| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
34,285 |
29,211 |
$2.32M |
| 87591 |
|
59,234 |
52,496 |
$2.03M |
| 87491 |
|
58,606 |
52,696 |
$2.01M |
| 87389 |
|
36,893 |
32,671 |
$1.97M |
| 84443 |
|
140,776 |
125,381 |
$1.79M |
| 80053 |
|
214,797 |
187,431 |
$1.63M |
| 80050 |
|
33,033 |
30,846 |
$1.44M |
| 80061 |
|
179,315 |
157,306 |
$1.11M |
| 82306 |
|
84,132 |
73,040 |
$1.11M |
| 80307 |
|
24,046 |
19,997 |
$1.05M |
| 85025 |
|
216,833 |
187,916 |
$1.02M |
| 87801 |
|
22,913 |
18,598 |
$917K |
| 88175 |
|
51,936 |
47,892 |
$900K |
| 87624 |
|
28,783 |
26,404 |
$732K |
| 83036 |
|
111,658 |
99,071 |
$623K |
| 87086 |
|
79,660 |
71,499 |
$542K |
| 87637 |
|
6,018 |
5,596 |
$541K |
| U0005 |
Infec agen detec ampli probe |
24,469 |
22,331 |
$539K |
| 36415 |
|
153,335 |
134,121 |
$466K |
| 82607 |
|
45,529 |
38,899 |
$449K |
| 87480 |
|
24,027 |
22,144 |
$437K |
| 87510 |
|
23,986 |
22,119 |
$436K |
| 86235 |
|
3,871 |
3,234 |
$374K |
| 87660 |
|
24,400 |
22,462 |
$369K |
| 80081 |
|
6,593 |
5,917 |
$366K |
| 86780 |
|
25,770 |
22,731 |
$347K |
| 84439 |
|
46,791 |
40,948 |
$316K |
| 88305 |
|
10,470 |
9,399 |
$307K |
| 86480 |
|
6,822 |
6,134 |
$300K |
| 86803 |
|
21,441 |
18,629 |
$283K |
| 86003 |
|
6,771 |
5,116 |
$278K |
| 87481 |
|
6,537 |
3,489 |
$261K |
| 87633 |
|
925 |
792 |
$254K |
| 87186 |
|
28,955 |
25,739 |
$237K |
| 80074 |
|
7,133 |
6,368 |
$227K |
| 81514 |
|
2,405 |
2,235 |
$220K |
| 82728 |
|
26,540 |
23,127 |
$201K |
| 84153 |
|
14,405 |
12,680 |
$171K |
| 80048 |
|
30,434 |
26,917 |
$157K |
| 87661 |
|
5,269 |
4,198 |
$146K |
| 82570 |
|
39,625 |
35,471 |
$143K |
| 87081 |
|
26,274 |
24,536 |
$134K |
| 87536 |
|
2,182 |
1,984 |
$133K |
| 87070 |
|
21,910 |
19,999 |
$125K |
| 83550 |
|
19,461 |
17,135 |
$122K |
| 81001 |
|
55,151 |
47,493 |
$122K |
| 83970 |
|
5,166 |
4,659 |
$120K |
| 82043 |
|
34,442 |
30,864 |
$119K |
| 83540 |
|
25,288 |
22,244 |
$119K |
| 84403 |
|
5,528 |
4,894 |
$112K |
| 86481 |
|
2,165 |
2,043 |
$109K |
| 82746 |
|
10,945 |
9,514 |
$103K |
| 83001 |
|
6,630 |
5,712 |
$100K |
| 87340 |
|
9,863 |
8,679 |
$96K |
| 87522 |
Neg quan hep c or qual rna |
2,600 |
2,314 |
$94K |
| 84702 |
|
10,438 |
7,970 |
$88K |
| 87077 |
|
14,749 |
13,407 |
$79K |
| 84481 |
|
8,106 |
7,042 |
$78K |
| 85027 |
|
16,752 |
15,314 |
$76K |
| 85651 |
|
23,949 |
20,534 |
$75K |
| 83735 |
|
17,288 |
13,303 |
$73K |
| 86038 |
|
6,352 |
5,540 |
$72K |
| 86696 |
|
4,152 |
3,676 |
$66K |
| 83655 |
|
6,648 |
6,089 |
$66K |
| 84146 |
|
5,197 |
4,562 |
$65K |
| 86140 |
|
17,559 |
15,172 |
$61K |
| 87798 |
|
1,047 |
965 |
$61K |
| 88342 |
|
1,771 |
1,590 |
$60K |
| 87088 |
|
8,248 |
7,385 |
$57K |
| G0103 |
Psa screening |
5,437 |
4,812 |
$57K |
| 86769 |
|
1,565 |
1,260 |
$56K |
| 86695 |
|
4,415 |
3,871 |
$51K |
| 84550 |
|
15,446 |
13,196 |
$50K |
| 86706 |
|
4,798 |
4,246 |
$49K |
| 86360 |
|
1,613 |
1,492 |
$49K |
| 86376 |
|
5,334 |
4,643 |
$48K |
| 86787 |
|
3,753 |
3,258 |
$46K |
| 83002 |
|
4,641 |
3,941 |
$45K |
| 83880 |
|
2,627 |
2,267 |
$45K |
| 87635 |
|
1,105 |
908 |
$44K |
| 86225 |
|
4,571 |
3,941 |
$44K |
| 82785 |
|
4,865 |
3,889 |
$40K |
| 86431 |
|
7,670 |
6,724 |
$39K |
| 86359 |
|
1,623 |
1,499 |
$37K |
| 82670 |
|
2,532 |
2,208 |
$36K |
| 84270 |
|
2,303 |
2,069 |
$36K |
| 80076 |
|
6,351 |
5,739 |
$36K |
| 86762 |
|
4,186 |
3,701 |
$35K |
| 86800 |
|
3,224 |
2,804 |
$34K |
| 87529 |
|
772 |
685 |
$34K |
| 87581 |
|
993 |
849 |
$34K |
| 87486 |
|
988 |
845 |
$34K |
| 81003 |
|
19,599 |
16,914 |
$33K |
| 84144 |
|
2,607 |
2,127 |
$32K |
| 87636 |
|
282 |
253 |
$32K |
| 82784 |
|
3,699 |
3,176 |
$31K |
| 86200 |
|
3,432 |
3,029 |
$31K |
| 82950 |
|
7,768 |
7,098 |
$30K |
| 83690 |
|
5,789 |
5,181 |
$29K |
| 83013 |
|
897 |
816 |
$29K |
| G0480 |
Drug test def 1-7 classes |
1,377 |
1,252 |
$28K |
| 85610 |
|
9,563 |
7,229 |
$27K |
| 82627 |
|
2,272 |
1,969 |
$26K |
| 86160 |
|
1,949 |
1,770 |
$26K |
| 82550 |
|
6,406 |
5,478 |
$25K |
| 81220 |
|
541 |
502 |
$25K |
| 82533 |
|
2,205 |
1,935 |
$24K |
| 84480 |
|
2,657 |
2,299 |
$22K |
| 87205 |
|
7,620 |
6,889 |
$22K |
| 87502 |
|
331 |
260 |
$21K |
| 82951 |
|
1,964 |
1,800 |
$21K |
| 86704 |
|
1,781 |
1,580 |
$21K |
| 86735 |
|
1,731 |
1,519 |
$19K |
| 88312 |
|
366 |
323 |
$19K |
| 86850 |
|
3,337 |
3,009 |
$19K |
| 87631 |
|
254 |
207 |
$18K |
| 86141 |
|
1,366 |
1,073 |
$18K |
| 82105 |
|
1,330 |
1,251 |
$18K |
| 83516 |
|
1,890 |
1,573 |
$17K |
| 84436 |
|
3,301 |
2,965 |
$16K |
| 84466 |
|
1,845 |
1,682 |
$16K |
| 85730 |
|
3,574 |
3,164 |
$16K |
| 87493 |
|
482 |
439 |
$14K |
| 86765 |
|
1,826 |
1,606 |
$14K |
| 82274 |
|
1,442 |
1,338 |
$14K |
| 84681 |
|
983 |
925 |
$14K |
| 83721 |
|
2,648 |
2,374 |
$14K |
| 86364 |
|
1,945 |
1,613 |
$13K |
| 84100 |
|
4,764 |
3,741 |
$13K |
| 84156 |
|
5,800 |
5,151 |
$13K |
| 84703 |
|
2,020 |
1,785 |
$13K |
| 83020 |
|
1,458 |
1,314 |
$13K |
| 80069 |
|
2,823 |
2,502 |
$12K |
| 87653 |
|
366 |
347 |
$12K |
| 87804 |
|
421 |
392 |
$12K |
| 87338 |
|
830 |
733 |
$12K |
| 86039 |
|
1,326 |
1,193 |
$12K |
| 86901 |
|
3,515 |
3,140 |
$11K |
| 82652 |
|
746 |
634 |
$11K |
| 83525 |
|
1,187 |
1,068 |
$11K |
| 86336 |
|
572 |
545 |
$10K |
| 82150 |
|
2,155 |
1,898 |
$10K |
| 86694 |
|
900 |
786 |
$10K |
| 86592 |
|
3,010 |
2,624 |
$10K |
| 86255 |
|
1,481 |
1,225 |
$10K |
| 87328 |
|
852 |
777 |
$10K |
| 84460 |
|
2,955 |
2,715 |
$9K |
| 87045 |
|
1,125 |
1,011 |
$9K |
| 86618 |
|
675 |
614 |
$9K |
| 85379 |
|
1,289 |
1,124 |
$9K |
| 88341 |
|
133 |
113 |
$8K |
| 86900 |
|
3,113 |
2,784 |
$8K |
| 80164 |
|
1,543 |
1,359 |
$8K |
| 86677 |
|
853 |
706 |
$8K |
| 83615 |
|
1,941 |
1,592 |
$8K |
| 84165 |
|
1,181 |
1,071 |
$8K |
| 82677 |
|
562 |
537 |
$7K |
| 87210 |
|
1,784 |
1,611 |
$7K |
| 83520 |
|
660 |
582 |
$7K |
| 86334 |
|
502 |
467 |
$7K |
| 87147 |
|
2,037 |
1,843 |
$7K |
| 87329 |
|
831 |
755 |
$7K |
| 85007 |
|
2,359 |
2,148 |
$6K |
| 87046 |
|
1,150 |
1,029 |
$6K |
| 86147 |
|
227 |
207 |
$6K |
| 80177 |
|
740 |
655 |
$6K |
| 87075 |
|
858 |
773 |
$5K |
| 84134 |
|
500 |
457 |
$5K |
| 82947 |
|
1,795 |
1,633 |
$5K |
| 84432 |
|
376 |
350 |
$5K |
| 88304 |
|
224 |
197 |
$5K |
| 82952 |
|
1,346 |
1,235 |
$4K |
| 80055 |
|
99 |
92 |
$4K |
| 85044 |
|
1,457 |
1,327 |
$4K |
| 82248 |
|
1,313 |
1,125 |
$4K |
| 87641 |
|
124 |
120 |
$4K |
| 86812 |
|
256 |
232 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
97 |
87 |
$4K |
| 86708 |
|
405 |
341 |
$3K |
| 82977 |
|
766 |
666 |
$3K |
| 86231 |
|
432 |
392 |
$3K |
| 82378 |
|
361 |
315 |
$3K |
| 82747 |
|
258 |
235 |
$3K |
| 80178 |
|
699 |
607 |
$3K |
| 82330 |
|
305 |
271 |
$3K |
| 84450 |
|
796 |
730 |
$3K |
| 84484 |
|
290 |
276 |
$3K |
| 82565 |
|
814 |
710 |
$3K |
| P9604 |
One-way allow prorated trip |
1,697 |
958 |
$2K |
| 86304 |
|
149 |
131 |
$2K |
| 82140 |
|
258 |
199 |
$2K |
| 85520 |
|
250 |
233 |
$2K |
| 88112 |
|
101 |
93 |
$2K |
| 83993 |
|
183 |
171 |
$2K |
| 86060 |
|
331 |
301 |
$2K |
| 81025 |
|
287 |
219 |
$2K |
| 85660 |
|
401 |
378 |
$2K |
| G0475 |
Hiv combination assay |
270 |
174 |
$2K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,358 |
1,300 |
$1K |
| 84154 |
|
116 |
109 |
$1K |
| 86593 |
|
390 |
343 |
$1K |
| 86256 |
|
96 |
88 |
$1K |
| 85613 |
|
174 |
163 |
$1K |
| 84155 |
|
589 |
542 |
$1K |
| 82465 |
|
361 |
331 |
$1K |
| 85670 |
|
246 |
231 |
$1K |
| 86146 |
|
31 |
27 |
$1K |
| G0472 |
Hep c screen high risk/other |
753 |
687 |
$1K |
| 85732 |
|
159 |
150 |
$975.79 |
| 86665 |
|
41 |
38 |
$917.28 |
| 84132 |
|
260 |
244 |
$839.56 |
| 82310 |
|
173 |
147 |
$633.51 |
| 80349 |
|
41 |
31 |
$607.16 |
| 86705 |
|
48 |
37 |
$548.84 |
| 86308 |
|
143 |
138 |
$535.07 |
| 86300 |
|
27 |
25 |
$413.82 |
| 84520 |
|
133 |
115 |
$385.65 |
| 87076 |
|
60 |
53 |
$385.58 |
| 86880 |
|
88 |
83 |
$363.43 |
| 82040 |
|
110 |
100 |
$343.41 |
| 86015 |
|
45 |
37 |
$302.73 |
| 84479 |
|
93 |
82 |
$300.72 |
| 84425 |
|
42 |
41 |
$289.37 |
| 87106 |
|
39 |
38 |
$281.92 |
| 83090 |
|
24 |
24 |
$277.46 |
| 82085 |
|
39 |
36 |
$227.92 |
| 86361 |
|
13 |
12 |
$203.01 |
| 86778 |
|
13 |
12 |
$170.61 |
| 87420 |
|
12 |
12 |
$159.94 |
| 87206 |
|
53 |
42 |
$153.41 |
| 87324 |
|
15 |
15 |
$150.79 |
| G0499 |
Hepb screen high risk indiv |
12 |
12 |
$140.78 |
| 82390 |
|
18 |
17 |
$134.06 |
| 87185 |
|
33 |
31 |
$111.55 |
| 87800 |
|
12 |
12 |
$87.25 |
| 82340 |
|
16 |
12 |
$73.76 |
| 0753T |
|
388 |
288 |
$68.70 |
| 85014 |
|
88 |
76 |
$56.09 |
| 82247 |
|
59 |
51 |
$51.54 |
| G0476 |
Hpv combo assay ca screen |
55 |
51 |
$6.88 |
| 0760T |
|
81 |
63 |
$4.80 |