| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
134,414 |
118,594 |
$8.95M |
| 80050 |
|
345,936 |
335,883 |
$2.77M |
| 80061 |
|
792,596 |
759,895 |
$2.40M |
| 82306 |
|
328,844 |
313,180 |
$2.24M |
| 87491 |
|
279,200 |
254,106 |
$2.23M |
| 87591 |
|
279,689 |
254,619 |
$2.18M |
| 80053 |
|
778,225 |
703,229 |
$1.97M |
| 84443 |
|
418,186 |
401,360 |
$1.77M |
| 86003 |
|
54,905 |
49,474 |
$1.72M |
| 83036 |
|
684,159 |
654,506 |
$1.42M |
| 80307 |
|
110,309 |
102,325 |
$1.40M |
| 85025 |
|
651,855 |
577,598 |
$1.29M |
| G0480 |
Drug test def 1-7 classes |
38,527 |
34,413 |
$1.27M |
| 87636 |
|
10,026 |
9,783 |
$928K |
| 87389 |
|
138,369 |
133,943 |
$863K |
| 80074 |
|
62,374 |
60,452 |
$751K |
| 86480 |
|
44,925 |
43,186 |
$725K |
| 87624 |
|
95,391 |
93,236 |
$706K |
| 88175 |
|
101,528 |
99,029 |
$700K |
| 82607 |
|
171,703 |
165,068 |
$614K |
| 84439 |
|
322,743 |
309,527 |
$613K |
| 87801 |
|
30,434 |
29,064 |
$583K |
| 80081 |
|
38,496 |
37,537 |
$576K |
| 87661 |
|
91,671 |
87,693 |
$518K |
| U0005 |
Infec agen detec ampli probe |
58,889 |
53,598 |
$511K |
| 87086 |
|
259,745 |
243,711 |
$469K |
| 84481 |
|
100,933 |
97,560 |
$440K |
| 83970 |
|
49,758 |
47,896 |
$434K |
| 82728 |
|
151,166 |
143,746 |
$429K |
| 84403 |
|
65,577 |
62,991 |
$427K |
| 83013 |
|
27,632 |
26,895 |
$404K |
| 82746 |
|
118,655 |
114,288 |
$400K |
| 86235 |
|
27,079 |
22,426 |
$394K |
| 87536 |
|
19,544 |
18,653 |
$378K |
| 87799 |
|
22,219 |
11,535 |
$371K |
| 87088 |
|
204,008 |
192,396 |
$367K |
| 86803 |
|
101,970 |
98,876 |
$357K |
| 84153 |
|
78,400 |
75,415 |
$305K |
| 82652 |
|
38,136 |
35,734 |
$282K |
| 86769 |
|
7,723 |
7,393 |
$271K |
| 85027 |
|
176,402 |
165,612 |
$265K |
| 81001 |
|
352,973 |
336,033 |
$259K |
| 86696 |
|
45,271 |
43,028 |
$252K |
| 82670 |
|
33,966 |
32,385 |
$240K |
| 83550 |
|
143,447 |
136,627 |
$239K |
| 36415 |
|
351,491 |
317,046 |
$233K |
| 81513 |
|
18,093 |
17,337 |
$222K |
| 83001 |
|
46,377 |
44,952 |
$209K |
| 83540 |
|
155,577 |
148,096 |
$208K |
| 84402 |
|
34,573 |
33,224 |
$206K |
| 87902 |
|
3,128 |
2,963 |
$200K |
| 88185 |
|
878 |
777 |
$199K |
| 86038 |
|
69,531 |
66,319 |
$196K |
| 82570 |
|
195,342 |
185,868 |
$189K |
| 86360 |
|
16,196 |
15,469 |
$188K |
| G0482 |
Drug test def 15-21 classes |
2,504 |
2,334 |
$187K |
| 84702 |
|
61,378 |
53,514 |
$187K |
| 87522 |
Neg quan hep c or qual rna |
16,907 |
16,003 |
$186K |
| 83002 |
|
38,956 |
37,772 |
$173K |
| 82043 |
|
162,317 |
156,356 |
$173K |
| 86592 |
|
159,224 |
153,544 |
$172K |
| 82785 |
|
44,278 |
42,469 |
$171K |
| 87340 |
|
71,140 |
69,292 |
$170K |
| 87070 |
|
75,212 |
71,619 |
$166K |
| G0483 |
Drug test def 22+ classes |
2,159 |
2,013 |
$160K |
| 86695 |
|
42,238 |
40,196 |
$160K |
| 83525 |
|
62,776 |
60,461 |
$160K |
| 84146 |
|
32,079 |
30,917 |
$153K |
| 86376 |
|
43,660 |
42,211 |
$150K |
| 87186 |
|
70,399 |
65,357 |
$146K |
| 87077 |
|
70,944 |
66,363 |
$142K |
| 87635 |
|
3,669 |
3,371 |
$131K |
| 88142 |
|
48,926 |
47,800 |
$131K |
| 86140 |
|
106,337 |
91,999 |
$128K |
| 84144 |
|
24,290 |
22,728 |
$124K |
| 83735 |
|
83,163 |
61,748 |
$124K |
| 84550 |
|
115,824 |
110,245 |
$120K |
| 87512 |
|
9,174 |
8,790 |
$119K |
| 80048 |
|
62,638 |
50,170 |
$118K |
| 82105 |
|
26,910 |
25,389 |
$116K |
| 86359 |
|
9,735 |
9,307 |
$108K |
| 87081 |
|
71,624 |
69,219 |
$102K |
| 83655 |
|
29,881 |
28,896 |
$99K |
| 86706 |
|
44,482 |
43,265 |
$98K |
| 84436 |
|
59,320 |
57,092 |
$98K |
| 84270 |
|
17,009 |
16,420 |
$93K |
| 82784 |
|
28,422 |
26,887 |
$93K |
| 83520 |
|
19,951 |
15,996 |
$92K |
| 83880 |
|
12,921 |
12,062 |
$92K |
| 88305 |
|
10,791 |
8,558 |
$89K |
| 82248 |
|
65,319 |
57,504 |
$89K |
| 80069 |
|
46,901 |
39,939 |
$89K |
| 86800 |
|
27,712 |
26,749 |
$87K |
| 87660 |
|
30,343 |
29,450 |
$85K |
| 86704 |
|
38,349 |
37,385 |
$84K |
| 86008 |
|
7,739 |
6,982 |
$84K |
| 86708 |
|
35,845 |
34,823 |
$83K |
| 82627 |
|
15,181 |
14,675 |
$82K |
| 86147 |
|
5,272 |
4,827 |
$82K |
| 87480 |
|
30,347 |
29,448 |
$82K |
| 87510 |
|
30,313 |
29,418 |
$81K |
| 85652 |
|
124,143 |
111,267 |
$77K |
| 84445 |
|
7,148 |
6,939 |
$77K |
| 86160 |
|
15,237 |
14,563 |
$75K |
| 85610 |
|
83,356 |
69,816 |
$73K |
| 82672 |
|
12,647 |
12,224 |
$73K |
| 86225 |
|
26,061 |
25,010 |
$72K |
| 84681 |
|
14,954 |
14,469 |
$71K |
| 82378 |
|
16,034 |
13,923 |
$70K |
| 81420 |
|
3,668 |
3,480 |
$69K |
| 85730 |
|
49,798 |
47,218 |
$67K |
| 83516 |
|
18,501 |
15,516 |
$67K |
| 86200 |
|
23,441 |
22,605 |
$66K |
| 86780 |
|
19,461 |
18,258 |
$65K |
| 87209 |
|
15,443 |
12,884 |
$64K |
| 80076 |
|
35,566 |
33,408 |
$61K |
| 88141 |
|
12,275 |
12,129 |
$61K |
| 84154 |
|
16,387 |
15,955 |
$61K |
| 82024 |
|
6,830 |
6,428 |
$60K |
| 82977 |
|
31,118 |
28,643 |
$59K |
| 82677 |
|
7,117 |
6,794 |
$58K |
| 86431 |
|
41,587 |
40,268 |
$58K |
| 87901 |
|
1,046 |
1,015 |
$58K |
| 83615 |
|
43,369 |
38,597 |
$56K |
| 86146 |
|
3,787 |
3,498 |
$56K |
| 86039 |
|
22,036 |
20,909 |
$55K |
| 86355 |
|
4,846 |
4,687 |
$55K |
| 82550 |
|
37,029 |
32,119 |
$54K |
| 84100 |
|
48,160 |
41,335 |
$53K |
| 84207 |
|
8,218 |
7,902 |
$53K |
| G0481 |
Drug test def 8-14 classes |
1,369 |
1,325 |
$52K |
| 86357 |
|
4,457 |
4,316 |
$52K |
| 82533 |
|
13,601 |
12,670 |
$50K |
| 82274 |
|
14,442 |
13,904 |
$49K |
| 80164 |
|
9,970 |
9,396 |
$46K |
| 87497 |
|
3,404 |
2,452 |
$46K |
| 86300 |
|
11,968 |
10,079 |
$45K |
| 84479 |
|
31,299 |
30,300 |
$43K |
| 84425 |
|
9,477 |
9,110 |
$42K |
| 83690 |
|
27,356 |
26,112 |
$42K |
| 84480 |
|
17,469 |
16,911 |
$39K |
| 87147 |
|
28,918 |
27,667 |
$38K |
| 87637 |
|
569 |
432 |
$38K |
| 86336 |
|
7,267 |
6,932 |
$36K |
| 86141 |
|
11,908 |
11,380 |
$35K |
| 80197 |
|
8,742 |
6,686 |
$34K |
| 82107 |
|
3,309 |
3,106 |
$33K |
| 84156 |
|
42,402 |
39,914 |
$33K |
| 84134 |
|
9,457 |
8,227 |
$32K |
| 86334 |
|
8,016 |
7,577 |
$32K |
| 82150 |
|
21,737 |
20,943 |
$32K |
| 82565 |
|
30,713 |
28,286 |
$31K |
| 87177 |
|
15,380 |
12,826 |
$31K |
| 82951 |
|
11,458 |
11,214 |
$31K |
| 82950 |
|
30,751 |
30,094 |
$31K |
| 83090 |
|
9,965 |
9,502 |
$30K |
| 86255 |
|
8,521 |
6,781 |
$30K |
| 86162 |
|
5,392 |
5,218 |
$30K |
| 83014 |
|
17,480 |
17,004 |
$30K |
| 86304 |
|
5,912 |
5,321 |
$29K |
| 84165 |
|
12,534 |
11,989 |
$29K |
| 87900 |
|
1,046 |
1,015 |
$29K |
| 86787 |
|
10,205 |
9,768 |
$28K |
| 87517 |
|
3,310 |
3,150 |
$28K |
| 84703 |
|
15,838 |
15,251 |
$26K |
| 81003 |
|
53,301 |
51,566 |
$26K |
| 84305 |
|
4,475 |
4,338 |
$26K |
| 87563 |
|
3,883 |
3,648 |
$26K |
| 82247 |
|
19,092 |
14,364 |
$25K |
| 87798 |
|
2,087 |
1,529 |
$25K |
| 83993 |
|
5,084 |
4,918 |
$25K |
| 80202 |
|
7,705 |
2,783 |
$24K |
| 99199 |
|
31,999 |
22,407 |
$24K |
| 87631 |
|
4,004 |
3,233 |
$23K |
| 81220 |
|
1,470 |
1,420 |
$23K |
| 82088 |
|
2,797 |
2,658 |
$23K |
| 80177 |
|
5,599 |
5,312 |
$23K |
| 83498 |
|
3,704 |
3,606 |
$23K |
| 87449 |
|
7,450 |
6,507 |
$22K |
| 87529 |
|
2,813 |
2,405 |
$22K |
| 87427 |
|
6,997 |
6,822 |
$21K |
| 86665 |
|
2,959 |
2,815 |
$21K |
| 82140 |
|
5,631 |
4,952 |
$21K |
| 84520 |
|
24,352 |
22,172 |
$21K |
| 87338 |
|
6,964 |
6,743 |
$20K |
| 82330 |
|
7,386 |
6,861 |
$19K |
| 85246 |
|
3,566 |
3,402 |
$19K |
| 86364 |
|
7,517 |
7,159 |
$19K |
| 83020 |
|
5,574 |
5,271 |
$19K |
| 86317 |
|
5,319 |
4,947 |
$18K |
| 85379 |
|
7,665 |
7,387 |
$18K |
| 83921 |
|
5,797 |
5,600 |
$17K |
| 87045 |
|
7,392 |
7,202 |
$17K |
| 85245 |
|
3,221 |
3,066 |
$17K |
| 86593 |
|
14,404 |
13,300 |
$17K |
| 84432 |
|
6,019 |
5,771 |
$17K |
| 86762 |
|
5,086 |
4,869 |
$16K |
| 84466 |
|
5,224 |
5,032 |
$16K |
| 85240 |
|
3,900 |
3,702 |
$16K |
| 86021 |
|
5,008 |
4,752 |
$15K |
| 87205 |
|
20,998 |
19,949 |
$15K |
| 84460 |
|
16,237 |
15,585 |
$15K |
| 86870 |
|
1,755 |
1,658 |
$15K |
| 83519 |
|
4,659 |
3,567 |
$15K |
| 86341 |
|
2,350 |
1,624 |
$15K |
| 86635 |
|
2,850 |
2,702 |
$15K |
| 87493 |
|
2,204 |
2,092 |
$14K |
| 88312 |
|
862 |
725 |
$14K |
| 87324 |
|
4,792 |
4,466 |
$14K |
| 88184 |
|
855 |
779 |
$13K |
| 86705 |
|
5,041 |
4,965 |
$13K |
| 87075 |
|
5,580 |
5,144 |
$13K |
| 86301 |
|
2,566 |
2,244 |
$13K |
| 87633 |
|
2,185 |
1,846 |
$13K |
| 87329 |
|
5,059 |
4,294 |
$12K |
| 86381 |
|
2,355 |
2,266 |
$12K |
| 84450 |
|
10,939 |
10,413 |
$12K |
| 85247 |
|
2,442 |
2,316 |
$12K |
| 87804 |
|
3,115 |
3,008 |
$12K |
| 82542 |
|
2,887 |
2,602 |
$12K |
| 83021 |
|
4,004 |
3,888 |
$12K |
| 86812 |
|
2,553 |
2,460 |
$11K |
| 85045 |
|
18,109 |
17,292 |
$11K |
| 84478 |
|
11,082 |
7,796 |
$11K |
| 87535 |
|
1,734 |
1,642 |
$11K |
| 86850 |
|
6,277 |
6,085 |
$11K |
| 82390 |
|
4,130 |
3,995 |
$11K |
| 88230 |
|
370 |
359 |
$10K |
| 81596 |
|
3,408 |
3,314 |
$10K |
| 87040 |
|
4,795 |
2,957 |
$10K |
| 80175 |
|
2,451 |
2,342 |
$10K |
| 83721 |
|
7,615 |
7,384 |
$10K |
| 83521 |
|
2,170 |
2,004 |
$10K |
| 82947 |
|
11,087 |
10,621 |
$10K |
| 83883 |
|
2,682 |
1,710 |
$10K |
| 82731 |
|
752 |
712 |
$10K |
| 88262 |
|
301 |
293 |
$10K |
| 87046 |
|
4,537 |
4,383 |
$9K |
| 82310 |
|
13,099 |
11,618 |
$9K |
| 82397 |
|
2,062 |
2,005 |
$9K |
| 84446 |
|
2,207 |
2,125 |
$9K |
| 82172 |
|
3,963 |
3,843 |
$9K |
| 85613 |
|
4,303 |
4,099 |
$9K |
| 87102 |
|
11,709 |
11,350 |
$9K |
| 82103 |
|
2,442 |
2,340 |
$9K |
| 86361 |
|
2,546 |
2,452 |
$9K |
| 87625 |
|
2,392 |
2,341 |
$8K |
| 82747 |
|
1,931 |
1,881 |
$8K |
| 84244 |
|
2,080 |
2,003 |
$8K |
| 87502 |
|
487 |
471 |
$8K |
| 84630 |
|
3,237 |
3,108 |
$8K |
| 82668 |
|
1,923 |
1,853 |
$8K |
| 87206 |
|
4,408 |
3,739 |
$8K |
| 80178 |
|
3,511 |
3,352 |
$8K |
| 82040 |
|
7,633 |
7,399 |
$8K |
| 86664 |
|
2,377 |
2,269 |
$7K |
| 86709 |
|
2,550 |
2,478 |
$7K |
| 84590 |
|
2,353 |
2,254 |
$7K |
| 87150 |
|
976 |
956 |
$7K |
| 81025 |
|
4,186 |
4,005 |
$7K |
| 82232 |
|
2,779 |
2,564 |
$7K |
| 80299 |
|
1,736 |
1,611 |
$7K |
| 85306 |
|
1,979 |
1,901 |
$7K |
| 86901 |
|
10,039 |
9,713 |
$7K |
| 86900 |
|
9,992 |
9,677 |
$7K |
| 85018 |
|
13,375 |
12,549 |
$7K |
| 86777 |
|
1,858 |
1,767 |
$6K |
| 83010 |
|
2,395 |
2,260 |
$6K |
| 87634 |
|
346 |
334 |
$6K |
| 82164 |
|
2,139 |
2,060 |
$6K |
| 86606 |
|
990 |
879 |
$6K |
| 85014 |
|
11,946 |
11,330 |
$6K |
| 82085 |
|
2,861 |
2,710 |
$6K |
| 80051 |
|
7,705 |
6,540 |
$6K |
| 84166 |
|
2,141 |
2,000 |
$6K |
| 82653 |
|
1,368 |
1,302 |
$6K |
| 80183 |
|
1,320 |
1,284 |
$6K |
| 83704 |
|
1,636 |
1,590 |
$6K |
| 82525 |
|
1,883 |
1,821 |
$6K |
| 87106 |
|
4,078 |
3,955 |
$6K |
| 0241U |
|
228 |
225 |
$6K |
| 86015 |
|
2,620 |
2,439 |
$6K |
| 86337 |
|
790 |
764 |
$5K |
| 87255 |
|
1,234 |
1,197 |
$5K |
| 80156 |
|
1,267 |
1,230 |
$5K |
| 87116 |
|
2,137 |
1,718 |
$5K |
| 84155 |
|
7,270 |
7,064 |
$5K |
| 82157 |
|
916 |
895 |
$5K |
| 84482 |
|
1,370 |
1,311 |
$5K |
| 82985 |
|
1,866 |
1,822 |
$5K |
| 86698 |
|
887 |
868 |
$5K |
| 84132 |
|
4,896 |
4,456 |
$5K |
| 85303 |
|
1,838 |
1,768 |
$5K |
| 81229 |
|
578 |
541 |
$5K |
| 82465 |
|
8,472 |
7,204 |
$5K |
| 86036 |
|
1,953 |
1,857 |
$5K |
| 86335 |
|
1,080 |
1,051 |
$5K |
| 81015 |
|
4,844 |
4,666 |
$5K |
| 88342 |
|
595 |
546 |
$5K |
| 86765 |
|
1,824 |
1,770 |
$5K |
| 82681 |
|
949 |
900 |
$4K |
| 86735 |
|
1,777 |
1,723 |
$4K |
| 82952 |
|
5,241 |
5,139 |
$4K |
| 82626 |
|
1,007 |
976 |
$4K |
| 84484 |
|
2,242 |
2,018 |
$4K |
| 86618 |
|
1,214 |
1,174 |
$4K |
| 84075 |
|
3,948 |
3,838 |
$4K |
| 84238 |
|
579 |
561 |
$4K |
| 86702 |
|
2,069 |
1,955 |
$4K |
| 82530 |
|
1,310 |
1,212 |
$4K |
| 84252 |
|
844 |
813 |
$4K |
| 80180 |
|
589 |
537 |
$4K |
| 80159 |
|
646 |
526 |
$4K |
| 86644 |
|
1,287 |
1,240 |
$4K |
| 85660 |
|
3,054 |
2,956 |
$4K |
| 83695 |
|
2,295 |
2,239 |
$3K |
| 87101 |
|
1,564 |
1,532 |
$3K |
| 80185 |
|
951 |
843 |
$3K |
| 86645 |
|
929 |
894 |
$3K |
| 85041 |
|
6,264 |
5,965 |
$3K |
| 87184 |
|
849 |
828 |
$3K |
| 85384 |
|
1,445 |
1,392 |
$3K |
| 87015 |
|
2,098 |
1,621 |
$3K |
| G0306 |
Cbc/diffwbc w/o platelet |
1,058 |
1,000 |
$3K |
| 88304 |
|
575 |
544 |
$3K |
| 86617 |
|
322 |
312 |
$3K |
| 83698 |
|
762 |
743 |
$3K |
| 86701 |
|
2,072 |
1,958 |
$3K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,617 |
1,537 |
$3K |
| 80235 |
|
374 |
366 |
$3K |
| 84295 |
|
2,115 |
1,926 |
$3K |
| 82175 |
|
500 |
468 |
$3K |
| 82104 |
|
791 |
774 |
$2K |
| 85060 |
|
353 |
345 |
$2K |
| 81241 |
|
1,206 |
1,153 |
$2K |
| 85300 |
|
1,017 |
988 |
$2K |
| 86880 |
|
1,852 |
1,769 |
$2K |
| 85049 |
|
2,598 |
2,483 |
$2K |
| 88112 |
|
522 |
448 |
$2K |
| 83835 |
|
884 |
814 |
$2K |
| 83825 |
|
565 |
537 |
$2K |
| 86060 |
|
1,258 |
1,226 |
$2K |
| 87481 |
|
976 |
726 |
$2K |
| 83527 |
|
899 |
872 |
$2K |
| 88173 |
|
286 |
256 |
$2K |
| 84300 |
|
1,873 |
1,787 |
$2K |
| 87807 |
|
808 |
663 |
$2K |
| 82679 |
|
396 |
381 |
$2K |
| 80055 |
|
262 |
260 |
$2K |
| 80201 |
|
452 |
442 |
$2K |
| 86316 |
|
586 |
540 |
$2K |
| 83935 |
|
1,239 |
1,192 |
$2K |
| 85048 |
|
3,521 |
3,261 |
$2K |
| 84591 |
|
1,712 |
1,663 |
$2K |
| 85007 |
|
2,901 |
2,796 |
$2K |
| 82340 |
|
1,123 |
1,078 |
$2K |
| 86308 |
|
1,596 |
1,558 |
$2K |
| 89055 |
|
2,098 |
1,843 |
$2K |
| 82435 |
|
1,246 |
1,207 |
$2K |
| 86258 |
|
496 |
474 |
$2K |
| 87107 |
|
449 |
435 |
$2K |
| 80184 |
|
392 |
368 |
$1K |
| 83930 |
|
1,003 |
966 |
$1K |
| 85004 |
|
1,945 |
1,852 |
$1K |
| 89050 |
|
1,565 |
1,244 |
$1K |
| 81479 |
|
296 |
231 |
$1K |
| 86612 |
|
343 |
337 |
$1K |
| 82610 |
|
300 |
296 |
$1K |
| 83003 |
|
323 |
316 |
$1K |
| 87425 |
|
365 |
360 |
$1K |
| 87076 |
|
508 |
477 |
$1K |
| 87220 |
|
1,100 |
1,074 |
$1K |
| 84597 |
|
299 |
292 |
$1K |
| 81243 |
|
473 |
456 |
$1K |
| 87632 |
|
81 |
66 |
$1K |
| 81206 |
|
582 |
540 |
$1K |
| 86001 |
|
160 |
151 |
$984.49 |
| 81240 |
|
633 |
595 |
$978.88 |
| 81270 |
|
297 |
283 |
$968.21 |
| 87350 |
|
354 |
344 |
$943.37 |
| 84157 |
|
1,176 |
1,111 |
$924.01 |
| 82553 |
|
375 |
353 |
$921.91 |
| 82166 |
|
295 |
284 |
$921.54 |
| 84080 |
|
563 |
552 |
$892.58 |
| 86886 |
|
555 |
523 |
$868.53 |
| 82507 |
|
136 |
128 |
$856.44 |
| 83986 |
|
953 |
913 |
$831.04 |
| 85305 |
|
386 |
376 |
$828.60 |
| 88237 |
|
58 |
55 |
$824.60 |
| 88341 |
|
199 |
169 |
$810.15 |
| 85598 |
|
208 |
204 |
$791.97 |
| 82787 |
|
167 |
165 |
$782.96 |
| 89051 |
|
693 |
643 |
$781.99 |
| 85597 |
|
272 |
263 |
$777.38 |
| 84182 |
|
39 |
39 |
$772.31 |
| 82945 |
|
875 |
834 |
$766.86 |
| 86148 |
|
977 |
842 |
$736.38 |
| 86041 |
|
190 |
158 |
$732.24 |
| 84145 |
|
109 |
90 |
$722.52 |
| 85301 |
|
490 |
476 |
$699.21 |
| 82575 |
|
327 |
311 |
$686.53 |
| 85302 |
|
264 |
255 |
$651.91 |
| 87906 |
|
40 |
40 |
$612.11 |
| 80503 |
|
106 |
102 |
$574.88 |
| 36416 |
|
4,306 |
3,930 |
$558.51 |
| 84133 |
|
512 |
493 |
$535.37 |
| 82642 |
|
243 |
233 |
$510.96 |
| 83718 |
|
361 |
351 |
$510.30 |
| 88264 |
|
58 |
55 |
$510.12 |
| 86778 |
|
187 |
183 |
$498.74 |
| 82374 |
|
408 |
398 |
$467.13 |
| 86596 |
|
83 |
69 |
$466.93 |
| 86256 |
|
161 |
156 |
$462.23 |
| 87254 |
|
116 |
113 |
$457.20 |
| 80203 |
|
95 |
91 |
$449.12 |
| 82656 |
|
150 |
149 |
$443.90 |
| 87521 |
Neg quan hep c or qual rna |
39 |
39 |
$430.48 |
| 83951 |
|
52 |
52 |
$419.60 |
| 82239 |
|
120 |
113 |
$389.71 |
| G0307 |
Cbc without platelet |
213 |
209 |
$379.04 |
| 83916 |
|
82 |
80 |
$375.74 |
| 80158 |
|
104 |
90 |
$369.58 |
| 83945 |
|
122 |
116 |
$352.55 |
| 84560 |
|
314 |
301 |
$341.06 |
| 86671 |
|
157 |
92 |
$326.27 |
| 87109 |
|
105 |
103 |
$317.12 |
| 82180 |
|
132 |
129 |
$316.23 |
| 80162 |
|
183 |
171 |
$304.43 |
| G0103 |
Psa screening |
2,879 |
2,843 |
$296.96 |
| 82365 |
|
71 |
70 |
$288.76 |
| 81511 |
|
5,326 |
5,256 |
$287.92 |
| 86231 |
|
130 |
125 |
$267.82 |
| 83630 |
|
43 |
42 |
$261.99 |
| 86774 |
|
93 |
92 |
$261.37 |
| 83605 |
|
162 |
146 |
$259.23 |
| 86037 |
|
120 |
120 |
$249.81 |
| 82042 |
|
240 |
232 |
$249.13 |
| 88271 |
|
12 |
12 |
$248.37 |
| 88361 |
|
15 |
12 |
$238.15 |
| 86631 |
|
43 |
41 |
$222.53 |
| 84105 |
|
202 |
194 |
$217.35 |
| 86707 |
|
61 |
61 |
$213.00 |
| 82955 |
|
280 |
276 |
$199.38 |
| 86609 |
|
48 |
16 |
$184.59 |
| 84140 |
|
51 |
50 |
$181.10 |
| 87328 |
|
54 |
52 |
$180.65 |
| 86628 |
|
25 |
25 |
$171.03 |
| 82671 |
|
39 |
39 |
$168.16 |
| 86632 |
|
71 |
67 |
$166.41 |
| 82657 |
|
80 |
77 |
$149.70 |
| 81256 |
|
288 |
278 |
$140.56 |
| 83873 |
|
32 |
32 |
$137.07 |
| 87880 |
|
27 |
25 |
$130.49 |
| 86356 |
|
17 |
14 |
$129.22 |
| 86403 |
|
31 |
28 |
$124.69 |
| 84255 |
|
13 |
13 |
$121.94 |
| 82308 |
|
16 |
13 |
$120.47 |
| 84163 |
|
165 |
162 |
$116.75 |
| 82705 |
|
181 |
175 |
$110.56 |
| 88307 |
|
13 |
12 |
$107.72 |
| 84206 |
|
31 |
31 |
$107.32 |
| 82384 |
|
29 |
27 |
$102.12 |
| 81279 |
|
72 |
65 |
$99.08 |
| 81339 |
|
45 |
41 |
$99.08 |
| 80195 |
|
12 |
12 |
$82.35 |
| 84392 |
|
64 |
64 |
$77.76 |
| 84260 |
|
12 |
12 |
$77.12 |
| 85307 |
|
24 |
24 |
$76.93 |
| 86043 |
|
33 |
25 |
$74.05 |
| 81291 |
|
409 |
392 |
$56.28 |
| G0328 |
Fecal blood scrn immunoassay |
1,540 |
1,531 |
$53.81 |
| 81374 |
|
270 |
262 |
$48.31 |
| 86648 |
|
28 |
27 |
$48.12 |
| 86366 |
|
20 |
14 |
$46.80 |
| 89060 |
|
41 |
40 |
$46.11 |
| 87140 |
|
45 |
42 |
$45.91 |
| 83992 |
|
6,028 |
5,806 |
$36.69 |
| 82595 |
|
24 |
24 |
$36.31 |
| 80365 |
|
30,564 |
29,812 |
$28.42 |
| 80361 |
|
34,173 |
33,393 |
$28.42 |
| 86340 |
|
14 |
13 |
$27.40 |
| 99001 |
|
38,843 |
31,618 |
$23.07 |
| 84433 |
|
27 |
26 |
$22.91 |
| 84376 |
|
12 |
12 |
$20.97 |
| 80324 |
|
4,263 |
4,141 |
$14.10 |
| 81512 |
|
534 |
527 |
$13.90 |
| 84143 |
|
13 |
13 |
$13.56 |
| 88302 |
|
31 |
31 |
$12.10 |
| 80368 |
|
5,489 |
5,269 |
$11.61 |
| 88300 |
|
61 |
61 |
$10.60 |
| 80500 |
|
72 |
69 |
$10.45 |
| 80369 |
|
1,516 |
1,434 |
$9.86 |
| 80165 |
|
95 |
92 |
$7.86 |
| 80374 |
|
2,277 |
2,142 |
$1.87 |
| 80340 |
|
4,494 |
4,327 |
$0.00 |
| 80367 |
|
4,513 |
4,346 |
$0.00 |
| G0472 |
Hep c screen high risk/other |
315 |
309 |
$0.00 |
| 80320 |
|
5,164 |
4,949 |
$0.00 |
| 80359 |
|
6,303 |
6,104 |
$0.00 |
| 80353 |
|
6,065 |
5,859 |
$0.00 |
| 80345 |
|
7,208 |
6,955 |
$0.00 |
| 80333 |
|
4,494 |
4,327 |
$0.00 |
| G0123 |
Screen cerv/vag thin layer |
428 |
403 |
$0.00 |
| 80358 |
|
8,093 |
7,679 |
$0.00 |
| 80330 |
|
4,495 |
4,328 |
$0.00 |
| 80349 |
|
22,625 |
22,019 |
$0.00 |
| 80357 |
|
4,497 |
4,330 |
$0.00 |
| 87503 |
|
30 |
29 |
$0.00 |
| 80363 |
|
258 |
228 |
$0.00 |
| 80329 |
|
274 |
245 |
$0.00 |
| 87506 |
|
37 |
37 |
$0.00 |
| 81508 |
|
71 |
71 |
$0.00 |
| 89320 |
|
12 |
12 |
$0.00 |
| 86905 |
|
12 |
12 |
$0.00 |
| 80326 |
|
5,050 |
4,845 |
$0.00 |
| 80372 |
|
5,170 |
4,996 |
$0.00 |
| 80337 |
|
5,050 |
4,845 |
$0.00 |
| 80348 |
|
7,922 |
7,627 |
$0.00 |
| 80370 |
|
5,047 |
4,842 |
$0.00 |
| 80364 |
|
4,518 |
4,336 |
$0.00 |
| 80360 |
|
4,816 |
4,645 |
$0.00 |
| 80321 |
|
8,119 |
7,817 |
$0.00 |
| 80338 |
|
5,050 |
4,845 |
$0.00 |
| 80344 |
|
4,494 |
4,327 |
$0.00 |
| 80377 |
|
5,050 |
4,845 |
$0.00 |
| 80339 |
|
226 |
199 |
$0.00 |
| 80366 |
|
5,887 |
5,649 |
$0.00 |
| 80362 |
|
1,004 |
978 |
$0.00 |
| 80346 |
|
12,556 |
12,148 |
$0.00 |
| 80356 |
|
7,468 |
7,269 |
$0.00 |
| 80373 |
|
12,497 |
12,177 |
$0.00 |
| 80354 |
|
7,639 |
7,328 |
$0.00 |
| 81257 |
|
230 |
228 |
$0.00 |
| 80342 |
|
240 |
213 |
$0.00 |
| 80355 |
|
4,948 |
4,775 |
$0.00 |
| 80323 |
|
6,186 |
5,933 |
$0.00 |
| 80332 |
|
227 |
200 |
$0.00 |
| 81219 |
|
55 |
51 |
$0.00 |
| 87999 |
|
266 |
253 |
$0.00 |
| 0001M |
|
15 |
13 |
$0.00 |
| 89321 |
|
12 |
12 |
$0.00 |
| 81403 |
|
43 |
38 |
$0.00 |
| 81381 |
|
51 |
48 |
$0.00 |
| 87538 |
|
15 |
14 |
$0.00 |