| Code | Description | Claims | Beneficiaries | Total Paid |
| G0483 |
Drug test def 22+ classes |
126,399 |
69,331 |
$9.18M |
| 87798 |
|
40,740 |
31,764 |
$2.62M |
| G0481 |
Drug test def 8-14 classes |
42,421 |
21,580 |
$1.72M |
| 87150 |
|
32,684 |
25,844 |
$1.68M |
| 80307 |
|
61,938 |
33,946 |
$1.57M |
| U0003 |
Cov-19 amp prb hgh thruput |
49,604 |
19,882 |
$1.04M |
| G0482 |
Drug test def 15-21 classes |
15,889 |
10,384 |
$684K |
| G0480 |
Drug test def 1-7 classes |
29,615 |
13,970 |
$635K |
| 87502 |
|
11,592 |
9,975 |
$305K |
| U0005 |
Infec agen detec ampli probe |
38,462 |
13,548 |
$292K |
| 87500 |
|
31,858 |
25,360 |
$278K |
| 87481 |
|
26,040 |
20,479 |
$270K |
| 87641 |
|
32,315 |
25,446 |
$238K |
| 87653 |
|
27,434 |
21,389 |
$216K |
| 87640 |
|
34,577 |
27,036 |
$183K |
| 87491 |
|
12,653 |
10,773 |
$153K |
| 87591 |
|
12,654 |
10,770 |
$152K |
| 87661 |
|
12,254 |
10,444 |
$144K |
| 81381 |
|
1,308 |
1,227 |
$121K |
| 87651 |
|
13,847 |
11,134 |
$111K |
| 87486 |
|
11,046 |
9,232 |
$87K |
| 87581 |
|
11,049 |
9,233 |
$87K |
| 87496 |
|
10,827 |
9,306 |
$86K |
| 87532 |
|
10,831 |
9,309 |
$86K |
| 87541 |
|
10,326 |
8,844 |
$82K |
| 87563 |
|
5,274 |
4,657 |
$78K |
| 87635 |
|
4,542 |
3,367 |
$75K |
| 87631 |
|
1,388 |
1,116 |
$74K |
| 82306 |
|
7,651 |
6,371 |
$67K |
| 87498 |
|
10,831 |
9,308 |
$66K |
| 81418 |
|
1,022 |
951 |
$58K |
| 87633 |
|
979 |
688 |
$56K |
| 87801 |
|
1,060 |
690 |
$54K |
| G2024 |
Spec coll snf/lab covid-19 |
12,391 |
2,462 |
$48K |
| 80074 |
|
2,349 |
1,938 |
$47K |
| 81226 |
|
1,309 |
1,227 |
$44K |
| 84443 |
|
9,104 |
7,564 |
$42K |
| 81513 |
|
1,880 |
1,595 |
$37K |
| 87637 |
|
650 |
453 |
$37K |
| 80053 |
|
12,295 |
10,068 |
$36K |
| 80061 |
|
7,703 |
6,427 |
$31K |
| 87389 |
|
2,914 |
2,465 |
$29K |
| 85025 |
|
13,627 |
10,879 |
$28K |
| 82607 |
|
6,482 |
5,414 |
$28K |
| 81401 |
|
1,337 |
1,244 |
$27K |
| 87522 |
Neg quan hep c or qual rna |
1,387 |
1,169 |
$24K |
| 81225 |
|
1,309 |
1,227 |
$24K |
| 83036 |
|
7,869 |
6,522 |
$22K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,581 |
1,132 |
$20K |
| 81240 |
|
895 |
832 |
$18K |
| 81400 |
|
1,335 |
1,242 |
$17K |
| 81335 |
|
1,184 |
1,098 |
$15K |
| 81403 |
|
689 |
661 |
$15K |
| 81227 |
|
1,310 |
1,228 |
$15K |
| 84481 |
|
2,042 |
1,881 |
$14K |
| 86481 |
|
271 |
207 |
$14K |
| 84403 |
|
1,383 |
1,191 |
$13K |
| 81241 |
|
892 |
829 |
$13K |
| 86780 |
|
1,942 |
1,597 |
$12K |
| 81231 |
|
1,325 |
1,233 |
$12K |
| 81230 |
|
1,325 |
1,233 |
$12K |
| 87529 |
|
612 |
532 |
$11K |
| 82746 |
|
2,105 |
1,849 |
$11K |
| 81256 |
|
891 |
828 |
$11K |
| 84439 |
|
4,044 |
3,388 |
$10K |
| 81328 |
|
909 |
835 |
$8K |
| 81003 |
|
5,770 |
4,735 |
$7K |
| 83735 |
|
2,928 |
2,303 |
$7K |
| 81232 |
|
905 |
834 |
$6K |
| 87505 |
|
259 |
237 |
$6K |
| 81291 |
|
1,310 |
1,228 |
$5K |
| 80050 |
|
142 |
134 |
$5K |
| 82728 |
|
1,111 |
979 |
$4K |
| 80048 |
|
2,325 |
1,639 |
$4K |
| 83540 |
|
1,688 |
1,512 |
$4K |
| 82670 |
|
667 |
555 |
$4K |
| 81283 |
|
906 |
832 |
$4K |
| 87340 |
|
1,128 |
960 |
$4K |
| 86376 |
|
641 |
589 |
$4K |
| 81247 |
|
910 |
836 |
$4K |
| 87471 |
|
938 |
711 |
$4K |
| 84153 |
|
647 |
565 |
$3K |
| 83550 |
|
1,116 |
1,007 |
$3K |
| 86703 |
|
441 |
326 |
$3K |
| 81355 |
|
906 |
832 |
$3K |
| 83003 |
|
278 |
249 |
$3K |
| 84144 |
|
510 |
425 |
$3K |
| 82627 |
|
353 |
337 |
$2K |
| 83001 |
|
501 |
417 |
$2K |
| 84270 |
|
378 |
327 |
$2K |
| G2023 |
Specimen collect covid-19 |
246 |
37 |
$2K |
| 86803 |
|
632 |
494 |
$2K |
| G0471 |
Ven blood coll snf/hha |
1,947 |
1,303 |
$2K |
| 83970 |
|
193 |
177 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
374 |
159 |
$2K |
| 82533 |
|
289 |
275 |
$2K |
| 83002 |
|
297 |
245 |
$1K |
| 36415 |
|
929 |
752 |
$1K |
| 82570 |
|
634 |
588 |
$994.37 |
| 83525 |
|
284 |
275 |
$991.39 |
| 87625 |
|
37 |
30 |
$835.34 |
| 80164 |
|
322 |
275 |
$810.23 |
| 84480 |
|
361 |
344 |
$692.38 |
| 85651 |
|
517 |
459 |
$690.44 |
| 83090 |
|
126 |
124 |
$670.66 |
| 81402 |
|
647 |
581 |
$651.65 |
| 82977 |
|
306 |
287 |
$646.36 |
| 87086 |
|
230 |
184 |
$570.68 |
| 86140 |
|
523 |
486 |
$557.53 |
| 80076 |
|
1,464 |
1,201 |
$557.14 |
| 81001 |
|
618 |
581 |
$544.46 |
| 83880 |
|
89 |
75 |
$504.39 |
| 82550 |
|
259 |
237 |
$476.63 |
| 84436 |
|
1,162 |
1,004 |
$426.85 |
| 88175 |
|
22 |
17 |
$406.87 |
| 86431 |
|
204 |
194 |
$388.27 |
| 85610 |
|
383 |
185 |
$318.50 |
| 84681 |
|
46 |
45 |
$303.73 |
| P9603 |
One-way allow prorated miles |
1,459 |
1,146 |
$285.80 |
| 84402 |
|
12 |
12 |
$243.23 |
| 82140 |
|
97 |
59 |
$239.08 |
| 83615 |
|
103 |
92 |
$230.96 |
| 82626 |
|
14 |
14 |
$225.57 |
| 87186 |
|
74 |
62 |
$196.96 |
| 84146 |
|
14 |
14 |
$196.43 |
| 87088 |
|
77 |
63 |
$184.21 |
| 84156 |
|
166 |
156 |
$178.84 |
| 85027 |
|
120 |
97 |
$146.84 |
| 82040 |
|
291 |
275 |
$146.37 |
| 80364 |
|
78 |
29 |
$137.61 |
| 80365 |
|
64 |
26 |
$135.59 |
| 84550 |
|
261 |
242 |
$113.81 |
| 80346 |
|
59 |
27 |
$109.12 |
| 86706 |
|
29 |
26 |
$107.83 |
| 83721 |
|
163 |
163 |
$78.12 |
| 83690 |
|
63 |
53 |
$70.51 |
| 81025 |
|
29 |
26 |
$49.63 |
| 82150 |
|
52 |
42 |
$45.02 |
| 85045 |
|
15 |
15 |
$35.30 |
| 85652 |
|
29 |
27 |
$21.18 |
| 85018 |
|
18 |
13 |
$13.47 |
| 84100 |
|
16 |
14 |
$9.81 |
| 85007 |
|
109 |
97 |
$4.56 |
| P9604 |
One-way allow prorated trip |
152 |
130 |
$0.00 |
| 80354 |
|
101 |
43 |
$0.00 |
| 81479 |
|
18 |
17 |
$0.00 |
| 80358 |
|
155 |
80 |
$0.00 |
| G0433 |
Elisa hiv-1/hiv-2 screen |
41 |
17 |
$0.00 |