| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
438,782 |
393,959 |
$28.23M |
| 87633 |
|
36,051 |
34,947 |
$7.72M |
| 82306 |
|
420,748 |
399,648 |
$6.66M |
| 80050 |
|
266,124 |
263,084 |
$5.24M |
| U0005 |
Infec agen detec ampli probe |
327,574 |
295,812 |
$5.16M |
| 86769 |
|
154,971 |
150,669 |
$4.87M |
| 87502 |
|
133,063 |
128,377 |
$4.37M |
| 86481 |
|
132,588 |
131,668 |
$4.28M |
| 87491 |
|
281,118 |
277,234 |
$3.84M |
| 87591 |
|
275,252 |
271,459 |
$3.75M |
| 83036 |
|
624,878 |
606,637 |
$3.07M |
| 80061 |
|
736,486 |
724,075 |
$2.90M |
| 80053 |
|
536,256 |
529,448 |
$2.78M |
| 87389 |
|
240,389 |
234,114 |
$2.55M |
| 87798 |
|
107,943 |
105,148 |
$2.17M |
| G0483 |
Drug test def 22+ classes |
21,170 |
16,707 |
$2.09M |
| 87651 |
|
114,947 |
110,023 |
$1.90M |
| 84443 |
|
370,570 |
361,887 |
$1.85M |
| 87634 |
|
117,743 |
113,496 |
$1.75M |
| 82607 |
|
233,768 |
231,581 |
$1.64M |
| 80307 |
|
156,942 |
148,116 |
$1.50M |
| 84439 |
|
319,949 |
313,395 |
$1.46M |
| 86317 |
|
171,743 |
169,848 |
$1.39M |
| 85025 |
|
606,779 |
592,505 |
$1.27M |
| 81001 |
|
667,870 |
650,805 |
$1.22M |
| 87661 |
|
96,556 |
94,427 |
$1.21M |
| 87581 |
|
75,861 |
73,809 |
$1.08M |
| 86803 |
|
172,478 |
170,591 |
$1.03M |
| 87486 |
|
75,864 |
73,810 |
$1.02M |
| 87340 |
|
177,150 |
175,423 |
$1.02M |
| 84153 |
|
105,716 |
102,983 |
$1.02M |
| 87635 |
|
50,892 |
49,603 |
$983K |
| 82746 |
|
143,447 |
142,027 |
$963K |
| 86003 |
|
21,440 |
20,421 |
$961K |
| 86762 |
|
92,883 |
92,239 |
$790K |
| 84481 |
|
138,584 |
137,046 |
$770K |
| 82728 |
|
104,217 |
101,876 |
$746K |
| 86765 |
|
91,932 |
91,308 |
$701K |
| 83013 |
|
15,626 |
15,516 |
$615K |
| 86708 |
|
104,012 |
102,900 |
$609K |
| 84403 |
|
40,303 |
39,644 |
$598K |
| 84154 |
|
54,370 |
53,402 |
$591K |
| 82652 |
|
33,424 |
31,425 |
$563K |
| 87086 |
|
129,137 |
124,573 |
$560K |
| 88175 |
|
33,992 |
33,736 |
$560K |
| 84466 |
|
85,226 |
83,882 |
$548K |
| 86696 |
|
63,134 |
61,945 |
$544K |
| 83655 |
|
73,889 |
73,467 |
$536K |
| 87507 |
|
3,024 |
2,956 |
$533K |
| 86704 |
|
92,805 |
91,649 |
$503K |
| 87624 |
|
29,003 |
28,705 |
$479K |
| 82043 |
|
158,715 |
157,534 |
$443K |
| 86735 |
|
83,868 |
83,283 |
$436K |
| 87517 |
|
19,154 |
19,017 |
$432K |
| 86592 |
|
215,024 |
212,815 |
$432K |
| 86709 |
|
76,101 |
75,295 |
$426K |
| 84402 |
|
29,789 |
29,256 |
$418K |
| 87070 |
|
88,415 |
85,446 |
$402K |
| 86480 |
|
11,281 |
11,123 |
$397K |
| G0480 |
Drug test def 1-7 classes |
20,142 |
18,820 |
$395K |
| 81514 |
|
5,628 |
5,574 |
$394K |
| 86787 |
|
74,469 |
73,969 |
$385K |
| 88305 |
|
6,858 |
6,571 |
$384K |
| 86409 |
|
9,786 |
9,305 |
$383K |
| 86695 |
|
55,653 |
54,355 |
$383K |
| 88120 |
|
2,477 |
2,444 |
$382K |
| 83540 |
|
115,896 |
113,534 |
$334K |
| 84550 |
|
123,916 |
122,981 |
$317K |
| 84270 |
|
30,725 |
30,040 |
$316K |
| 87536 |
|
4,307 |
4,010 |
$293K |
| 82570 |
|
115,150 |
109,319 |
$284K |
| 87077 |
|
57,639 |
56,371 |
$282K |
| 87088 |
|
55,507 |
53,742 |
$262K |
| 87186 |
|
57,836 |
56,566 |
$252K |
| 82670 |
|
15,071 |
14,668 |
$236K |
| 88377 |
|
1,133 |
1,126 |
$230K |
| 83001 |
|
21,867 |
21,458 |
$229K |
| 84146 |
|
19,899 |
19,510 |
$222K |
| 80048 |
|
54,118 |
53,663 |
$219K |
| 83970 |
|
9,871 |
9,736 |
$214K |
| 84702 |
|
28,940 |
27,254 |
$200K |
| 83002 |
|
19,147 |
18,853 |
$199K |
| 80076 |
|
62,298 |
61,492 |
$199K |
| 87350 |
|
34,242 |
34,082 |
$196K |
| 86707 |
|
32,806 |
32,629 |
$188K |
| 86780 |
|
24,858 |
24,275 |
$187K |
| 88342 |
|
2,365 |
2,311 |
$184K |
| 86376 |
|
23,886 |
23,561 |
$182K |
| 87799 |
|
2,141 |
2,063 |
$174K |
| 81479 |
|
656 |
535 |
$173K |
| 88313 |
|
2,858 |
2,804 |
$163K |
| 84378 |
|
24,117 |
23,886 |
$160K |
| 87522 |
Neg quan hep c or qual rna |
5,940 |
5,781 |
$158K |
| 88112 |
|
8,376 |
8,221 |
$155K |
| 80074 |
|
6,206 |
5,980 |
$155K |
| 83516 |
|
11,740 |
11,316 |
$153K |
| 84480 |
|
127,266 |
125,781 |
$148K |
| 86800 |
|
19,495 |
19,330 |
$143K |
| 84436 |
|
128,451 |
126,064 |
$142K |
| 82627 |
|
11,931 |
11,579 |
$139K |
| G2023 |
Specimen collect covid-19 |
25,782 |
23,138 |
$137K |
| 82785 |
|
19,162 |
18,829 |
$133K |
| 86235 |
|
8,178 |
8,099 |
$127K |
| 84144 |
|
11,551 |
10,967 |
$124K |
| 86141 |
|
20,842 |
20,542 |
$121K |
| 85027 |
|
62,969 |
62,097 |
$114K |
| 82105 |
|
24,884 |
24,669 |
$114K |
| 84445 |
|
4,541 |
4,479 |
$111K |
| 87481 |
|
1,911 |
1,862 |
$109K |
| 80299 |
|
5,832 |
4,431 |
$104K |
| 82977 |
|
33,824 |
33,243 |
$101K |
| 86039 |
|
25,992 |
25,807 |
$92K |
| 83020 |
|
11,738 |
11,674 |
$90K |
| 83525 |
|
14,678 |
14,408 |
$87K |
| 86618 |
|
9,233 |
9,165 |
$87K |
| 82465 |
|
42,285 |
40,553 |
$85K |
| 86706 |
|
15,663 |
15,584 |
$85K |
| 82274 |
|
30,139 |
29,933 |
$84K |
| 86431 |
|
28,579 |
28,330 |
$81K |
| 86617 |
|
5,222 |
5,099 |
$79K |
| 86225 |
|
18,881 |
18,626 |
$75K |
| 83735 |
|
26,278 |
25,900 |
$74K |
| 84100 |
|
27,551 |
27,321 |
$74K |
| 86360 |
|
1,682 |
1,522 |
$73K |
| 85730 |
|
23,780 |
22,873 |
$72K |
| 87480 |
|
7,971 |
7,883 |
$71K |
| 87510 |
|
7,864 |
7,776 |
$70K |
| 83690 |
|
22,384 |
22,199 |
$70K |
| 82378 |
|
6,330 |
6,173 |
$68K |
| 86140 |
|
31,924 |
31,610 |
$68K |
| 83615 |
|
22,921 |
22,649 |
$67K |
| 84207 |
|
4,238 |
4,070 |
$66K |
| 86694 |
|
6,485 |
6,335 |
$65K |
| 87660 |
|
8,841 |
8,512 |
$65K |
| 83090 |
|
7,771 |
7,404 |
$64K |
| 85651 |
|
49,810 |
49,035 |
$64K |
| 85610 |
|
29,066 |
27,449 |
$62K |
| 88142 |
|
6,425 |
6,279 |
$62K |
| 86665 |
|
3,665 |
3,586 |
$61K |
| 83721 |
|
101,345 |
99,061 |
$59K |
| 82248 |
|
21,074 |
20,756 |
$58K |
| 86200 |
|
8,938 |
8,780 |
$57K |
| 83880 |
|
3,858 |
3,715 |
$57K |
| 87512 |
|
2,090 |
2,043 |
$56K |
| 82784 |
|
6,602 |
6,447 |
$56K |
| 87631 |
|
974 |
960 |
$55K |
| 80184 |
|
7,587 |
5,799 |
$54K |
| 83520 |
|
6,855 |
6,652 |
$53K |
| 82150 |
|
19,538 |
19,409 |
$53K |
| 86900 |
|
18,322 |
18,031 |
$49K |
| 86705 |
|
9,746 |
9,531 |
$46K |
| 86304 |
|
4,126 |
3,997 |
$44K |
| 82040 |
|
21,699 |
21,312 |
$43K |
| 82550 |
|
15,453 |
15,322 |
$43K |
| 87625 |
|
2,929 |
2,462 |
$43K |
| 0100U |
|
68 |
66 |
$42K |
| 84305 |
|
4,596 |
4,342 |
$41K |
| 82533 |
|
5,232 |
5,085 |
$40K |
| 81226 |
|
699 |
602 |
$40K |
| 82672 |
|
3,575 |
3,338 |
$39K |
| 87046 |
|
3,774 |
3,707 |
$38K |
| 84075 |
|
13,661 |
13,538 |
$37K |
| 82565 |
|
14,231 |
14,107 |
$37K |
| 83550 |
|
70,661 |
69,801 |
$37K |
| 87801 |
|
1,489 |
1,471 |
$35K |
| 84446 |
|
4,506 |
4,343 |
$34K |
| 85045 |
|
18,445 |
18,347 |
$34K |
| 36415 |
|
135,572 |
130,272 |
$34K |
| 84590 |
|
5,247 |
5,071 |
$33K |
| 82310 |
|
12,273 |
12,105 |
$31K |
| 86060 |
|
9,938 |
9,858 |
$30K |
| 86901 |
|
17,153 |
16,879 |
$30K |
| 84597 |
|
4,063 |
3,924 |
$30K |
| 86359 |
|
1,748 |
1,513 |
$29K |
| 86160 |
|
2,668 |
2,632 |
$29K |
| 88141 |
|
4,829 |
4,773 |
$29K |
| 87902 |
|
174 |
163 |
$29K |
| 84460 |
|
9,372 |
9,278 |
$28K |
| 84425 |
|
3,029 |
2,982 |
$28K |
| 82947 |
|
22,983 |
21,741 |
$28K |
| 84681 |
|
2,632 |
2,566 |
$27K |
| 87177 |
|
4,745 |
4,606 |
$27K |
| 81225 |
|
700 |
604 |
$26K |
| 83992 |
|
5,868 |
3,978 |
$26K |
| 86038 |
|
7,296 |
7,166 |
$25K |
| 84479 |
|
85,967 |
84,714 |
$25K |
| 81401 |
|
737 |
639 |
$25K |
| 87075 |
|
5,287 |
4,840 |
$25K |
| 86341 |
|
3,555 |
3,408 |
$24K |
| 88312 |
|
886 |
882 |
$23K |
| 87109 |
|
3,997 |
3,969 |
$21K |
| 82626 |
|
1,699 |
1,655 |
$21K |
| 84450 |
|
8,217 |
8,135 |
$21K |
| 84482 |
|
4,893 |
4,673 |
$20K |
| 83695 |
|
3,043 |
2,950 |
$19K |
| 82530 |
|
1,739 |
1,675 |
$19K |
| 84432 |
|
2,719 |
2,684 |
$18K |
| 86301 |
|
1,724 |
1,697 |
$18K |
| 85660 |
|
7,072 |
7,011 |
$18K |
| 82747 |
|
2,762 |
2,663 |
$18K |
| 87045 |
|
3,784 |
3,717 |
$18K |
| 80365 |
|
8,595 |
7,026 |
$18K |
| 83921 |
|
1,304 |
1,294 |
$17K |
| 80356 |
|
6,958 |
5,467 |
$17K |
| P9604 |
One-way allow prorated trip |
5,577 |
5,084 |
$17K |
| 81227 |
|
644 |
559 |
$16K |
| 80360 |
|
4,619 |
3,578 |
$15K |
| 84255 |
|
1,487 |
1,386 |
$15K |
| 80373 |
|
5,358 |
3,987 |
$15K |
| 86644 |
|
1,821 |
1,783 |
$15K |
| 80357 |
|
4,902 |
3,589 |
$15K |
| 86021 |
|
2,189 |
2,110 |
$15K |
| 80371 |
|
4,898 |
3,589 |
$15K |
| 80372 |
|
4,894 |
3,586 |
$15K |
| 80368 |
|
4,907 |
3,595 |
$15K |
| 80354 |
|
4,883 |
3,577 |
$15K |
| 83825 |
|
1,850 |
1,755 |
$15K |
| 82172 |
|
1,246 |
1,183 |
$14K |
| 87184 |
|
1,973 |
1,945 |
$14K |
| 86664 |
|
1,693 |
1,661 |
$14K |
| 80348 |
|
6,856 |
5,367 |
$14K |
| 85384 |
|
3,573 |
3,424 |
$14K |
| 81230 |
|
575 |
505 |
$14K |
| 81231 |
|
573 |
503 |
$14K |
| 80332 |
|
2,258 |
1,809 |
$14K |
| 80369 |
|
2,263 |
1,810 |
$14K |
| 86663 |
|
1,885 |
1,852 |
$13K |
| 80321 |
|
2,217 |
1,795 |
$13K |
| 82247 |
|
8,589 |
8,409 |
$13K |
| 80361 |
|
6,968 |
5,468 |
$13K |
| 80338 |
|
2,314 |
1,825 |
$13K |
| 84132 |
|
8,512 |
8,380 |
$13K |
| 84478 |
|
5,747 |
5,613 |
$12K |
| 0099U |
|
19 |
19 |
$12K |
| 80359 |
|
6,264 |
4,810 |
$11K |
| 84165 |
|
2,519 |
2,494 |
$11K |
| 80358 |
|
6,277 |
4,819 |
$11K |
| 80367 |
|
6,268 |
4,812 |
$11K |
| 83003 |
|
1,668 |
1,591 |
$11K |
| 80346 |
|
6,342 |
4,865 |
$11K |
| 82108 |
|
744 |
708 |
$11K |
| 80353 |
|
6,297 |
4,827 |
$11K |
| 87205 |
|
5,374 |
5,256 |
$11K |
| 82679 |
|
1,250 |
1,054 |
$11K |
| 88271 |
|
147 |
145 |
$10K |
| 82525 |
|
1,651 |
1,568 |
$10K |
| 86593 |
|
4,638 |
4,483 |
$10K |
| 87632 |
|
103 |
91 |
$10K |
| 81220 |
|
47 |
42 |
$10K |
| 82175 |
|
1,166 |
1,059 |
$10K |
| 81241 |
|
747 |
649 |
$9K |
| 84156 |
|
4,624 |
4,528 |
$9K |
| 84155 |
|
8,264 |
8,085 |
$9K |
| 84703 |
|
5,122 |
5,065 |
$9K |
| 86777 |
|
1,148 |
1,034 |
$9K |
| 82435 |
|
6,964 |
6,898 |
$9K |
| 82180 |
|
1,833 |
1,714 |
$9K |
| 86645 |
|
1,468 |
1,439 |
$9K |
| 80069 |
|
1,729 |
1,722 |
$8K |
| 80325 |
|
3,419 |
2,507 |
$8K |
| 81240 |
|
683 |
594 |
$8K |
| G0481 |
Drug test def 8-14 classes |
194 |
168 |
$8K |
| 82300 |
|
1,062 |
969 |
$7K |
| 86255 |
|
1,577 |
1,559 |
$7K |
| 80363 |
|
3,554 |
2,574 |
$7K |
| 81291 |
|
663 |
566 |
$7K |
| 86008 |
|
750 |
698 |
$7K |
| 80337 |
|
3,357 |
2,446 |
$7K |
| 85014 |
|
5,765 |
5,525 |
$7K |
| 81025 |
|
3,460 |
3,398 |
$7K |
| 80414 |
|
195 |
195 |
$6K |
| 82951 |
|
1,330 |
1,310 |
$6K |
| 82390 |
|
1,297 |
1,295 |
$6K |
| 86256 |
|
377 |
375 |
$6K |
| 80324 |
|
2,854 |
2,245 |
$6K |
| 86334 |
|
575 |
570 |
$6K |
| 84166 |
|
985 |
978 |
$6K |
| 84520 |
|
3,186 |
3,144 |
$6K |
| 80349 |
|
4,253 |
3,146 |
$6K |
| 84140 |
|
784 |
695 |
$6K |
| 82542 |
|
689 |
659 |
$6K |
| 88323 |
|
104 |
104 |
$6K |
| 82642 |
|
765 |
655 |
$6K |
| 86671 |
|
843 |
835 |
$5K |
| 84252 |
|
488 |
470 |
$5K |
| 83698 |
|
382 |
343 |
$5K |
| 80370 |
|
2,634 |
1,786 |
$5K |
| 80333 |
|
2,622 |
1,780 |
$5K |
| 87324 |
|
1,107 |
1,058 |
$5K |
| 84311 |
|
4,175 |
2,142 |
$5K |
| 80362 |
|
2,341 |
1,902 |
$4K |
| 80335 |
|
2,000 |
1,661 |
$4K |
| 87081 |
|
1,476 |
1,446 |
$4K |
| 86300 |
|
289 |
281 |
$4K |
| U0004 |
Cov-19 test non-cdc hgh thru |
44 |
44 |
$4K |
| 88309 |
|
117 |
117 |
$4K |
| 86778 |
|
506 |
487 |
$4K |
| 86147 |
|
228 |
224 |
$4K |
| 86850 |
|
1,244 |
1,226 |
$4K |
| 80345 |
|
2,390 |
1,872 |
$4K |
| 84591 |
|
632 |
561 |
$4K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
506 |
502 |
$4K |
| 81355 |
|
300 |
264 |
$4K |
| 86774 |
|
450 |
433 |
$4K |
| 80173 |
|
434 |
385 |
$4K |
| 80185 |
|
451 |
402 |
$3K |
| 80175 |
|
436 |
387 |
$3K |
| 80157 |
|
434 |
385 |
$3K |
| 80183 |
|
441 |
392 |
$3K |
| 80203 |
|
441 |
392 |
$3K |
| 85008 |
|
12,671 |
12,467 |
$3K |
| 88274 |
|
94 |
93 |
$3K |
| 80201 |
|
440 |
391 |
$3K |
| 85379 |
|
618 |
604 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
78 |
78 |
$3K |
| 83021 |
|
299 |
298 |
$3K |
| 87449 |
|
916 |
905 |
$3K |
| 82985 |
|
535 |
501 |
$3K |
| 80081 |
|
119 |
117 |
$3K |
| 88307 |
|
117 |
117 |
$3K |
| 87493 |
|
166 |
164 |
$3K |
| 86631 |
|
311 |
309 |
$3K |
| 80164 |
|
386 |
370 |
$2K |
| 87328 |
|
315 |
307 |
$2K |
| 88304 |
|
514 |
488 |
$2K |
| 86738 |
|
175 |
173 |
$2K |
| 84410 |
|
133 |
96 |
$2K |
| 86308 |
|
834 |
830 |
$2K |
| 88108 |
|
185 |
183 |
$2K |
| 86037 |
|
176 |
176 |
$2K |
| 87329 |
|
328 |
304 |
$2K |
| 86015 |
|
451 |
450 |
$2K |
| 87530 |
|
46 |
42 |
$2K |
| 82955 |
|
611 |
520 |
$2K |
| 82103 |
|
282 |
282 |
$2K |
| 83986 |
|
4,005 |
2,105 |
$2K |
| 82024 |
|
90 |
90 |
$2K |
| 81003 |
|
4,689 |
2,579 |
$2K |
| 86632 |
|
311 |
309 |
$2K |
| 86335 |
|
133 |
132 |
$2K |
| 86702 |
|
413 |
394 |
$2K |
| 86364 |
|
349 |
345 |
$2K |
| 84295 |
|
975 |
956 |
$2K |
| 82270 |
|
749 |
720 |
$2K |
| 80177 |
|
268 |
258 |
$2K |
| 81374 |
|
65 |
65 |
$1K |
| 86258 |
|
297 |
293 |
$1K |
| 85018 |
|
1,286 |
1,267 |
$1K |
| 87901 |
|
14 |
14 |
$1K |
| 87427 |
|
213 |
208 |
$1K |
| G0103 |
Psa screening |
248 |
247 |
$1K |
| 82088 |
|
55 |
52 |
$1K |
| 0241U |
|
19 |
19 |
$1K |
| 86701 |
|
406 |
388 |
$1K |
| 80355 |
|
425 |
359 |
$1K |
| 83718 |
|
477 |
456 |
$1K |
| 85060 |
|
111 |
111 |
$1K |
| 82552 |
|
191 |
191 |
$1K |
| 82681 |
|
73 |
73 |
$1K |
| 87168 |
|
584 |
551 |
$1K |
| 83704 |
|
144 |
122 |
$1K |
| 88311 |
|
120 |
120 |
$1K |
| 88341 |
|
87 |
87 |
$929.66 |
| 87209 |
|
196 |
193 |
$878.24 |
| 84300 |
|
380 |
377 |
$863.27 |
| 87147 |
|
350 |
333 |
$853.47 |
| 85007 |
|
9,548 |
9,378 |
$848.89 |
| 88164 |
|
945 |
901 |
$823.74 |
| G0123 |
Screen cerv/vag thin layer |
178 |
178 |
$714.94 |
| 87150 |
|
429 |
340 |
$711.37 |
| 86146 |
|
26 |
25 |
$695.89 |
| 85048 |
|
1,178 |
1,156 |
$655.92 |
| G9143 |
Warfarin respon genetic test |
13 |
12 |
$633.12 |
| 80320 |
|
269 |
248 |
$605.65 |
| 84244 |
|
55 |
52 |
$600.83 |
| 84630 |
|
120 |
110 |
$596.05 |
| 86648 |
|
44 |
42 |
$516.99 |
| 85097 |
|
116 |
116 |
$506.19 |
| 87426 |
|
21 |
21 |
$476.39 |
| 83519 |
|
50 |
46 |
$401.97 |
| 80400 |
|
17 |
17 |
$360.40 |
| 82330 |
|
98 |
98 |
$358.62 |
| 87529 |
|
13 |
13 |
$355.81 |
| 82725 |
|
90 |
71 |
$324.20 |
| 87804 |
|
20 |
20 |
$320.60 |
| 84442 |
|
54 |
54 |
$314.07 |
| 86162 |
|
30 |
30 |
$305.29 |
| 88302 |
|
117 |
117 |
$304.69 |
| 82668 |
|
38 |
38 |
$291.63 |
| 86757 |
|
14 |
13 |
$258.39 |
| 88300 |
|
112 |
112 |
$256.96 |
| 83789 |
|
28 |
25 |
$250.94 |
| 82952 |
|
164 |
164 |
$215.30 |
| 80323 |
|
140 |
114 |
$213.76 |
| 80051 |
|
93 |
93 |
$207.87 |
| 82157 |
|
12 |
12 |
$202.00 |
| 87338 |
|
26 |
26 |
$197.92 |
| 87563 |
|
14 |
14 |
$186.20 |
| 87076 |
|
39 |
39 |
$185.89 |
| 87102 |
|
30 |
29 |
$168.69 |
| 81383 |
|
12 |
12 |
$163.71 |
| 84560 |
|
55 |
54 |
$149.12 |
| 82677 |
|
13 |
13 |
$145.82 |
| 83010 |
|
12 |
12 |
$140.51 |
| 82553 |
|
29 |
29 |
$138.15 |
| 85041 |
|
343 |
307 |
$137.47 |
| 82379 |
|
23 |
23 |
$132.70 |
| 86677 |
|
20 |
17 |
$115.15 |
| 80366 |
|
108 |
99 |
$115.12 |
| 80178 |
|
25 |
25 |
$102.42 |
| 80352 |
|
115 |
104 |
$102.22 |
| 80375 |
|
106 |
97 |
$100.00 |
| 84133 |
|
41 |
41 |
$86.40 |
| 86231 |
|
14 |
14 |
$79.70 |
| 82436 |
|
26 |
26 |
$63.04 |
| 80342 |
|
114 |
97 |
$50.00 |
| 82340 |
|
12 |
12 |
$48.24 |
| 82705 |
|
13 |
13 |
$36.70 |
| 80336 |
|
64 |
41 |
$31.40 |
| 82950 |
|
12 |
12 |
$28.49 |
| 85004 |
|
688 |
688 |
$23.65 |
| 82945 |
|
12 |
12 |
$22.06 |
| 3044F |
|
61,258 |
61,068 |
$1.02 |
| 3051F |
|
4,489 |
4,472 |
$0.06 |
| 3046F |
|
3,051 |
3,041 |
$0.02 |
| 3052F |
|
2,510 |
2,500 |
$0.02 |
| 99080 |
|
5,041 |
2,039 |
$0.00 |
| 88321 |
|
42 |
42 |
$0.00 |
| G0482 |
Drug test def 15-21 classes |
12 |
12 |
$0.00 |