| Code | Description | Claims | Beneficiaries | Total Paid |
| U0004 |
Cov-19 test non-cdc hgh thru |
58,533 |
51,396 |
$4.33M |
| 87491 |
|
57,944 |
52,875 |
$1.62M |
| 87591 |
|
52,929 |
49,287 |
$1.47M |
| 87636 |
|
14,062 |
12,815 |
$1.27M |
| 87661 |
|
29,257 |
27,079 |
$725K |
| 81420 |
|
1,610 |
1,480 |
$711K |
| 87389 |
|
27,267 |
25,364 |
$519K |
| 86481 |
|
6,823 |
6,275 |
$456K |
| 80061 |
|
43,875 |
40,886 |
$433K |
| 87536 |
|
5,939 |
5,469 |
$430K |
| 80053 |
|
52,285 |
45,120 |
$403K |
| U0005 |
Infec agen detec ampli probe |
28,554 |
25,700 |
$386K |
| 86480 |
|
7,353 |
6,973 |
$379K |
| 87651 |
|
12,033 |
11,413 |
$372K |
| 80050 |
|
9,565 |
8,621 |
$351K |
| 82306 |
|
17,400 |
16,200 |
$349K |
| 87624 |
|
12,369 |
11,743 |
$336K |
| 84443 |
|
28,033 |
25,873 |
$324K |
| 83655 |
|
29,759 |
28,376 |
$321K |
| 85025 |
|
54,348 |
39,238 |
$300K |
| 87637 |
|
2,931 |
2,716 |
$298K |
| 86803 |
|
24,970 |
23,335 |
$268K |
| 80307 |
|
6,876 |
5,608 |
$246K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
12,713 |
12,003 |
$244K |
| 80048 |
|
37,944 |
26,131 |
$224K |
| 83036 |
|
33,305 |
31,015 |
$223K |
| 87529 |
|
7,709 |
6,190 |
$210K |
| 87086 |
|
31,739 |
29,131 |
$197K |
| 81220 |
|
1,149 |
1,074 |
$189K |
| G0480 |
Drug test def 1-7 classes |
4,868 |
3,740 |
$187K |
| 87502 |
|
2,541 |
2,339 |
$169K |
| 87635 |
|
8,170 |
7,397 |
$166K |
| 80081 |
|
2,961 |
2,477 |
$158K |
| 88305 |
|
6,116 |
4,811 |
$150K |
| 87798 |
|
5,019 |
3,637 |
$137K |
| 87077 |
|
17,534 |
15,189 |
$130K |
| 82728 |
|
11,600 |
10,931 |
$119K |
| 88175 |
|
4,822 |
4,527 |
$109K |
| 85027 |
|
20,915 |
18,943 |
$105K |
| 82607 |
|
10,098 |
9,430 |
$104K |
| 87088 |
|
16,378 |
15,125 |
$104K |
| 0241U |
|
2,346 |
2,248 |
$104K |
| 86592 |
|
30,767 |
28,562 |
$103K |
| 86360 |
|
2,494 |
2,290 |
$102K |
| 87186 |
|
12,722 |
11,326 |
$86K |
| 84403 |
|
4,618 |
4,243 |
$84K |
| 83013 |
|
1,656 |
1,596 |
$82K |
| 87522 |
Neg quan hep c or qual rna |
2,615 |
2,388 |
$81K |
| 86359 |
|
2,497 |
2,291 |
$79K |
| 83970 |
|
3,218 |
2,938 |
$79K |
| 87340 |
|
10,360 |
9,590 |
$79K |
| 81329 |
|
1,010 |
960 |
$74K |
| 86762 |
|
6,473 |
6,027 |
$69K |
| 85018 |
|
30,595 |
29,271 |
$66K |
| 84439 |
|
9,676 |
8,964 |
$66K |
| 80074 |
|
2,304 |
2,092 |
$58K |
| 84146 |
|
3,921 |
3,592 |
$58K |
| 83516 |
|
6,180 |
2,970 |
$57K |
| 83880 |
|
2,395 |
2,116 |
$56K |
| 82746 |
|
5,362 |
5,006 |
$54K |
| 84702 |
|
4,594 |
3,623 |
$53K |
| 83001 |
|
3,832 |
3,592 |
$51K |
| 82670 |
|
2,836 |
2,628 |
$50K |
| 82951 |
|
3,941 |
3,695 |
$46K |
| 85610 |
|
15,274 |
6,225 |
$46K |
| 87081 |
|
8,122 |
7,698 |
$45K |
| 86038 |
|
4,637 |
4,287 |
$42K |
| 83550 |
|
6,623 |
6,214 |
$42K |
| 83735 |
|
7,945 |
5,222 |
$38K |
| 83540 |
|
7,962 |
7,434 |
$38K |
| 87563 |
|
2,048 |
1,901 |
$37K |
| 87210 |
|
9,326 |
8,680 |
$37K |
| 82043 |
|
9,473 |
8,873 |
$37K |
| 87801 |
|
1,225 |
1,135 |
$35K |
| 86140 |
|
8,931 |
6,346 |
$35K |
| 86706 |
|
4,309 |
3,969 |
$35K |
| 87070 |
|
5,193 |
4,787 |
$35K |
| 87493 |
|
1,446 |
1,303 |
$35K |
| 83021 |
|
2,430 |
2,249 |
$35K |
| 87631 |
|
360 |
332 |
$33K |
| 80076 |
|
5,268 |
4,520 |
$32K |
| 81001 |
|
13,575 |
12,348 |
$31K |
| 84481 |
|
2,749 |
2,520 |
$31K |
| 86618 |
|
2,071 |
1,287 |
$31K |
| 82274 |
|
2,386 |
2,219 |
$29K |
| 99001 |
|
9,382 |
4,759 |
$29K |
| 86850 |
|
6,771 |
6,317 |
$28K |
| 86003 |
|
1,050 |
755 |
$28K |
| 82105 |
|
2,340 |
2,188 |
$27K |
| 80197 |
|
3,004 |
1,828 |
$26K |
| 86696 |
|
1,613 |
1,484 |
$25K |
| 86787 |
|
3,167 |
2,773 |
$25K |
| 80164 |
|
2,392 |
1,896 |
$24K |
| 84460 |
|
5,172 |
4,542 |
$24K |
| 83002 |
|
1,783 |
1,650 |
$23K |
| 82533 |
|
1,969 |
1,479 |
$21K |
| 82627 |
|
1,510 |
1,359 |
$20K |
| 0202U |
|
974 |
910 |
$19K |
| G0472 |
Hep c screen high risk/other |
6,098 |
5,739 |
$18K |
| 84153 |
|
1,599 |
1,464 |
$18K |
| 82677 |
|
1,008 |
916 |
$18K |
| 82024 |
|
731 |
636 |
$17K |
| 82950 |
|
4,216 |
3,951 |
$17K |
| G0103 |
Psa screening |
1,300 |
1,193 |
$17K |
| 84100 |
|
4,573 |
3,048 |
$17K |
| 83525 |
|
2,006 |
1,755 |
$16K |
| 86695 |
|
1,345 |
1,254 |
$16K |
| 86376 |
|
1,626 |
1,415 |
$15K |
| 86780 |
|
1,730 |
1,619 |
$15K |
| 87450 |
|
1,852 |
1,669 |
$15K |
| 86900 |
|
6,613 |
6,106 |
$14K |
| 86901 |
|
6,198 |
5,774 |
$14K |
| 82784 |
|
1,781 |
1,136 |
$13K |
| 86336 |
|
1,003 |
910 |
$13K |
| 87521 |
Neg quan hep c or qual rna |
572 |
531 |
$13K |
| 86431 |
|
2,953 |
2,756 |
$12K |
| 87902 |
|
61 |
54 |
$12K |
| 82652 |
|
634 |
583 |
$12K |
| 86235 |
|
851 |
173 |
$12K |
| 86160 |
|
1,102 |
692 |
$11K |
| 88112 |
|
341 |
327 |
$11K |
| 87338 |
|
911 |
859 |
$11K |
| 87209 |
|
845 |
762 |
$11K |
| 86704 |
|
1,198 |
1,105 |
$11K |
| 86800 |
|
1,059 |
910 |
$11K |
| 83090 |
|
880 |
769 |
$10K |
| 83690 |
|
2,006 |
1,873 |
$10K |
| 87046 |
|
1,435 |
1,291 |
$10K |
| 86765 |
|
1,167 |
899 |
$10K |
| 86735 |
|
914 |
681 |
$10K |
| 87045 |
|
1,431 |
1,289 |
$10K |
| 84270 |
|
742 |
692 |
$10K |
| 82947 |
|
3,072 |
2,912 |
$10K |
| 87205 |
|
3,014 |
2,763 |
$10K |
| 84550 |
|
2,987 |
2,747 |
$10K |
| 82565 |
|
2,650 |
1,738 |
$10K |
| 86705 |
|
1,178 |
1,082 |
$10K |
| 82570 |
|
2,408 |
2,171 |
$9K |
| 87634 |
|
249 |
223 |
$9K |
| 80055 |
|
509 |
472 |
$9K |
| 82550 |
|
1,845 |
1,281 |
$9K |
| 85652 |
|
4,286 |
3,342 |
$8K |
| 86708 |
|
787 |
733 |
$8K |
| 86769 |
|
307 |
291 |
$8K |
| 84402 |
|
484 |
446 |
$8K |
| 87808 |
|
794 |
752 |
$7K |
| 84450 |
|
1,727 |
1,593 |
$7K |
| 86694 |
|
553 |
508 |
$7K |
| 86200 |
|
846 |
787 |
$7K |
| 84425 |
|
608 |
575 |
$7K |
| 86225 |
|
763 |
679 |
$7K |
| 82248 |
|
1,563 |
1,121 |
$6K |
| 86334 |
|
492 |
446 |
$6K |
| 84156 |
|
2,308 |
2,099 |
$6K |
| 82785 |
|
745 |
676 |
$6K |
| 85730 |
|
1,251 |
1,176 |
$6K |
| 83520 |
|
560 |
508 |
$5K |
| 85045 |
|
1,806 |
1,686 |
$5K |
| 87177 |
|
814 |
725 |
$5K |
| 80178 |
|
1,062 |
690 |
$5K |
| 84165 |
|
754 |
695 |
$5K |
| 80165 |
|
559 |
410 |
$5K |
| 36415 |
|
87,356 |
63,798 |
$5K |
| 85651 |
|
1,494 |
972 |
$5K |
| 83993 |
|
343 |
315 |
$4K |
| 83014 |
|
631 |
608 |
$4K |
| 82330 |
|
425 |
373 |
$4K |
| 86593 |
|
1,033 |
932 |
$4K |
| 87101 |
|
420 |
404 |
$3K |
| 87206 |
|
649 |
598 |
$3K |
| 83498 |
|
180 |
174 |
$3K |
| 82977 |
|
489 |
430 |
$3K |
| 87632 |
|
15 |
13 |
$3K |
| 87901 |
|
12 |
12 |
$3K |
| 85007 |
|
1,029 |
886 |
$3K |
| P9603 |
One-way allow prorated miles |
10,059 |
5,655 |
$3K |
| 86709 |
|
334 |
318 |
$3K |
| 82465 |
|
588 |
580 |
$2K |
| 87106 |
|
302 |
263 |
$2K |
| 82140 |
|
208 |
133 |
$2K |
| 82247 |
|
512 |
375 |
$2K |
| 84144 |
|
186 |
162 |
$2K |
| P9604 |
One-way allow prorated trip |
7,843 |
3,821 |
$2K |
| 80202 |
|
146 |
49 |
$2K |
| 82952 |
|
619 |
597 |
$2K |
| 87147 |
|
460 |
426 |
$2K |
| 84132 |
|
482 |
337 |
$2K |
| G0471 |
Ven blood coll snf/hha |
5,290 |
2,480 |
$2K |
| G0432 |
Eia hiv-1/hiv-2 screen |
11,383 |
10,783 |
$2K |
| 88342 |
|
105 |
84 |
$2K |
| G0476 |
Hpv combo assay ca screen |
1,669 |
1,559 |
$2K |
| 87497 |
|
64 |
40 |
$2K |
| 87900 |
|
12 |
12 |
$2K |
| G0123 |
Screen cerv/vag thin layer |
77 |
75 |
$1K |
| 87427 |
|
98 |
92 |
$1K |
| 82150 |
|
223 |
195 |
$1K |
| 84154 |
|
79 |
73 |
$993.22 |
| 84630 |
|
167 |
158 |
$935.58 |
| 84134 |
|
150 |
140 |
$912.33 |
| 87184 |
|
158 |
151 |
$898.12 |
| 82239 |
|
89 |
77 |
$838.79 |
| 83615 |
|
178 |
136 |
$774.55 |
| 80175 |
|
65 |
63 |
$699.52 |
| 84480 |
|
59 |
52 |
$652.81 |
| 87107 |
|
48 |
44 |
$641.21 |
| 85246 |
|
24 |
24 |
$500.43 |
| 82610 |
|
42 |
41 |
$496.67 |
| 84145 |
|
25 |
25 |
$495.64 |
| 0352U |
|
597 |
571 |
$490.38 |
| 87269 |
|
43 |
43 |
$487.73 |
| 83921 |
|
49 |
39 |
$474.30 |
| 88304 |
|
34 |
29 |
$467.43 |
| 86870 |
|
13 |
12 |
$426.95 |
| 83721 |
|
58 |
55 |
$422.61 |
| 87593 |
|
15 |
13 |
$406.40 |
| 84436 |
|
95 |
90 |
$398.50 |
| 80177 |
|
41 |
37 |
$391.18 |
| 84445 |
|
13 |
13 |
$387.54 |
| 87272 |
|
31 |
31 |
$383.88 |
| 82088 |
|
14 |
12 |
$365.50 |
| 87799 |
|
15 |
12 |
$348.55 |
| 83521 |
|
25 |
13 |
$336.44 |
| 86677 |
|
48 |
42 |
$309.20 |
| 84478 |
|
63 |
36 |
$297.20 |
| 87075 |
|
41 |
40 |
$250.02 |
| 85014 |
|
145 |
129 |
$239.38 |
| 84080 |
|
35 |
33 |
$237.12 |
| 85245 |
|
12 |
12 |
$234.78 |
| 85247 |
|
12 |
12 |
$234.78 |
| 85240 |
|
24 |
24 |
$228.66 |
| 86039 |
|
32 |
31 |
$223.76 |
| 87350 |
|
20 |
17 |
$219.07 |
| 85379 |
|
30 |
28 |
$191.18 |
| 81025 |
|
27 |
26 |
$163.23 |
| 84207 |
|
15 |
12 |
$161.70 |
| 84202 |
|
14 |
12 |
$160.14 |
| 83010 |
|
20 |
16 |
$156.30 |
| 82166 |
|
84 |
82 |
$122.12 |
| 84466 |
|
13 |
12 |
$121.14 |
| 87328 |
|
13 |
12 |
$121.04 |
| 84075 |
|
38 |
37 |
$109.00 |
| 87329 |
|
13 |
12 |
$106.49 |
| 85004 |
|
14 |
12 |
$103.71 |
| 86255 |
|
28 |
12 |
$97.61 |
| G0328 |
Fecal blood scrn immunoassay |
151 |
137 |
$95.31 |
| 80156 |
|
14 |
12 |
$90.35 |
| 82040 |
|
29 |
24 |
$73.77 |
| 85660 |
|
14 |
14 |
$57.29 |
| G0499 |
Hepb screen high risk indiv |
149 |
140 |
$56.93 |
| 86880 |
|
13 |
12 |
$54.76 |
| 82525 |
|
12 |
12 |
$44.43 |
| G0124 |
Screen c/v thin layer by md |
339 |
333 |
$21.86 |
| G0466 |
Fqhc visit new patient |
127 |
125 |
$0.00 |