84478 |
|
906 |
741 |
$4K |
| 85240 |
|
285 |
261 |
$4K |
| 86707 |
|
448 |
402 |
$3K |
| 86381 |
|
214 |
187 |
$3K |
| 87635 |
|
83 |
83 |
$3K |
| 83010 |
|
363 |
327 |
$3K |
| 88312 |
|
52 |
49 |
$3K |
| 82166 |
|
120 |
114 |
$3K |
| 80202 |
|
277 |
125 |
$3K |
| 81206 |
|
44 |
28 |
$3K |
| 82523 |
|
234 |
229 |
$2K |
| 85660 |
|
487 |
444 |
$2K |
| 84305 |
|
117 |
109 |
$2K |
| 84410 |
|
60 |
54 |
$2K |
| 86341 |
|
104 |
93 |
$2K |
| 86360 |
|
56 |
53 |
$2K |
| 82239 |
|
131 |
110 |
$2K |
| 87210 |
|
631 |
571 |
$2K |
| 86015 |
|
254 |
226 |
$2K |
| 82103 |
|
203 |
183 |
$2K |
| 86593 |
|
505 |
457 |
$2K |
| 84244 |
|
106 |
98 |
$1K |
| 82679 |
|
85 |
81 |
$1K |
| G0481 |
Drug test def 8-14 classes |
13 |
12 |
$1K |
| 83020 |
|
122 |
101 |
$1K |
| 83090 |
|
121 |
112 |
$1K |
| 87206 |
|
319 |
276 |
$1K |
| 86665 |
|
51 |
49 |
$1K |
| 84466 |
|
119 |
89 |
$1K |
| 83695 |
|
117 |
116 |
$970.93 |
| 85306 |
|
80 |
64 |
$937.94 |
| 81329 |
|
13 |
12 |
$883.09 |
| 86361 |
|
53 |
49 |
$870.09 |
| 87102 |
|
148 |
128 |
$809.00 |
| 82274 |
|
52 |
49 |
$808.55 |
| 83835 |
|
66 |
64 |
$789.06 |
| 82664 |
|
17 |
16 |
$771.01 |
| 82164 |
|
75 |
66 |
$700.30 |
| 85303 |
|
73 |
60 |
$654.58 |
| 84484 |
|
84 |
79 |
$630.42 |
| 85576 |
|
13 |
12 |
$629.16 |
| 88302 |
|
26 |
25 |
$605.43 |
| 87338 |
|
49 |
48 |
$585.92 |
| 86256 |
|
59 |
50 |
$498.86 |
| 80347 |
|
19 |
17 |
$434.11 |
| 86308 |
|
93 |
88 |
$419.17 |
| 82465 |
|
108 |
87 |
$378.11 |
| 83993 |
|
24 |
24 |
$353.30 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
329 |
307 |
$349.02 |
| 87088 |
|
39 |
37 |
$260.51 |
| 80156 |
|
26 |
25 |
$258.63 |
| 85300 |
|
28 |
27 |
$246.68 |
| 83789 |
|
16 |
15 |
$228.24 |
| 86301 |
|
14 |
12 |
$209.47 |
| 86694 |
|
14 |
12 |
$169.44 |
| 82668 |
|
12 |
12 |
$161.69 |
| 86664 |
|
13 |
12 |
$144.63 |
| 85049 |
|
41 |
39 |
$131.94 |
| 84446 |
|
13 |
13 |
$129.92 |
| 80201 |
|
14 |
14 |
$123.75 |
| 83068 |
|
16 |
15 |
$111.57 |
| 80185 |
|
14 |
12 |
$110.35 |
| 82270 |
|
25 |
25 |
$71.68 |
| 85384 |
|
16 |
12 |
$60.02 |
| 80339 |
|
18 |
13 |
$17.64 |
| 3052F |
|
14 |
14 |
$0.00 |
| 3044F |
|
130 |
130 |
$0.00 |
| 81511 |
|
15 |
15 |
$0.00 |
| G0103 |
Psa screening |
47 |
39 |
$0.00 |
| 3051F |
|
29 |
29 |
$0.00 |
| 3046F |
|
19 |
19 |
$0.00 |