| Code | Description | Claims | Beneficiaries | Total Paid |
| U0004 |
Cov-19 test non-cdc hgh thru |
75,879 |
44,132 |
$3.65M |
| G0482 |
Drug test def 15-21 classes |
75,631 |
42,891 |
$2.85M |
| 87798 |
|
35,684 |
27,559 |
$1.87M |
| 80307 |
|
116,781 |
65,028 |
$1.54M |
| G0483 |
Drug test def 22+ classes |
61,485 |
33,230 |
$1.54M |
| 87631 |
|
21,078 |
15,917 |
$567K |
| U0005 |
Infec agen detec ampli probe |
53,186 |
32,453 |
$461K |
| G2023 |
Specimen collect covid-19 |
29,299 |
17,497 |
$411K |
| G0481 |
Drug test def 8-14 classes |
21,731 |
13,668 |
$394K |
| G0480 |
Drug test def 1-7 classes |
18,499 |
12,015 |
$331K |
| U0002 |
Covid-19 lab test non-cdc |
9,877 |
7,106 |
$278K |
| 87633 |
|
2,402 |
1,937 |
$200K |
| 87637 |
|
2,066 |
1,114 |
$195K |
| 87581 |
|
22,917 |
17,522 |
$180K |
| 87640 |
|
26,106 |
20,148 |
$176K |
| 87541 |
|
21,374 |
16,361 |
$172K |
| 87481 |
|
7,027 |
6,014 |
$147K |
| 87529 |
|
4,252 |
3,777 |
$70K |
| 80365 |
|
14,442 |
8,522 |
$62K |
| 80372 |
|
14,340 |
8,357 |
$62K |
| 80366 |
|
14,042 |
8,181 |
$61K |
| 80358 |
|
14,219 |
8,256 |
$60K |
| 80353 |
|
14,506 |
8,508 |
$59K |
| 80355 |
|
14,082 |
8,217 |
$59K |
| 80368 |
|
13,102 |
7,265 |
$59K |
| 80354 |
|
14,564 |
8,553 |
$58K |
| 80321 |
|
13,535 |
7,586 |
$58K |
| 80323 |
|
11,996 |
6,890 |
$56K |
| 80360 |
|
14,439 |
8,442 |
$55K |
| 80356 |
|
14,452 |
8,455 |
$55K |
| 80359 |
|
13,578 |
7,677 |
$55K |
| 80349 |
|
13,074 |
7,351 |
$54K |
| 80361 |
|
9,302 |
5,370 |
$49K |
| 87653 |
|
9,621 |
8,145 |
$49K |
| 80338 |
|
10,574 |
5,959 |
$48K |
| 80357 |
|
10,208 |
5,040 |
$47K |
| 87486 |
|
5,179 |
4,189 |
$45K |
| 83992 |
|
9,494 |
5,429 |
$42K |
| 80348 |
|
9,718 |
5,611 |
$40K |
| 80373 |
|
9,383 |
5,324 |
$39K |
| 80370 |
|
7,518 |
4,178 |
$38K |
| 80347 |
|
7,187 |
3,455 |
$37K |
| 80325 |
|
9,025 |
5,126 |
$36K |
| 80363 |
|
7,115 |
3,379 |
$35K |
| 87591 |
|
4,342 |
3,856 |
$35K |
| 87491 |
|
4,305 |
3,800 |
$34K |
| 80333 |
|
7,113 |
4,127 |
$31K |
| 87563 |
|
3,979 |
3,528 |
$31K |
| 87661 |
|
3,672 |
3,330 |
$29K |
| 82306 |
|
4,779 |
4,404 |
$29K |
| 80050 |
|
4,587 |
4,247 |
$29K |
| 80337 |
|
5,323 |
2,455 |
$28K |
| 87511 |
|
3,919 |
3,438 |
$24K |
| 80061 |
|
6,983 |
6,369 |
$19K |
| 80324 |
|
5,177 |
3,284 |
$18K |
| 80362 |
|
6,568 |
4,554 |
$18K |
| 80346 |
|
3,023 |
2,590 |
$18K |
| 80053 |
|
6,578 |
5,759 |
$17K |
| 80332 |
|
3,522 |
1,996 |
$16K |
| 87651 |
|
3,471 |
2,899 |
$15K |
| 85025 |
|
7,594 |
6,151 |
$13K |
| 87635 |
|
612 |
486 |
$13K |
| 80364 |
|
2,319 |
1,977 |
$13K |
| 83036 |
|
6,212 |
5,690 |
$12K |
| 87500 |
|
1,571 |
1,411 |
$11K |
| 87641 |
|
1,546 |
1,394 |
$10K |
| 84481 |
|
2,262 |
2,097 |
$9K |
| 87150 |
|
293 |
218 |
$8K |
| 82607 |
|
2,801 |
2,621 |
$8K |
| 84443 |
|
2,385 |
2,172 |
$7K |
| 87551 |
|
852 |
677 |
$7K |
| 36415 |
|
5,807 |
4,617 |
$6K |
| 84439 |
|
2,991 |
2,758 |
$6K |
| 80342 |
|
1,871 |
1,625 |
$5K |
| 80336 |
|
1,992 |
1,727 |
$4K |
| 80048 |
|
2,235 |
1,664 |
$4K |
| 82746 |
|
1,392 |
1,300 |
$4K |
| 81514 |
|
271 |
239 |
$4K |
| 81230 |
|
66 |
53 |
$4K |
| 81231 |
|
115 |
89 |
$4K |
| 82728 |
|
1,247 |
1,158 |
$4K |
| 87902 |
|
60 |
59 |
$4K |
| 87505 |
|
213 |
155 |
$3K |
| 82670 |
|
437 |
402 |
$3K |
| 80345 |
|
588 |
238 |
$2K |
| 83735 |
|
1,410 |
1,257 |
$2K |
| 87999 |
|
90 |
88 |
$2K |
| 84403 |
|
363 |
335 |
$2K |
| 83001 |
|
369 |
337 |
$1K |
| 84146 |
|
334 |
302 |
$1K |
| 87181 |
|
263 |
189 |
$1K |
| 83002 |
|
350 |
324 |
$1K |
| 80164 |
|
169 |
159 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
229 |
216 |
$1K |
| 84144 |
|
268 |
250 |
$1K |
| 86780 |
|
305 |
266 |
$992.02 |
| 84702 |
|
334 |
286 |
$906.23 |
| 87184 |
|
99 |
98 |
$881.37 |
| 86703 |
|
317 |
309 |
$818.52 |
| 84402 |
|
156 |
146 |
$775.32 |
| 87109 |
|
98 |
97 |
$769.26 |
| 87086 |
|
763 |
561 |
$685.83 |
| 81226 |
|
115 |
89 |
$676.36 |
| 81479 |
|
92 |
62 |
$675.00 |
| 83970 |
|
123 |
119 |
$674.04 |
| 86803 |
|
239 |
225 |
$649.59 |
| 82652 |
|
78 |
69 |
$637.06 |
| 87046 |
|
98 |
97 |
$603.19 |
| 80074 |
|
70 |
69 |
$582.57 |
| 87186 |
|
213 |
155 |
$563.14 |
| 80369 |
|
141 |
92 |
$530.38 |
| 81001 |
|
836 |
766 |
$514.13 |
| 81355 |
|
13 |
13 |
$509.63 |
| 80299 |
|
107 |
64 |
$499.05 |
| 80339 |
|
107 |
64 |
$485.17 |
| 81225 |
|
114 |
88 |
$437.04 |
| 84466 |
|
188 |
177 |
$427.39 |
| 84153 |
|
90 |
88 |
$382.68 |
| 81241 |
|
12 |
12 |
$323.90 |
| 87389 |
|
125 |
115 |
$321.23 |
| K1034 |
Covid test self-admn/collect |
264 |
263 |
$314.88 |
| 86140 |
|
570 |
405 |
$314.23 |
| 81240 |
|
12 |
12 |
$299.40 |
| 84480 |
|
162 |
158 |
$287.50 |
| 87076 |
|
258 |
186 |
$279.57 |
| 84550 |
|
294 |
270 |
$279.39 |
| 87340 |
|
258 |
245 |
$256.31 |
| 86704 |
|
122 |
118 |
$234.08 |
| 84436 |
|
156 |
142 |
$232.42 |
| 87507 |
|
18 |
12 |
$190.40 |
| 83690 |
|
358 |
328 |
$176.74 |
| 84100 |
|
210 |
202 |
$169.71 |
| 86762 |
|
130 |
120 |
$158.18 |
| P9603 |
One-way allow prorated miles |
2,050 |
1,304 |
$151.35 |
| 86708 |
|
71 |
70 |
$145.21 |
| 81003 |
|
257 |
238 |
$137.54 |
| 82570 |
|
98 |
94 |
$135.75 |
| 82977 |
|
67 |
65 |
$129.60 |
| 85652 |
|
282 |
195 |
$128.76 |
| 82248 |
|
115 |
105 |
$123.93 |
| 80170 |
|
101 |
94 |
$121.36 |
| 86592 |
|
274 |
257 |
$111.61 |
| 86431 |
|
186 |
177 |
$102.84 |
| 83540 |
|
118 |
104 |
$97.22 |
| 82150 |
|
274 |
247 |
$89.99 |
| 83721 |
|
229 |
213 |
$88.41 |
| 86709 |
|
45 |
42 |
$86.92 |
| 82533 |
|
122 |
112 |
$84.73 |
| 85027 |
|
61 |
57 |
$83.06 |
| 84410 |
|
16 |
15 |
$80.00 |
| 83525 |
|
63 |
58 |
$49.64 |
| 85610 |
|
22 |
12 |
$48.66 |
| 82542 |
|
107 |
64 |
$47.22 |
| 82627 |
|
18 |
16 |
$41.72 |
| 80076 |
|
50 |
48 |
$41.09 |
| 84703 |
|
13 |
13 |
$40.79 |
| 84270 |
|
18 |
16 |
$40.76 |
| 84080 |
|
27 |
27 |
$39.89 |
| 86850 |
|
64 |
60 |
$31.23 |
| 87070 |
|
19 |
19 |
$25.85 |
| 88175 |
|
21 |
21 |
$22.96 |
| 86706 |
|
36 |
33 |
$17.90 |
| 86900 |
|
63 |
58 |
$12.16 |
| 82310 |
|
21 |
21 |
$11.35 |
| 82040 |
|
20 |
20 |
$10.88 |
| 82550 |
|
45 |
44 |
$9.38 |
| 84520 |
|
16 |
16 |
$8.70 |
| 82947 |
|
31 |
26 |
$6.27 |
| 86038 |
|
12 |
12 |
$4.99 |
| 86901 |
|
16 |
14 |
$2.44 |
| 82378 |
|
38 |
37 |
$0.00 |
| 81227 |
|
49 |
36 |
$0.00 |
| 80184 |
|
451 |
107 |
$0.00 |
| 87081 |
|
97 |
96 |
$0.00 |
| 86317 |
|
13 |
13 |
$0.00 |
| 81291 |
|
61 |
48 |
$0.00 |
| 80326 |
|
228 |
106 |
$0.00 |