| Code | Description | Claims | Beneficiaries | Total Paid |
| 87635 |
|
110,298 |
93,183 |
$5.42M |
| U0003 |
Cov-19 amp prb hgh thruput |
28,066 |
22,640 |
$2.08M |
| 36415 |
|
98,242 |
83,911 |
$1.26M |
| 80050 |
|
16,956 |
15,923 |
$779K |
| 87491 |
|
26,663 |
23,939 |
$668K |
| 80053 |
|
57,371 |
48,058 |
$532K |
| 82306 |
|
19,602 |
18,391 |
$481K |
| 87624 |
|
10,958 |
10,286 |
$445K |
| 80081 |
|
6,223 |
5,766 |
$423K |
| 80061 |
|
36,054 |
33,183 |
$379K |
| 87086 |
|
44,440 |
39,989 |
$370K |
| 87480 |
|
7,657 |
6,970 |
$318K |
| 0241U |
|
2,891 |
1,965 |
$301K |
| 84443 |
|
31,510 |
29,103 |
$292K |
| 87902 |
|
1,123 |
1,025 |
$201K |
| 85025 |
|
54,490 |
44,684 |
$157K |
| 87186 |
|
18,050 |
15,157 |
$134K |
| 88175 |
|
17,911 |
16,735 |
$127K |
| 87070 |
|
8,862 |
8,006 |
$123K |
| 87389 |
|
11,771 |
10,840 |
$120K |
| 87591 |
|
26,309 |
23,632 |
$119K |
| 80307 |
|
5,294 |
4,075 |
$117K |
| 80074 |
|
2,024 |
1,841 |
$114K |
| 80048 |
|
14,447 |
11,684 |
$101K |
| 87077 |
|
13,039 |
9,845 |
$100K |
| 87522 |
Neg quan hep c or qual rna |
3,865 |
3,535 |
$99K |
| 87081 |
|
28,036 |
26,519 |
$99K |
| 84403 |
|
4,530 |
4,167 |
$96K |
| 82607 |
|
16,066 |
14,983 |
$95K |
| 87636 |
|
795 |
758 |
$95K |
| 83036 |
|
31,154 |
28,842 |
$89K |
| 82728 |
|
10,150 |
9,487 |
$87K |
| 86803 |
|
9,935 |
9,078 |
$84K |
| G0482 |
Drug test def 15-21 classes |
2,453 |
1,997 |
$82K |
| 83516 |
|
2,979 |
2,202 |
$72K |
| 82670 |
|
1,990 |
1,851 |
$66K |
| 86480 |
|
1,234 |
1,153 |
$59K |
| 84439 |
|
14,490 |
13,469 |
$55K |
| 85027 |
|
15,170 |
13,233 |
$54K |
| 83880 |
|
1,949 |
1,746 |
$54K |
| 87507 |
|
296 |
277 |
$52K |
| 84146 |
|
2,855 |
2,616 |
$45K |
| 83970 |
|
2,381 |
2,191 |
$43K |
| U0005 |
Infec agen detec ampli probe |
53,231 |
43,229 |
$42K |
| 81001 |
|
10,073 |
8,997 |
$42K |
| 87075 |
|
1,919 |
1,714 |
$41K |
| 84153 |
|
2,432 |
2,218 |
$39K |
| 86592 |
|
1,751 |
1,583 |
$37K |
| 87502 |
|
659 |
607 |
$36K |
| 86003 |
|
3,128 |
1,117 |
$36K |
| 80076 |
|
4,426 |
4,091 |
$33K |
| 87088 |
|
11,031 |
9,704 |
$33K |
| 87529 |
|
813 |
740 |
$30K |
| 82043 |
|
10,091 |
9,299 |
$29K |
| 87340 |
|
5,580 |
5,117 |
$26K |
| 86140 |
|
13,910 |
10,711 |
$26K |
| 82274 |
|
1,944 |
1,761 |
$26K |
| 83520 |
|
734 |
635 |
$25K |
| 84702 |
|
4,679 |
3,211 |
$25K |
| 84144 |
|
1,790 |
1,544 |
$25K |
| 86704 |
|
3,002 |
2,778 |
$24K |
| 84481 |
|
4,260 |
3,953 |
$24K |
| 80159 |
|
1,527 |
1,078 |
$24K |
| 87510 |
|
7,664 |
6,973 |
$24K |
| 87661 |
|
828 |
760 |
$23K |
| 84402 |
|
1,086 |
1,032 |
$21K |
| 87660 |
|
7,653 |
6,966 |
$21K |
| 86706 |
|
3,824 |
3,542 |
$21K |
| 83001 |
|
2,497 |
2,344 |
$20K |
| 86376 |
|
1,870 |
1,746 |
$18K |
| 84466 |
|
7,623 |
7,143 |
$18K |
| 80069 |
|
2,897 |
2,569 |
$17K |
| 82784 |
|
3,855 |
2,991 |
$17K |
| 86038 |
|
2,806 |
2,586 |
$17K |
| 82570 |
|
12,617 |
11,560 |
$17K |
| 86235 |
|
968 |
429 |
$17K |
| 85610 |
|
5,978 |
4,936 |
$16K |
| 86200 |
|
1,354 |
1,290 |
$16K |
| 83735 |
|
7,427 |
5,730 |
$15K |
| 83540 |
|
8,699 |
8,137 |
$15K |
| 86850 |
|
1,322 |
1,200 |
$15K |
| 80197 |
|
1,088 |
695 |
$15K |
| 82950 |
|
6,751 |
6,079 |
$15K |
| 85652 |
|
12,721 |
10,014 |
$14K |
| 86780 |
|
4,547 |
4,235 |
$14K |
| 82746 |
|
2,785 |
2,568 |
$13K |
| 81479 |
|
302 |
209 |
$13K |
| 80164 |
|
1,674 |
1,466 |
$13K |
| 87505 |
|
107 |
75 |
$12K |
| 80202 |
|
1,015 |
313 |
$12K |
| 87633 |
|
465 |
420 |
$11K |
| 82105 |
|
624 |
575 |
$11K |
| 83690 |
|
4,405 |
4,101 |
$11K |
| 86769 |
|
306 |
275 |
$10K |
| 86665 |
|
1,969 |
956 |
$10K |
| 84270 |
|
1,815 |
1,670 |
$10K |
| 86160 |
|
1,022 |
497 |
$10K |
| 85651 |
|
1,739 |
1,568 |
$9K |
| 87324 |
|
627 |
583 |
$9K |
| 82247 |
|
2,221 |
1,331 |
$8K |
| 87147 |
|
3,493 |
3,201 |
$8K |
| 80178 |
|
1,432 |
1,223 |
$7K |
| 83655 |
|
964 |
924 |
$7K |
| 36416 |
|
1,344 |
923 |
$7K |
| 83002 |
|
1,283 |
1,217 |
$7K |
| 87338 |
|
444 |
426 |
$7K |
| 84425 |
|
318 |
304 |
$7K |
| 87798 |
|
253 |
226 |
$7K |
| 0064U |
|
98 |
79 |
$7K |
| 86800 |
|
1,540 |
1,431 |
$6K |
| 82550 |
|
2,269 |
1,701 |
$6K |
| 82525 |
|
912 |
852 |
$5K |
| 85379 |
|
530 |
483 |
$5K |
| 86039 |
|
423 |
404 |
$5K |
| 81003 |
|
1,473 |
1,367 |
$5K |
| 86431 |
|
2,279 |
2,154 |
$5K |
| 84550 |
|
2,038 |
1,866 |
$5K |
| 86787 |
|
862 |
796 |
$4K |
| 84156 |
|
2,773 |
2,489 |
$4K |
| 82533 |
|
478 |
427 |
$4K |
| 84100 |
|
2,752 |
1,961 |
$4K |
| 86790 |
|
918 |
864 |
$4K |
| 87045 |
|
513 |
482 |
$4K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,064 |
1,028 |
$4K |
| 83721 |
|
1,406 |
1,280 |
$4K |
| 86225 |
|
350 |
328 |
$3K |
| 85007 |
|
2,961 |
2,373 |
$3K |
| 86663 |
|
452 |
428 |
$3K |
| 82627 |
|
319 |
292 |
$3K |
| 86364 |
|
1,191 |
1,001 |
$3K |
| 82248 |
|
2,093 |
1,570 |
$2K |
| 84480 |
|
1,086 |
1,015 |
$2K |
| 80377 |
|
458 |
291 |
$2K |
| 83993 |
|
175 |
172 |
$2K |
| 87449 |
|
954 |
870 |
$2K |
| 84703 |
|
463 |
426 |
$2K |
| 82951 |
|
238 |
215 |
$2K |
| 0100U |
|
46 |
37 |
$2K |
| 86708 |
|
119 |
117 |
$2K |
| 87631 |
|
39 |
34 |
$2K |
| 84630 |
|
855 |
805 |
$1K |
| 84460 |
|
903 |
840 |
$1K |
| 84165 |
|
123 |
121 |
$1K |
| 85730 |
|
792 |
734 |
$1K |
| 0065U |
|
158 |
142 |
$1K |
| 82785 |
|
137 |
119 |
$1K |
| 82310 |
|
314 |
269 |
$1K |
| 81015 |
|
343 |
314 |
$1K |
| 82947 |
|
1,121 |
1,025 |
$1K |
| 82977 |
|
989 |
865 |
$974.80 |
| 84445 |
|
13 |
13 |
$937.75 |
| 84145 |
|
21 |
16 |
$866.12 |
| 83013 |
|
15 |
14 |
$850.46 |
| 83921 |
|
45 |
42 |
$806.45 |
| 85014 |
|
957 |
873 |
$795.83 |
| 82140 |
|
67 |
54 |
$785.91 |
| 81514 |
|
2,098 |
2,024 |
$784.23 |
| 82390 |
|
354 |
326 |
$722.25 |
| 83525 |
|
101 |
98 |
$706.93 |
| 86664 |
|
438 |
415 |
$696.65 |
| 87040 |
|
84 |
49 |
$684.90 |
| 0202U |
|
240 |
225 |
$594.20 |
| 87046 |
|
533 |
495 |
$557.43 |
| 81511 |
|
537 |
452 |
$530.77 |
| 85018 |
|
673 |
619 |
$529.31 |
| 80055 |
|
29 |
27 |
$513.56 |
| 82565 |
|
162 |
151 |
$460.74 |
| 83615 |
|
213 |
197 |
$456.25 |
| G0480 |
Drug test def 1-7 classes |
99 |
82 |
$451.57 |
| P9603 |
One-way allow prorated miles |
3,860 |
2,505 |
$443.08 |
| 84450 |
|
238 |
218 |
$437.69 |
| 87102 |
|
86 |
77 |
$423.89 |
| 83088 |
|
97 |
91 |
$418.67 |
| 82150 |
|
304 |
284 |
$396.93 |
| 86341 |
|
25 |
13 |
$378.93 |
| 80175 |
|
55 |
50 |
$370.13 |
| 87329 |
|
86 |
81 |
$350.24 |
| 84478 |
|
41 |
39 |
$252.00 |
| 87804 |
|
26 |
17 |
$251.49 |
| 80177 |
|
15 |
12 |
$251.20 |
| 83498 |
|
12 |
12 |
$222.78 |
| 86256 |
|
12 |
12 |
$217.36 |
| 87076 |
|
44 |
37 |
$216.34 |
| 81225 |
|
74 |
64 |
$199.47 |
| 82652 |
|
15 |
14 |
$194.10 |
| 88142 |
|
33 |
31 |
$190.35 |
| 87328 |
|
12 |
12 |
$133.96 |
| P9604 |
One-way allow prorated trip |
2,170 |
1,433 |
$126.49 |
| 86901 |
|
65 |
58 |
$126.11 |
| 84134 |
|
44 |
39 |
$113.17 |
| 86141 |
|
40 |
39 |
$103.17 |
| 82610 |
|
14 |
14 |
$100.01 |
| 86900 |
|
79 |
71 |
$62.22 |
| 81241 |
|
175 |
84 |
$59.48 |
| 84132 |
|
12 |
12 |
$55.68 |
| 84484 |
|
48 |
38 |
$52.59 |
| 86258 |
|
31 |
17 |
$44.80 |
| 82239 |
|
14 |
13 |
$39.82 |
| 82952 |
|
265 |
240 |
$38.25 |
| G0328 |
Fecal blood scrn immunoassay |
137 |
135 |
$36.03 |
| G0471 |
Ven blood coll snf/hha |
2,108 |
1,206 |
$32.59 |
| 86361 |
|
30 |
25 |
$29.60 |
| 81025 |
|
14 |
12 |
$24.22 |
| 85045 |
|
62 |
51 |
$22.68 |
| 81291 |
|
90 |
81 |
$20.04 |
| 81231 |
|
74 |
64 |
$17.90 |
| 84436 |
|
13 |
12 |
$7.27 |
| 85046 |
|
13 |
13 |
$6.07 |
| 81328 |
|
73 |
64 |
$0.00 |
| 81355 |
|
73 |
64 |
$0.00 |
| 86336 |
|
73 |
55 |
$0.00 |
| 80361 |
|
14 |
12 |
$0.00 |
| 84520 |
|
14 |
14 |
$0.00 |
| 81230 |
|
75 |
64 |
$0.00 |
| 81240 |
|
87 |
76 |
$0.00 |
| 81226 |
|
74 |
64 |
$0.00 |
| 82677 |
|
70 |
53 |
$0.00 |
| 80349 |
|
15 |
12 |
$0.00 |
| 81227 |
|
76 |
65 |
$0.00 |