| Code | Description | Claims | Beneficiaries | Total Paid |
| U0004 |
Cov-19 test non-cdc hgh thru |
28,975 |
23,656 |
$1.54M |
| 87798 |
|
9,355 |
5,966 |
$793K |
| G0481 |
Drug test def 8-14 classes |
7,453 |
5,130 |
$586K |
| 80307 |
|
23,017 |
16,580 |
$430K |
| U0005 |
Infec agen detec ampli probe |
20,554 |
16,798 |
$310K |
| 87636 |
|
2,579 |
2,286 |
$226K |
| 87500 |
|
19,945 |
4,563 |
$200K |
| G0483 |
Drug test def 22+ classes |
7,498 |
6,059 |
$192K |
| 87481 |
|
6,399 |
4,835 |
$135K |
| 87150 |
|
6,158 |
3,815 |
$114K |
| 87801 |
|
3,343 |
2,524 |
$90K |
| G0480 |
Drug test def 1-7 classes |
2,260 |
1,482 |
$78K |
| 87640 |
|
7,197 |
5,601 |
$68K |
| 82306 |
|
8,672 |
7,601 |
$66K |
| 87653 |
|
6,425 |
4,855 |
$63K |
| 87633 |
|
877 |
807 |
$61K |
| 87641 |
|
6,050 |
4,568 |
$60K |
| 80050 |
|
3,986 |
3,570 |
$54K |
| 80061 |
|
10,688 |
9,229 |
$37K |
| G2023 |
Specimen collect covid-19 |
3,561 |
2,472 |
$33K |
| 87661 |
|
2,777 |
2,000 |
$33K |
| 87591 |
|
3,296 |
2,450 |
$31K |
| 80336 |
|
5,838 |
4,928 |
$26K |
| 80323 |
|
5,023 |
4,147 |
$25K |
| 83036 |
|
9,908 |
8,712 |
$24K |
| 87491 |
|
3,286 |
2,443 |
$24K |
| 80356 |
|
6,406 |
5,319 |
$24K |
| 80361 |
|
6,685 |
5,563 |
$23K |
| 80346 |
|
6,678 |
5,560 |
$23K |
| 80053 |
|
9,082 |
7,897 |
$22K |
| 80348 |
|
6,680 |
5,561 |
$21K |
| 84443 |
|
6,657 |
5,866 |
$21K |
| 85025 |
|
10,846 |
9,348 |
$20K |
| 80354 |
|
6,627 |
5,510 |
$20K |
| 80324 |
|
6,657 |
5,543 |
$18K |
| 80359 |
|
6,487 |
5,398 |
$17K |
| 80358 |
|
6,675 |
5,555 |
$17K |
| 80371 |
|
6,423 |
5,342 |
$16K |
| 80355 |
|
6,163 |
5,209 |
$16K |
| 80365 |
|
6,667 |
5,548 |
$16K |
| 82607 |
|
4,234 |
3,755 |
$15K |
| 80353 |
|
6,643 |
5,534 |
$15K |
| 80360 |
|
6,422 |
5,340 |
$15K |
| 80349 |
|
5,609 |
4,715 |
$15K |
| 80366 |
|
6,070 |
5,136 |
$14K |
| 80370 |
|
5,817 |
4,901 |
$13K |
| 80367 |
|
5,874 |
4,818 |
$13K |
| 80372 |
|
6,362 |
5,281 |
$13K |
| 80364 |
|
5,156 |
4,285 |
$13K |
| 80373 |
|
6,467 |
5,371 |
$13K |
| 80345 |
|
4,521 |
3,734 |
$12K |
| 83992 |
|
6,537 |
5,445 |
$11K |
| 84439 |
|
4,838 |
4,059 |
$11K |
| G0482 |
Drug test def 15-21 classes |
629 |
547 |
$10K |
| 87486 |
|
1,146 |
967 |
$10K |
| 86003 |
|
92 |
87 |
$9K |
| U0002 |
Covid-19 lab test non-cdc |
356 |
194 |
$9K |
| 87389 |
|
1,320 |
1,160 |
$9K |
| 87581 |
|
1,153 |
974 |
$8K |
| 87541 |
|
1,153 |
974 |
$8K |
| 80368 |
|
5,710 |
4,806 |
$8K |
| 80074 |
|
664 |
580 |
$6K |
| 84153 |
|
1,083 |
965 |
$5K |
| 86480 |
|
111 |
94 |
$5K |
| 80363 |
|
1,326 |
1,148 |
$5K |
| 87799 |
|
418 |
388 |
$5K |
| 81226 |
|
110 |
83 |
$4K |
| 87532 |
|
605 |
556 |
$4K |
| 83550 |
|
2,013 |
1,811 |
$4K |
| 86141 |
|
1,050 |
857 |
$4K |
| 87635 |
|
410 |
284 |
$3K |
| 83540 |
|
2,031 |
1,829 |
$3K |
| 81225 |
|
98 |
71 |
$3K |
| 84550 |
|
1,922 |
1,773 |
$2K |
| 82627 |
|
338 |
320 |
$2K |
| 87563 |
|
156 |
126 |
$2K |
| 82670 |
|
285 |
264 |
$2K |
| 81001 |
|
3,017 |
2,409 |
$2K |
| 81227 |
|
98 |
71 |
$2K |
| 84154 |
|
352 |
328 |
$2K |
| 80321 |
|
650 |
576 |
$2K |
| 87631 |
|
78 |
69 |
$2K |
| 81401 |
|
98 |
71 |
$2K |
| 80164 |
|
419 |
348 |
$1K |
| 81328 |
|
96 |
69 |
$1K |
| 81335 |
|
96 |
69 |
$1K |
| 81230 |
|
98 |
71 |
$1K |
| 81231 |
|
96 |
69 |
$1K |
| 82043 |
|
715 |
693 |
$1K |
| 80048 |
|
779 |
660 |
$1K |
| 84144 |
|
215 |
202 |
$1K |
| 81291 |
|
180 |
69 |
$1K |
| 86431 |
|
615 |
570 |
$1K |
| 86635 |
|
36 |
36 |
$953.08 |
| 82785 |
|
55 |
55 |
$826.20 |
| 81241 |
|
96 |
69 |
$798.26 |
| 84480 |
|
173 |
159 |
$798.00 |
| 86780 |
|
216 |
168 |
$734.81 |
| 81355 |
|
96 |
69 |
$669.62 |
| 84403 |
|
94 |
90 |
$663.18 |
| 81240 |
|
96 |
69 |
$642.50 |
| 80362 |
|
66 |
63 |
$589.05 |
| 81479 |
|
591 |
72 |
$540.00 |
| 83735 |
|
382 |
296 |
$494.00 |
| 80076 |
|
371 |
325 |
$488.90 |
| 84481 |
|
69 |
49 |
$488.72 |
| 82746 |
|
336 |
248 |
$429.00 |
| 87340 |
|
117 |
102 |
$418.53 |
| 86803 |
|
112 |
95 |
$396.12 |
| 85652 |
|
192 |
179 |
$349.69 |
| 86769 |
|
17 |
16 |
$306.74 |
| 82728 |
|
305 |
215 |
$289.02 |
| 86038 |
|
26 |
25 |
$255.50 |
| 84100 |
|
127 |
117 |
$135.84 |
| 83525 |
|
50 |
47 |
$125.60 |
| 86709 |
|
35 |
33 |
$125.26 |
| 80335 |
|
33 |
31 |
$116.92 |
| 83970 |
|
14 |
13 |
$108.18 |
| 84436 |
|
55 |
46 |
$86.04 |
| 85610 |
|
63 |
58 |
$71.07 |
| 80178 |
|
32 |
25 |
$30.88 |
| 83690 |
|
22 |
16 |
$28.95 |
| 85384 |
|
12 |
12 |
$25.12 |
| 36415 |
|
2,867 |
2,402 |
$11.95 |
| 82248 |
|
32 |
32 |
$10.96 |
| P9603 |
One-way allow prorated miles |
1,837 |
1,601 |
$2.20 |
| P9604 |
One-way allow prorated trip |
550 |
494 |
$0.00 |