| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
40,578 |
37,601 |
$2.51M |
| 80307 |
|
55,413 |
38,714 |
$2.06M |
| 87491 |
|
59,304 |
55,507 |
$1.49M |
| 87591 |
|
59,260 |
55,458 |
$1.48M |
| G0480 |
Drug test def 1-7 classes |
21,754 |
17,687 |
$1.23M |
| 80053 |
|
153,366 |
138,504 |
$898K |
| 84443 |
|
86,135 |
81,792 |
$843K |
| 85025 |
|
152,951 |
134,013 |
$677K |
| 87389 |
|
39,428 |
38,116 |
$648K |
| 80061 |
|
84,743 |
80,393 |
$627K |
| 82306 |
|
35,347 |
33,792 |
$551K |
| 87660 |
|
28,671 |
27,304 |
$417K |
| 87480 |
|
28,689 |
27,317 |
$416K |
| 87510 |
|
28,669 |
27,299 |
$415K |
| 83036 |
|
77,770 |
73,880 |
$406K |
| 36415 |
|
214,887 |
187,656 |
$391K |
| 87086 |
|
74,779 |
68,512 |
$389K |
| 82728 |
|
45,032 |
43,037 |
$387K |
| U0005 |
Infec agen detec ampli probe |
29,245 |
27,132 |
$387K |
| 80050 |
|
12,502 |
12,315 |
$356K |
| 86780 |
|
38,285 |
36,614 |
$346K |
| 86003 |
|
4,203 |
3,467 |
$301K |
| 86803 |
|
28,185 |
27,067 |
$265K |
| H0048 |
Spec coll non-blood:a/d test |
17,174 |
11,253 |
$255K |
| 84439 |
|
36,280 |
34,373 |
$207K |
| 82607 |
|
22,675 |
21,556 |
$194K |
| 84403 |
|
11,123 |
10,609 |
$194K |
| 86481 |
|
2,795 |
2,676 |
$158K |
| 87077 |
|
29,483 |
26,113 |
$154K |
| 81229 |
|
232 |
221 |
$153K |
| 87186 |
|
28,244 |
25,770 |
$145K |
| 87340 |
|
20,402 |
19,556 |
$140K |
| 87070 |
|
21,950 |
20,808 |
$131K |
| 82670 |
|
6,314 |
6,105 |
$125K |
| 85027 |
|
33,493 |
30,783 |
$123K |
| 83550 |
|
23,484 |
22,408 |
$121K |
| 87522 |
Neg quan hep c or qual rna |
4,579 |
4,287 |
$118K |
| 0241U |
|
943 |
927 |
$112K |
| 84702 |
|
9,317 |
7,187 |
$108K |
| 83516 |
|
7,880 |
6,987 |
$100K |
| 80048 |
|
25,234 |
21,440 |
$98K |
| 86762 |
|
9,376 |
9,007 |
$96K |
| 83540 |
|
24,845 |
23,705 |
$96K |
| 86235 |
|
1,928 |
1,468 |
$93K |
| 87902 |
|
557 |
517 |
$93K |
| 84270 |
|
6,285 |
5,961 |
$93K |
| 87081 |
|
19,091 |
18,494 |
$88K |
| 87536 |
|
1,942 |
1,808 |
$88K |
| 87633 |
|
304 |
290 |
$82K |
| 83970 |
|
5,016 |
4,523 |
$81K |
| 87798 |
|
3,068 |
2,311 |
$80K |
| 83001 |
|
6,001 |
5,833 |
$80K |
| 87637 |
|
887 |
870 |
$79K |
| 86850 |
|
12,874 |
12,299 |
$78K |
| 87631 |
|
1,394 |
1,217 |
$76K |
| 82784 |
|
10,559 |
9,730 |
$76K |
| 83880 |
|
4,497 |
4,016 |
$74K |
| 84481 |
|
6,453 |
6,207 |
$72K |
| 82746 |
|
7,701 |
7,296 |
$67K |
| 82570 |
|
24,511 |
22,129 |
$66K |
| 83735 |
|
17,560 |
12,884 |
$64K |
| 87624 |
|
3,408 |
3,168 |
$62K |
| 80074 |
|
2,291 |
2,082 |
$62K |
| 87088 |
|
12,497 |
11,613 |
$62K |
| 86706 |
|
8,764 |
8,211 |
$58K |
| 87529 |
|
2,275 |
2,200 |
$57K |
| 84153 |
|
6,144 |
5,776 |
$53K |
| 83002 |
|
3,897 |
3,788 |
$53K |
| 84146 |
|
3,995 |
3,830 |
$52K |
| 86480 |
|
1,323 |
1,249 |
$52K |
| 86140 |
|
15,138 |
13,802 |
$50K |
| 87046 |
|
4,382 |
3,334 |
$50K |
| 86038 |
|
6,328 |
6,018 |
$49K |
| 86704 |
|
6,424 |
5,974 |
$46K |
| 86258 |
|
1,689 |
1,536 |
$45K |
| 82274 |
|
4,749 |
4,639 |
$45K |
| 81001 |
|
28,718 |
25,777 |
$45K |
| 86376 |
|
4,433 |
4,257 |
$44K |
| 82785 |
|
3,541 |
3,387 |
$39K |
| 82043 |
|
13,992 |
13,059 |
$38K |
| 86665 |
|
1,622 |
1,424 |
$37K |
| 82105 |
|
3,270 |
3,071 |
$37K |
| 87328 |
|
3,981 |
3,692 |
$35K |
| 82951 |
|
3,604 |
3,539 |
$35K |
| 86696 |
|
2,767 |
2,660 |
$35K |
| 84144 |
|
2,339 |
2,179 |
$35K |
| 87209 |
|
2,765 |
2,599 |
$34K |
| 83993 |
|
2,423 |
2,346 |
$34K |
| 80076 |
|
7,158 |
6,573 |
$34K |
| 86800 |
|
3,056 |
2,941 |
$33K |
| 83921 |
|
3,169 |
3,000 |
$33K |
| 85652 |
|
18,500 |
17,418 |
$32K |
| G0103 |
Psa screening |
3,609 |
3,406 |
$32K |
| 87329 |
|
3,960 |
3,680 |
$32K |
| 82627 |
|
2,085 |
2,027 |
$32K |
| 83655 |
|
3,573 |
3,509 |
$31K |
| 86364 |
|
2,905 |
2,825 |
$30K |
| 86255 |
|
3,403 |
3,173 |
$29K |
| 87427 |
|
3,499 |
3,336 |
$28K |
| 82533 |
|
2,743 |
2,436 |
$28K |
| 86160 |
|
2,393 |
2,034 |
$28K |
| 84100 |
|
10,398 |
6,627 |
$27K |
| 84425 |
|
2,219 |
2,120 |
$27K |
| 80069 |
|
6,972 |
6,147 |
$27K |
| 86695 |
|
3,059 |
2,931 |
$27K |
| 87205 |
|
10,239 |
9,492 |
$27K |
| 87661 |
|
1,065 |
1,038 |
$26K |
| 87338 |
|
2,752 |
2,650 |
$25K |
| 81511 |
|
325 |
301 |
$25K |
| 83690 |
|
5,599 |
5,301 |
$25K |
| 85610 |
|
12,368 |
9,872 |
$25K |
| 84480 |
|
2,597 |
2,461 |
$25K |
| 84156 |
|
11,100 |
9,738 |
$24K |
| 84550 |
|
8,405 |
7,416 |
$23K |
| 83520 |
|
1,894 |
1,765 |
$23K |
| 86769 |
|
1,118 |
1,087 |
$23K |
| 86361 |
|
1,560 |
1,469 |
$22K |
| 87045 |
|
3,496 |
3,333 |
$22K |
| 86900 |
|
10,790 |
10,295 |
$22K |
| 86901 |
|
10,640 |
10,154 |
$22K |
| 82977 |
|
4,093 |
3,663 |
$22K |
| 86141 |
|
2,553 |
2,451 |
$21K |
| 83525 |
|
2,437 |
2,220 |
$20K |
| 86694 |
|
1,619 |
1,377 |
$20K |
| 82950 |
|
6,043 |
5,877 |
$20K |
| 83498 |
|
978 |
948 |
$19K |
| 86200 |
|
2,378 |
2,205 |
$18K |
| 86231 |
|
1,538 |
1,506 |
$18K |
| 82247 |
|
6,784 |
4,302 |
$18K |
| 87507 |
|
55 |
53 |
$18K |
| 80164 |
|
3,048 |
2,493 |
$18K |
| 81508 |
|
518 |
500 |
$17K |
| 87177 |
|
2,762 |
2,598 |
$17K |
| 82239 |
|
1,355 |
1,177 |
$17K |
| 86787 |
|
1,718 |
1,577 |
$17K |
| 88175 |
|
1,118 |
988 |
$16K |
| 80197 |
|
3,712 |
2,496 |
$16K |
| 86664 |
|
1,464 |
1,411 |
$16K |
| 84305 |
|
1,002 |
975 |
$16K |
| 82248 |
|
5,765 |
4,426 |
$16K |
| 86431 |
|
4,137 |
3,912 |
$15K |
| 87799 |
|
1,590 |
1,001 |
$15K |
| 87635 |
|
419 |
270 |
$14K |
| 82565 |
|
3,798 |
3,208 |
$14K |
| 86663 |
|
1,496 |
1,442 |
$14K |
| 86677 |
|
1,372 |
1,324 |
$14K |
| 83721 |
|
2,993 |
2,810 |
$13K |
| 84450 |
|
3,206 |
2,752 |
$12K |
| 82550 |
|
3,326 |
2,922 |
$12K |
| 82747 |
|
1,189 |
1,142 |
$12K |
| 85730 |
|
3,051 |
2,804 |
$11K |
| 86304 |
|
890 |
837 |
$11K |
| 80178 |
|
3,188 |
2,607 |
$11K |
| 82652 |
|
494 |
476 |
$11K |
| 80175 |
|
1,535 |
1,408 |
$11K |
| 86708 |
|
1,413 |
1,346 |
$11K |
| 86225 |
|
1,349 |
1,287 |
$11K |
| 87324 |
|
1,493 |
1,399 |
$11K |
| 0352U |
|
257 |
255 |
$11K |
| 83090 |
|
965 |
928 |
$10K |
| 84165 |
|
2,456 |
2,198 |
$10K |
| 82140 |
|
1,458 |
1,218 |
$10K |
| 84703 |
|
1,896 |
1,797 |
$10K |
| 84630 |
|
1,257 |
1,214 |
$10K |
| 86334 |
|
1,279 |
1,126 |
$10K |
| 84520 |
|
3,147 |
2,633 |
$10K |
| 86039 |
|
1,385 |
1,323 |
$9K |
| 83615 |
|
2,573 |
2,239 |
$9K |
| 84163 |
|
621 |
617 |
$9K |
| 81015 |
|
5,142 |
4,741 |
$9K |
| 83519 |
|
653 |
575 |
$9K |
| 84207 |
|
573 |
529 |
$8K |
| 82150 |
|
1,828 |
1,711 |
$7K |
| 87563 |
|
330 |
324 |
$7K |
| 83521 |
|
409 |
283 |
$7K |
| 80159 |
|
895 |
707 |
$7K |
| 85045 |
|
2,486 |
2,143 |
$7K |
| 82947 |
|
2,879 |
2,703 |
$7K |
| 87497 |
|
483 |
306 |
$7K |
| 85379 |
|
1,183 |
1,105 |
$7K |
| 84134 |
|
819 |
644 |
$7K |
| 82103 |
|
767 |
732 |
$7K |
| 83883 |
|
754 |
665 |
$6K |
| 82525 |
|
855 |
809 |
$6K |
| 85246 |
|
379 |
359 |
$6K |
| 87517 |
|
237 |
221 |
$6K |
| 86592 |
|
2,107 |
1,972 |
$6K |
| 82390 |
|
823 |
789 |
$6K |
| 84484 |
|
876 |
801 |
$5K |
| 86709 |
|
822 |
772 |
$5K |
| 87254 |
|
383 |
356 |
$5K |
| 86870 |
|
178 |
141 |
$5K |
| 86765 |
|
440 |
404 |
$4K |
| 82024 |
|
179 |
169 |
$4K |
| 80177 |
|
730 |
657 |
$4K |
| 85014 |
|
2,652 |
2,448 |
$4K |
| 85245 |
|
248 |
237 |
$4K |
| 84478 |
|
1,119 |
697 |
$4K |
| 88142 |
|
381 |
334 |
$4K |
| 85018 |
|
2,333 |
2,161 |
$4K |
| 85240 |
|
299 |
287 |
$4K |
| 87426 |
|
90 |
85 |
$4K |
| 87493 |
|
142 |
135 |
$3K |
| 86645 |
|
267 |
259 |
$3K |
| 86300 |
|
358 |
274 |
$3K |
| 86644 |
|
283 |
266 |
$3K |
| 87102 |
|
588 |
542 |
$3K |
| 87641 |
|
145 |
137 |
$3K |
| 86812 |
|
156 |
148 |
$3K |
| 87449 |
|
350 |
325 |
$3K |
| 87430 |
|
621 |
547 |
$3K |
| 82397 |
|
234 |
218 |
$2K |
| 82542 |
|
155 |
147 |
$2K |
| 87040 |
|
321 |
291 |
$2K |
| 84681 |
|
195 |
186 |
$2K |
| 88230 |
|
27 |
25 |
$2K |
| 88262 |
|
26 |
25 |
$2K |
| 84460 |
|
679 |
639 |
$2K |
| 82310 |
|
642 |
570 |
$2K |
| 82677 |
|
123 |
95 |
$2K |
| 86308 |
|
495 |
477 |
$2K |
| 86735 |
|
179 |
161 |
$2K |
| 82330 |
|
200 |
180 |
$2K |
| 86593 |
|
566 |
531 |
$2K |
| 83020 |
|
159 |
153 |
$1K |
| 86705 |
|
250 |
229 |
$1K |
| 84155 |
|
1,045 |
940 |
$1K |
| 86336 |
|
140 |
112 |
$1K |
| 80156 |
|
218 |
198 |
$1K |
| 83013 |
|
24 |
24 |
$1K |
| 80183 |
|
106 |
102 |
$1K |
| 86015 |
|
171 |
165 |
$937.40 |
| 82172 |
|
71 |
67 |
$917.36 |
| 87106 |
|
149 |
135 |
$897.08 |
| 86923 |
|
16 |
13 |
$799.24 |
| 86147 |
|
14 |
12 |
$770.34 |
| 86381 |
|
66 |
63 |
$754.10 |
| 82088 |
|
32 |
29 |
$740.06 |
| 87109 |
|
79 |
77 |
$737.38 |
| P9604 |
One-way allow prorated trip |
1,089 |
650 |
$720.96 |
| 84154 |
|
97 |
91 |
$716.39 |
| 84244 |
|
54 |
52 |
$678.66 |
| 87075 |
|
158 |
137 |
$643.58 |
| 87101 |
|
120 |
116 |
$621.93 |
| 87539 |
|
20 |
17 |
$618.51 |
| 83021 |
|
45 |
44 |
$554.22 |
| 81596 |
|
28 |
26 |
$548.04 |
| G0328 |
Fecal blood scrn immunoassay |
1,039 |
855 |
$501.70 |
| 84445 |
|
14 |
13 |
$500.48 |
| 86880 |
|
119 |
96 |
$491.25 |
| 84590 |
|
67 |
64 |
$487.73 |
| 87210 |
|
577 |
535 |
$484.20 |
| 81003 |
|
376 |
351 |
$467.07 |
| 84436 |
|
101 |
100 |
$441.89 |
| 83010 |
|
56 |
49 |
$434.18 |
| 83835 |
|
32 |
27 |
$381.76 |
| 82378 |
|
35 |
31 |
$363.63 |
| 80185 |
|
58 |
50 |
$338.54 |
| 85613 |
|
55 |
52 |
$329.72 |
| 0099U |
|
63 |
60 |
$312.50 |
| 88289 |
|
12 |
12 |
$259.91 |
| 88280 |
|
12 |
12 |
$252.67 |
| 83876 |
|
12 |
12 |
$249.20 |
| 84402 |
|
16 |
14 |
$233.18 |
| 82340 |
|
49 |
45 |
$205.58 |
| 89051 |
|
60 |
55 |
$186.72 |
| G0472 |
Hep c screen high risk/other |
164 |
148 |
$162.25 |
| 83695 |
|
338 |
324 |
$162.08 |
| 82530 |
|
13 |
12 |
$156.17 |
| 83630 |
|
13 |
12 |
$145.75 |
| 82610 |
|
12 |
12 |
$127.76 |
| 84446 |
|
16 |
14 |
$123.03 |
| 80201 |
|
14 |
13 |
$122.92 |
| 82040 |
|
44 |
37 |
$114.37 |
| 87350 |
|
14 |
13 |
$104.91 |
| 85384 |
|
16 |
13 |
$94.24 |
| 84132 |
|
35 |
25 |
$84.93 |
| 82085 |
|
12 |
12 |
$61.20 |
| 82465 |
|
12 |
12 |
$58.51 |
| 84075 |
|
13 |
13 |
$31.29 |
| G0123 |
Screen cerv/vag thin layer |
17 |
13 |
$25.27 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
116 |
98 |
$22.90 |
| 89321 |
|
13 |
13 |
$9.09 |