| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
34,984 |
21,706 |
$1.35M |
| U0005 |
Infec agen detec ampli probe |
21,509 |
13,003 |
$234K |
| G2023 |
Specimen collect covid-19 |
18,062 |
13,111 |
$189K |
| 80307 |
|
3,570 |
3,269 |
$59K |
| 87389 |
|
4,405 |
4,019 |
$43K |
| 82306 |
|
7,893 |
7,130 |
$40K |
| 87798 |
|
3,258 |
2,175 |
$38K |
| 84443 |
|
12,535 |
11,424 |
$37K |
| 85025 |
|
24,857 |
21,174 |
$36K |
| 80053 |
|
19,740 |
16,999 |
$31K |
| 80061 |
|
12,446 |
11,544 |
$30K |
| 87491 |
|
2,680 |
2,427 |
$28K |
| 83036 |
|
12,242 |
11,080 |
$27K |
| 87591 |
|
1,389 |
1,316 |
$25K |
| 80050 |
|
1,638 |
1,567 |
$23K |
| 87661 |
|
1,245 |
1,164 |
$18K |
| G0480 |
Drug test def 1-7 classes |
616 |
556 |
$17K |
| 82728 |
|
3,964 |
3,407 |
$16K |
| 82607 |
|
4,763 |
4,203 |
$15K |
| 84481 |
|
2,952 |
2,523 |
$15K |
| 84702 |
|
2,322 |
1,688 |
$13K |
| 87631 |
|
1,282 |
1,111 |
$12K |
| 87340 |
|
3,251 |
2,987 |
$12K |
| 86803 |
|
2,397 |
2,296 |
$12K |
| 86696 |
|
1,514 |
1,445 |
$11K |
| 84439 |
|
4,855 |
4,247 |
$11K |
| 84466 |
|
3,570 |
3,182 |
$11K |
| 86762 |
|
1,601 |
1,377 |
$10K |
| 87481 |
|
2,273 |
1,898 |
$9K |
| 86695 |
|
1,531 |
1,444 |
$8K |
| 82746 |
|
2,326 |
2,064 |
$7K |
| 86592 |
|
4,008 |
3,671 |
$7K |
| 84144 |
|
1,130 |
811 |
$7K |
| G0481 |
Drug test def 8-14 classes |
891 |
790 |
$7K |
| 83540 |
|
3,685 |
3,286 |
$6K |
| 87653 |
|
1,756 |
1,544 |
$5K |
| 87633 |
|
204 |
194 |
$5K |
| 87640 |
|
1,188 |
1,091 |
$5K |
| 88175 |
|
276 |
254 |
$5K |
| 87551 |
|
1,285 |
1,112 |
$4K |
| 87556 |
|
1,642 |
1,447 |
$4K |
| 87486 |
|
1,467 |
1,289 |
$4K |
| 87581 |
|
1,467 |
1,289 |
$4K |
| 86780 |
|
890 |
705 |
$4K |
| 87529 |
|
483 |
428 |
$3K |
| 84403 |
|
513 |
468 |
$3K |
| 87651 |
|
1,427 |
1,238 |
$3K |
| 83970 |
|
599 |
567 |
$3K |
| 87561 |
|
1,284 |
1,112 |
$3K |
| 87532 |
|
1,264 |
1,094 |
$3K |
| 87498 |
|
1,265 |
1,095 |
$3K |
| 87541 |
|
1,265 |
1,095 |
$3K |
| 87496 |
|
1,696 |
1,493 |
$3K |
| 87500 |
|
1,108 |
980 |
$3K |
| 87086 |
|
1,605 |
1,500 |
$2K |
| 87641 |
|
1,064 |
942 |
$2K |
| 84153 |
|
716 |
675 |
$2K |
| 87511 |
|
387 |
363 |
$2K |
| 84550 |
|
1,791 |
1,595 |
$2K |
| 81001 |
|
4,006 |
3,655 |
$2K |
| 85651 |
|
2,442 |
2,148 |
$2K |
| 87624 |
|
88 |
87 |
$2K |
| 83735 |
|
1,624 |
1,405 |
$2K |
| 82950 |
|
989 |
953 |
$2K |
| 88142 |
|
99 |
99 |
$2K |
| 82670 |
|
197 |
182 |
$2K |
| 86769 |
|
56 |
52 |
$2K |
| 85610 |
|
1,723 |
1,033 |
$2K |
| 85027 |
|
861 |
769 |
$1K |
| 87635 |
|
191 |
173 |
$1K |
| 83001 |
|
196 |
187 |
$1K |
| 85730 |
|
466 |
352 |
$1K |
| 84436 |
|
1,104 |
1,018 |
$997.31 |
| 86704 |
|
283 |
259 |
$986.24 |
| 85045 |
|
1,060 |
905 |
$952.99 |
| 84146 |
|
177 |
157 |
$937.33 |
| 83002 |
|
159 |
152 |
$933.94 |
| 86703 |
|
77 |
77 |
$930.02 |
| 82784 |
|
284 |
139 |
$925.65 |
| 86708 |
|
291 |
266 |
$917.48 |
| 86038 |
|
319 |
287 |
$799.16 |
| 86140 |
|
784 |
716 |
$770.07 |
| 82043 |
|
779 |
731 |
$768.36 |
| 84134 |
|
326 |
314 |
$652.70 |
| 84100 |
|
715 |
587 |
$641.06 |
| 82570 |
|
831 |
782 |
$603.99 |
| 84479 |
|
705 |
657 |
$562.53 |
| 83880 |
|
411 |
357 |
$561.76 |
| 86431 |
|
478 |
444 |
$542.79 |
| 84270 |
|
132 |
114 |
$531.53 |
| 82378 |
|
133 |
119 |
$519.89 |
| 83615 |
|
293 |
274 |
$502.97 |
| 86709 |
|
170 |
152 |
$498.20 |
| 87150 |
|
41 |
36 |
$389.88 |
| 87804 |
|
66 |
64 |
$372.98 |
| 80048 |
|
1,478 |
1,204 |
$336.32 |
| G0482 |
Drug test def 15-21 classes |
56 |
54 |
$333.88 |
| 85384 |
|
40 |
32 |
$248.14 |
| 82248 |
|
377 |
356 |
$237.27 |
| 82977 |
|
117 |
109 |
$201.42 |
| 86304 |
|
63 |
51 |
$197.27 |
| 83690 |
|
144 |
123 |
$185.10 |
| 86706 |
|
79 |
62 |
$183.69 |
| 86160 |
|
57 |
28 |
$174.60 |
| 86301 |
|
58 |
42 |
$167.44 |
| 80164 |
|
421 |
398 |
$150.61 |
| 87186 |
|
360 |
328 |
$136.81 |
| G0476 |
Hpv combo assay ca screen |
14 |
14 |
$135.20 |
| 87077 |
|
355 |
333 |
$135.17 |
| 87088 |
|
458 |
421 |
$120.57 |
| 82947 |
|
118 |
107 |
$114.34 |
| 86235 |
|
30 |
28 |
$108.81 |
| 86225 |
|
29 |
27 |
$106.76 |
| 87563 |
|
194 |
177 |
$89.21 |
| 82550 |
|
111 |
85 |
$88.96 |
| 85048 |
|
2,352 |
1,849 |
$82.97 |
| 87799 |
|
25 |
25 |
$79.96 |
| 87081 |
|
41 |
36 |
$73.76 |
| 80076 |
|
260 |
247 |
$73.32 |
| 82232 |
|
27 |
27 |
$67.12 |
| 86885 |
|
12 |
12 |
$65.90 |
| 86300 |
|
50 |
43 |
$65.36 |
| 86800 |
|
12 |
12 |
$63.44 |
| 87482 |
|
26 |
26 |
$46.82 |
| 83525 |
|
14 |
14 |
$45.96 |
| 84480 |
|
13 |
13 |
$44.13 |
| 84154 |
|
14 |
13 |
$36.41 |
| 86900 |
|
12 |
12 |
$34.40 |
| 86901 |
|
12 |
12 |
$34.40 |
| 84484 |
|
26 |
16 |
$33.02 |
| 82553 |
|
25 |
15 |
$26.08 |
| 87205 |
|
12 |
12 |
$21.02 |
| 36415 |
|
22,070 |
18,598 |
$14.76 |
| 84156 |
|
31 |
30 |
$12.80 |
| 80069 |
|
210 |
184 |
$10.95 |
| 85008 |
|
226 |
189 |
$5.76 |
| 86308 |
|
12 |
12 |
$5.37 |
| 85007 |
|
32 |
30 |
$3.56 |
| P9604 |
One-way allow prorated trip |
819 |
573 |
$0.00 |
| G0483 |
Drug test def 22+ classes |
13 |
12 |
$0.00 |
| 83721 |
|
47 |
47 |
$0.00 |
| 87502 |
|
39 |
38 |
$0.00 |
| 84155 |
|
18 |
18 |
$0.00 |
| 85014 |
|
19 |
18 |
$0.00 |
| G0471 |
Ven blood coll snf/hha |
6,289 |
3,981 |
$0.00 |
| P9603 |
One-way allow prorated miles |
5,481 |
3,336 |
$0.00 |
| 82040 |
|
15 |
14 |
$0.00 |
| 84075 |
|
29 |
29 |
$0.00 |
| 80177 |
|
87 |
71 |
$0.00 |
| 82952 |
|
34 |
31 |
$0.00 |
| 86060 |
|
12 |
12 |
$0.00 |
| 80185 |
|
60 |
50 |
$0.00 |
| G0103 |
Psa screening |
14 |
14 |
$0.00 |
| 85018 |
|
20 |
19 |
$0.00 |