| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
66,913 |
35,669 |
$2.18M |
| 87632 |
|
10,676 |
10,001 |
$489K |
| U0005 |
Infec agen detec ampli probe |
42,263 |
23,577 |
$428K |
| G2023 |
Specimen collect covid-19 |
31,841 |
19,618 |
$317K |
| 87798 |
|
21,847 |
17,917 |
$282K |
| 87631 |
|
6,080 |
5,309 |
$194K |
| 87633 |
|
1,649 |
1,444 |
$155K |
| G0483 |
Drug test def 22+ classes |
2,882 |
2,797 |
$130K |
| 87637 |
|
1,480 |
1,373 |
$109K |
| 87640 |
|
17,049 |
15,040 |
$102K |
| 87541 |
|
14,096 |
12,826 |
$101K |
| 87651 |
|
14,335 |
12,980 |
$99K |
| 87801 |
|
6,531 |
4,976 |
$85K |
| 82306 |
|
9,255 |
8,437 |
$28K |
| 87486 |
|
14,463 |
13,131 |
$27K |
| 87581 |
|
14,428 |
13,094 |
$26K |
| 80050 |
|
3,143 |
3,041 |
$25K |
| 80307 |
|
1,888 |
1,826 |
$22K |
| 87150 |
|
2,447 |
1,675 |
$22K |
| 87635 |
|
683 |
498 |
$17K |
| 80061 |
|
12,412 |
11,484 |
$17K |
| U0002 |
Covid-19 lab test non-cdc |
479 |
427 |
$16K |
| 87481 |
|
6,456 |
4,866 |
$15K |
| 87653 |
|
6,536 |
4,870 |
$13K |
| 84481 |
|
6,394 |
5,858 |
$12K |
| 84146 |
|
5,651 |
5,362 |
$11K |
| 82607 |
|
7,598 |
6,826 |
$10K |
| 82627 |
|
4,496 |
4,103 |
$9K |
| 82670 |
|
3,486 |
3,230 |
$9K |
| 84270 |
|
4,571 |
4,149 |
$8K |
| 80053 |
|
10,954 |
10,241 |
$8K |
| 84443 |
|
7,226 |
6,644 |
$8K |
| 84144 |
|
3,645 |
3,399 |
$7K |
| 83001 |
|
3,944 |
3,663 |
$7K |
| 84439 |
|
7,868 |
7,229 |
$7K |
| 84403 |
|
3,317 |
3,035 |
$7K |
| 83002 |
|
3,808 |
3,536 |
$7K |
| 87500 |
|
2,905 |
2,245 |
$7K |
| 83036 |
|
8,495 |
7,697 |
$7K |
| 85025 |
|
10,720 |
9,987 |
$6K |
| 82728 |
|
4,520 |
4,113 |
$6K |
| 82747 |
|
3,756 |
3,423 |
$6K |
| G0480 |
Drug test def 1-7 classes |
301 |
289 |
$5K |
| 87641 |
|
2,624 |
2,051 |
$5K |
| 83540 |
|
6,516 |
5,897 |
$4K |
| 83970 |
|
1,560 |
1,367 |
$4K |
| 82533 |
|
2,861 |
2,545 |
$3K |
| 83735 |
|
5,326 |
4,819 |
$3K |
| 82746 |
|
2,051 |
1,835 |
$3K |
| 84305 |
|
2,230 |
1,988 |
$3K |
| 83550 |
|
3,362 |
3,030 |
$2K |
| 80074 |
|
261 |
246 |
$2K |
| 83520 |
|
2,173 |
1,945 |
$2K |
| 83003 |
|
1,690 |
1,560 |
$2K |
| 86376 |
|
579 |
550 |
$2K |
| 87491 |
|
132 |
111 |
$2K |
| 87591 |
|
132 |
111 |
$2K |
| 87507 |
|
95 |
92 |
$1K |
| 84153 |
|
1,267 |
1,121 |
$1K |
| 87563 |
|
85 |
81 |
$990.40 |
| G0482 |
Drug test def 15-21 classes |
71 |
66 |
$959.89 |
| 82172 |
|
384 |
319 |
$825.89 |
| 84466 |
|
538 |
476 |
$816.58 |
| G0481 |
Drug test def 8-14 classes |
212 |
173 |
$651.53 |
| 83525 |
|
586 |
546 |
$616.20 |
| 83090 |
|
552 |
467 |
$494.76 |
| 87661 |
|
131 |
110 |
$475.97 |
| 87389 |
|
72 |
66 |
$444.05 |
| 84480 |
|
606 |
582 |
$360.66 |
| 84550 |
|
1,381 |
1,201 |
$306.34 |
| 83698 |
|
524 |
442 |
$304.42 |
| 86769 |
|
17 |
17 |
$269.65 |
| 82150 |
|
384 |
355 |
$235.59 |
| 84681 |
|
171 |
160 |
$210.67 |
| 82043 |
|
352 |
330 |
$175.00 |
| 81001 |
|
1,341 |
1,024 |
$155.73 |
| 82570 |
|
360 |
332 |
$136.92 |
| 84436 |
|
383 |
368 |
$125.82 |
| 86800 |
|
158 |
140 |
$115.55 |
| 86141 |
|
115 |
108 |
$94.14 |
| 83690 |
|
214 |
199 |
$82.06 |
| 84202 |
|
28 |
28 |
$72.30 |
| 83615 |
|
428 |
353 |
$69.61 |
| 83655 |
|
138 |
135 |
$61.00 |
| 82977 |
|
101 |
93 |
$52.35 |
| 86431 |
|
484 |
408 |
$43.34 |
| 82465 |
|
234 |
229 |
$41.20 |
| 80048 |
|
47 |
41 |
$34.65 |
| 81003 |
|
47 |
46 |
$30.96 |
| 86592 |
|
58 |
56 |
$24.23 |
| 83695 |
|
111 |
104 |
$24.06 |
| 87086 |
|
14 |
14 |
$14.92 |
| 86140 |
|
90 |
87 |
$4.13 |
| 81405 |
|
109 |
85 |
$0.00 |
| 81404 |
|
89 |
85 |
$0.00 |
| 81442 |
|
71 |
64 |
$0.00 |
| 81408 |
|
113 |
98 |
$0.00 |
| 86663 |
|
12 |
12 |
$0.00 |
| 81291 |
|
82 |
82 |
$0.00 |
| 81406 |
|
93 |
84 |
$0.00 |
| 81401 |
|
148 |
137 |
$0.00 |
| 81403 |
|
66 |
64 |
$0.00 |
| 82248 |
|
13 |
13 |
$0.00 |
| 81411 |
|
71 |
64 |
$0.00 |
| 86665 |
|
12 |
12 |
$0.00 |
| 81355 |
|
82 |
82 |
$0.00 |
| 81241 |
|
82 |
82 |
$0.00 |
| 81436 |
|
36 |
35 |
$0.00 |
| 81328 |
|
82 |
82 |
$0.00 |
| 81413 |
|
71 |
64 |
$0.00 |
| P9604 |
One-way allow prorated trip |
31 |
30 |
$0.00 |
| 81319 |
|
20 |
20 |
$0.00 |
| 81317 |
|
20 |
20 |
$0.00 |
| 82785 |
|
24 |
19 |
$0.00 |
| 81414 |
|
71 |
64 |
$0.00 |
| 80164 |
|
14 |
14 |
$0.00 |
| 81227 |
|
94 |
94 |
$0.00 |
| 81230 |
|
94 |
94 |
$0.00 |
| 81226 |
|
94 |
94 |
$0.00 |
| 81231 |
|
94 |
94 |
$0.00 |
| 36415 |
|
219 |
214 |
$0.00 |
| P9603 |
One-way allow prorated miles |
177 |
172 |
$0.00 |
| 81410 |
|
71 |
64 |
$0.00 |
| 81225 |
|
94 |
94 |
$0.00 |
| 81407 |
|
57 |
49 |
$0.00 |
| 81240 |
|
82 |
82 |
$0.00 |
| 81162 |
|
20 |
20 |
$0.00 |
| 81435 |
|
20 |
20 |
$0.00 |
| 86664 |
|
12 |
12 |
$0.00 |