| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
188,977 |
168,426 |
$13.40M |
| 80050 |
|
434,731 |
418,859 |
$11.44M |
| 87491 |
|
353,274 |
330,059 |
$9.39M |
| 87591 |
|
352,996 |
329,885 |
$9.28M |
| 80061 |
|
923,511 |
887,084 |
$7.91M |
| 80053 |
|
996,117 |
934,391 |
$6.83M |
| 81420 |
|
18,024 |
17,807 |
$6.72M |
| 84443 |
|
564,936 |
541,717 |
$6.25M |
| 87389 |
|
356,441 |
340,152 |
$5.90M |
| 85025 |
|
864,527 |
799,109 |
$4.45M |
| 83036 |
|
753,037 |
724,303 |
$4.40M |
| 87624 |
|
137,653 |
133,253 |
$3.50M |
| 36415 |
|
1,581,701 |
1,426,759 |
$3.37M |
| 82306 |
|
281,212 |
268,230 |
$3.37M |
| 86803 |
|
340,545 |
324,942 |
$3.22M |
| 86480 |
|
76,931 |
71,299 |
$2.99M |
| 88175 |
|
135,808 |
131,640 |
$2.86M |
| 87086 |
|
426,545 |
398,641 |
$2.49M |
| 88305 |
|
41,464 |
38,408 |
$2.33M |
| 82728 |
|
234,780 |
225,094 |
$2.13M |
| 80307 |
|
47,521 |
42,431 |
$2.06M |
| 80081 |
|
36,550 |
34,285 |
$2.02M |
| 84439 |
|
312,581 |
298,646 |
$1.92M |
| 84403 |
|
107,291 |
101,412 |
$1.89M |
| 83013 |
|
35,998 |
35,228 |
$1.73M |
| 82607 |
|
167,930 |
161,833 |
$1.70M |
| G0480 |
Drug test def 1-7 classes |
23,821 |
21,882 |
$1.45M |
| 87507 |
|
4,524 |
4,372 |
$1.24M |
| 82670 |
|
58,626 |
55,740 |
$1.16M |
| 87340 |
|
174,398 |
164,348 |
$1.15M |
| 81220 |
|
3,801 |
3,732 |
$1.13M |
| 83550 |
|
182,799 |
175,999 |
$1.07M |
| 82746 |
|
107,695 |
103,672 |
$1.06M |
| 88142 |
|
61,146 |
58,956 |
$1.04M |
| 80074 |
|
34,353 |
32,390 |
$1.02M |
| U0005 |
Infec agen detec ampli probe |
100,921 |
91,717 |
$982K |
| 80048 |
|
180,685 |
167,389 |
$973K |
| 85027 |
|
211,581 |
201,471 |
$902K |
| 87902 |
|
5,159 |
4,913 |
$891K |
| 86780 |
|
102,094 |
99,283 |
$891K |
| 82274 |
|
79,418 |
76,938 |
$888K |
| 83970 |
|
32,730 |
31,284 |
$887K |
| 87186 |
|
135,514 |
128,168 |
$882K |
| 84702 |
|
81,101 |
60,317 |
$854K |
| 83540 |
|
195,551 |
187,425 |
$839K |
| 80055 |
|
21,448 |
20,862 |
$835K |
| 84153 |
|
74,276 |
70,576 |
$832K |
| 87081 |
|
160,442 |
156,055 |
$825K |
| 87522 |
Neg quan hep c or qual rna |
29,033 |
27,833 |
$818K |
| 83880 |
|
35,171 |
32,925 |
$794K |
| 86235 |
|
12,328 |
11,733 |
$789K |
| 84402 |
|
45,269 |
42,948 |
$787K |
| 86003 |
|
11,015 |
10,651 |
$779K |
| 82570 |
|
222,622 |
213,071 |
$776K |
| 87088 |
|
131,122 |
124,357 |
$735K |
| 83001 |
|
55,131 |
53,082 |
$732K |
| 84146 |
|
51,728 |
49,122 |
$728K |
| 87480 |
|
50,045 |
48,239 |
$725K |
| 84481 |
|
62,315 |
59,144 |
$717K |
| 87660 |
|
50,037 |
48,232 |
$712K |
| 86704 |
|
89,548 |
83,796 |
$698K |
| 87510 |
|
50,040 |
48,235 |
$697K |
| 82043 |
|
180,555 |
175,006 |
$695K |
| 87661 |
|
30,255 |
29,472 |
$687K |
| 86706 |
|
95,389 |
89,287 |
$667K |
| 87536 |
|
10,913 |
10,728 |
$663K |
| 87077 |
|
108,104 |
102,963 |
$621K |
| 87633 |
|
2,271 |
2,193 |
$566K |
| 86762 |
|
63,105 |
60,312 |
$562K |
| 88342 |
|
8,650 |
8,191 |
$527K |
| 86140 |
|
143,780 |
134,341 |
$525K |
| 87070 |
|
79,538 |
76,065 |
$518K |
| 83002 |
|
37,173 |
35,708 |
$490K |
| 88141 |
|
32,836 |
32,011 |
$489K |
| 86592 |
|
166,491 |
155,773 |
$483K |
| 86708 |
|
58,986 |
55,126 |
$475K |
| 86038 |
|
55,947 |
54,611 |
$475K |
| 86787 |
|
43,388 |
41,084 |
$419K |
| 84144 |
|
27,483 |
24,864 |
$403K |
| 86376 |
|
38,556 |
36,857 |
$400K |
| 86696 |
|
26,306 |
25,183 |
$375K |
| 81001 |
|
166,741 |
157,120 |
$358K |
| 82784 |
|
34,218 |
32,315 |
$344K |
| 83516 |
|
20,122 |
19,293 |
$342K |
| 86850 |
|
60,783 |
58,033 |
$334K |
| 82950 |
|
90,538 |
87,366 |
$330K |
| 87798 |
|
15,296 |
9,348 |
$325K |
| 84480 |
|
31,952 |
30,455 |
$318K |
| 80076 |
|
53,364 |
50,651 |
$305K |
| 82627 |
|
19,039 |
18,190 |
$300K |
| 83735 |
|
64,012 |
55,801 |
$284K |
| 83655 |
|
30,199 |
29,747 |
$263K |
| 83690 |
|
52,978 |
50,980 |
$261K |
| 86769 |
|
8,465 |
7,613 |
$257K |
| 85652 |
|
136,154 |
127,988 |
$255K |
| 86665 |
|
10,480 |
9,958 |
$255K |
| 87801 |
|
5,747 |
5,636 |
$250K |
| 86800 |
|
21,329 |
20,549 |
$241K |
| 86200 |
|
25,811 |
25,303 |
$236K |
| 82951 |
|
23,859 |
22,864 |
$233K |
| 86695 |
|
23,899 |
22,914 |
$226K |
| 88312 |
|
4,048 |
3,827 |
$220K |
| 86360 |
|
6,622 |
6,298 |
$220K |
| 82533 |
|
17,671 |
16,488 |
$208K |
| 86160 |
|
13,596 |
12,795 |
$205K |
| 86317 |
|
20,632 |
19,700 |
$204K |
| 86431 |
|
48,685 |
47,048 |
$201K |
| 84550 |
|
67,598 |
63,026 |
$200K |
| 82105 |
|
17,514 |
16,394 |
$199K |
| 87075 |
|
28,581 |
27,438 |
$197K |
| 88341 |
|
2,508 |
2,367 |
$192K |
| G0481 |
Drug test def 8-14 classes |
3,029 |
2,869 |
$185K |
| 85610 |
|
67,585 |
57,790 |
$182K |
| 87517 |
|
5,920 |
5,842 |
$177K |
| 87150 |
|
23,146 |
22,357 |
$166K |
| 87209 |
|
12,517 |
12,175 |
$166K |
| 87427 |
|
19,673 |
18,919 |
$165K |
| 84450 |
|
51,146 |
47,181 |
$164K |
| 84436 |
|
35,498 |
33,594 |
$163K |
| 84460 |
|
47,906 |
44,263 |
$163K |
| 82565 |
|
51,507 |
47,392 |
$162K |
| 86141 |
|
17,447 |
16,362 |
$154K |
| 84445 |
|
4,058 |
4,008 |
$153K |
| 86147 |
|
3,525 |
3,308 |
$153K |
| 86765 |
|
17,423 |
16,647 |
$153K |
| 83721 |
|
34,253 |
33,252 |
$148K |
| 86364 |
|
11,305 |
11,034 |
$145K |
| 82024 |
|
5,108 |
4,831 |
$140K |
| 86709 |
|
18,190 |
17,458 |
$139K |
| 87046 |
|
20,130 |
18,979 |
$137K |
| 82247 |
|
47,981 |
39,837 |
$137K |
| 86735 |
|
15,265 |
14,589 |
$134K |
| 87045 |
|
19,629 |
18,885 |
$132K |
| 86361 |
|
7,308 |
7,007 |
$130K |
| 80164 |
|
16,602 |
14,547 |
$130K |
| 84156 |
|
49,135 |
44,977 |
$126K |
| 82248 |
|
40,360 |
34,903 |
$125K |
| 83525 |
|
14,893 |
14,148 |
$122K |
| 86870 |
|
3,658 |
3,437 |
$120K |
| 86677 |
|
6,910 |
6,615 |
$120K |
| 82977 |
|
27,736 |
25,189 |
$118K |
| 85060 |
|
10,161 |
9,877 |
$117K |
| 84100 |
|
39,017 |
30,070 |
$115K |
| 86258 |
|
6,569 |
6,363 |
$115K |
| 84270 |
|
7,273 |
6,973 |
$110K |
| 86225 |
|
12,378 |
12,059 |
$109K |
| 87255 |
|
4,130 |
3,995 |
$108K |
| 82150 |
|
22,673 |
21,750 |
$107K |
| 87625 |
|
4,694 |
4,600 |
$106K |
| 81329 |
|
1,627 |
1,607 |
$104K |
| 84681 |
|
7,077 |
6,787 |
$103K |
| 80069 |
|
19,549 |
17,915 |
$102K |
| 84165 |
|
14,224 |
13,546 |
$100K |
| 82239 |
|
7,703 |
6,498 |
$99K |
| 86900 |
|
53,548 |
50,955 |
$99K |
| 87493 |
|
4,003 |
3,837 |
$98K |
| 86901 |
|
53,613 |
51,015 |
$98K |
| 80178 |
|
22,778 |
20,107 |
$96K |
| 82550 |
|
21,065 |
19,366 |
$95K |
| 82947 |
|
36,784 |
34,089 |
$94K |
| 86664 |
|
8,272 |
7,921 |
$93K |
| 83498 |
|
4,653 |
4,603 |
$92K |
| 83090 |
|
8,227 |
7,768 |
$89K |
| 85730 |
|
23,689 |
22,202 |
$88K |
| 84703 |
|
16,587 |
15,392 |
$88K |
| 82378 |
|
6,518 |
5,759 |
$86K |
| 84154 |
|
7,624 |
7,303 |
$85K |
| 87210 |
|
23,313 |
22,471 |
$85K |
| 84520 |
|
34,322 |
31,197 |
$85K |
| 87177 |
|
12,600 |
12,245 |
$82K |
| 82652 |
|
5,357 |
4,982 |
$81K |
| 82785 |
|
6,753 |
6,605 |
$78K |
| 83615 |
|
21,333 |
18,821 |
$78K |
| 82040 |
|
27,852 |
25,641 |
$78K |
| 84425 |
|
5,402 |
5,319 |
$77K |
| 84075 |
|
26,663 |
24,455 |
$76K |
| 84479 |
|
17,418 |
16,481 |
$75K |
| 86304 |
|
5,309 |
4,984 |
$74K |
| 82672 |
|
5,021 |
4,820 |
$74K |
| 86705 |
|
8,988 |
8,594 |
$72K |
| 86334 |
|
5,094 |
4,844 |
$72K |
| 81596 |
|
1,932 |
1,918 |
$71K |
| 87205 |
|
22,195 |
21,323 |
$71K |
| 82310 |
|
24,766 |
22,716 |
$69K |
| 84155 |
|
30,147 |
27,816 |
$66K |
| G0482 |
Drug test def 15-21 classes |
898 |
866 |
$66K |
| 88304 |
|
2,864 |
2,670 |
$65K |
| 83921 |
|
5,293 |
5,192 |
$65K |
| 88307 |
|
400 |
380 |
$64K |
| 83520 |
|
5,995 |
5,788 |
$64K |
| 84466 |
|
7,372 |
7,111 |
$63K |
| 88185 |
|
213 |
206 |
$63K |
| 86300 |
|
3,651 |
3,151 |
$62K |
| 80197 |
|
7,209 |
5,358 |
$61K |
| 82330 |
|
6,558 |
6,279 |
$59K |
| 86341 |
|
2,809 |
2,653 |
$58K |
| 82679 |
|
3,371 |
3,289 |
$58K |
| 82140 |
|
6,016 |
5,387 |
$58K |
| 84482 |
|
5,024 |
4,877 |
$57K |
| 86146 |
|
1,311 |
1,225 |
$57K |
| 87324 |
|
6,523 |
6,276 |
$55K |
| 83993 |
|
3,905 |
3,840 |
$55K |
| 82952 |
|
18,083 |
17,336 |
$54K |
| 87338 |
|
5,486 |
5,402 |
$53K |
| 85379 |
|
7,233 |
7,003 |
$51K |
| 84305 |
|
3,245 |
3,198 |
$51K |
| 82390 |
|
6,624 |
6,328 |
$49K |
| 84295 |
|
19,156 |
17,388 |
$49K |
| 86663 |
|
5,006 |
4,730 |
$49K |
| 82103 |
|
4,956 |
4,732 |
$47K |
| 82435 |
|
18,771 |
17,034 |
$47K |
| 87535 |
|
2,114 |
2,076 |
$46K |
| 82088 |
|
1,565 |
1,541 |
$46K |
| 87521 |
Neg quan hep c or qual rna |
1,740 |
1,712 |
$45K |
| 85045 |
|
16,612 |
15,673 |
$45K |
| 83521 |
|
1,736 |
1,557 |
$44K |
| 84134 |
|
4,229 |
3,124 |
$43K |
| 87529 |
|
1,662 |
1,612 |
$43K |
| 80051 |
|
9,131 |
8,409 |
$43K |
| 87350 |
|
5,226 |
5,032 |
$42K |
| 84630 |
|
5,432 |
5,305 |
$42K |
| 87329 |
|
4,706 |
4,630 |
$42K |
| 82626 |
|
2,300 |
2,256 |
$42K |
| 87486 |
|
1,666 |
1,607 |
$41K |
| 87581 |
|
1,657 |
1,599 |
$41K |
| 88230 |
|
490 |
477 |
$40K |
| 36416 |
|
22,774 |
20,884 |
$40K |
| 86357 |
|
1,665 |
1,561 |
$39K |
| 86645 |
|
3,164 |
3,054 |
$39K |
| 86644 |
|
3,781 |
3,593 |
$39K |
| 86702 |
|
4,485 |
4,242 |
$38K |
| 87184 |
|
7,139 |
6,965 |
$38K |
| 84132 |
|
14,206 |
12,681 |
$38K |
| 83021 |
|
2,792 |
2,734 |
$38K |
| 82172 |
|
3,088 |
3,000 |
$37K |
| 84207 |
|
2,026 |
1,995 |
$37K |
| 88313 |
|
876 |
848 |
$36K |
| 82525 |
|
4,322 |
4,198 |
$36K |
| 81025 |
|
7,335 |
6,975 |
$36K |
| G0306 |
Cbc/diffwbc w/o platelet |
6,847 |
6,493 |
$35K |
| 88112 |
|
1,149 |
1,019 |
$34K |
| 88262 |
|
442 |
429 |
$34K |
| 82397 |
|
3,363 |
3,316 |
$34K |
| 86301 |
|
2,484 |
2,181 |
$34K |
| 86593 |
|
10,967 |
10,580 |
$33K |
| 85014 |
|
18,256 |
17,425 |
$31K |
| 81003 |
|
21,460 |
20,535 |
$31K |
| 85018 |
|
17,379 |
16,661 |
$29K |
| 86682 |
|
2,961 |
2,942 |
$29K |
| 86707 |
|
3,465 |
3,362 |
$29K |
| 84478 |
|
8,120 |
6,066 |
$29K |
| 85246 |
|
1,630 |
1,618 |
$28K |
| 85245 |
|
1,588 |
1,576 |
$27K |
| 84166 |
|
2,267 |
2,189 |
$27K |
| 86256 |
|
2,341 |
2,260 |
$27K |
| 86381 |
|
1,434 |
1,421 |
$27K |
| 86618 |
|
1,567 |
1,536 |
$27K |
| 86359 |
|
1,003 |
955 |
$25K |
| 87641 |
|
949 |
935 |
$25K |
| 84432 |
|
2,168 |
2,127 |
$25K |
| 87563 |
|
1,370 |
1,352 |
$25K |
| 80177 |
|
2,839 |
2,716 |
$25K |
| 86308 |
|
6,380 |
6,159 |
$25K |
| 87040 |
|
2,711 |
2,477 |
$24K |
| 80175 |
|
2,758 |
2,666 |
$24K |
| 84484 |
|
3,114 |
2,925 |
$24K |
| 80156 |
|
2,822 |
2,640 |
$24K |
| 85240 |
|
1,762 |
1,738 |
$24K |
| 81374 |
|
4,818 |
4,747 |
$23K |
| 86777 |
|
2,225 |
2,081 |
$23K |
| 84244 |
|
1,451 |
1,430 |
$23K |
| 83020 |
|
2,409 |
2,382 |
$23K |
| 87804 |
|
1,090 |
1,038 |
$23K |
| 86701 |
|
4,089 |
3,852 |
$23K |
| 83010 |
|
2,499 |
2,385 |
$22K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
3,595 |
3,499 |
$22K |
| 87101 |
|
3,808 |
3,655 |
$22K |
| G0307 |
Cbc without platelet |
5,001 |
4,755 |
$22K |
| 82787 |
|
1,191 |
1,106 |
$22K |
| 87635 |
|
471 |
441 |
$21K |
| 83883 |
|
2,331 |
2,225 |
$21K |
| 83014 |
|
3,800 |
3,717 |
$21K |
| 82374 |
|
8,044 |
7,624 |
$21K |
| 82166 |
|
548 |
542 |
$20K |
| 80185 |
|
2,499 |
2,119 |
$20K |
| 82677 |
|
1,134 |
1,118 |
$20K |
| 80159 |
|
1,915 |
1,685 |
$20K |
| G0472 |
Hep c screen high risk/other |
5,758 |
5,507 |
$19K |
| 82653 |
|
994 |
979 |
$19K |
| 86694 |
|
1,794 |
1,769 |
$18K |
| 86356 |
|
1,200 |
1,113 |
$18K |
| 84590 |
|
2,319 |
2,280 |
$18K |
| 82465 |
|
7,259 |
6,416 |
$18K |
| 87076 |
|
3,071 |
2,976 |
$17K |
| 85007 |
|
7,308 |
6,981 |
$17K |
| 84080 |
|
1,704 |
1,655 |
$17K |
| 82553 |
|
2,107 |
1,989 |
$17K |
| 86778 |
|
1,548 |
1,445 |
$17K |
| 87538 |
|
655 |
638 |
$16K |
| 86015 |
|
1,733 |
1,711 |
$16K |
| 86037 |
|
699 |
674 |
$16K |
| 81241 |
|
531 |
525 |
$15K |
| 80299 |
|
868 |
819 |
$14K |
| 86162 |
|
1,007 |
994 |
$14K |
| 85660 |
|
3,389 |
3,276 |
$14K |
| 87206 |
|
3,474 |
3,133 |
$14K |
| 87880 |
|
1,467 |
1,434 |
$13K |
| 86336 |
|
1,084 |
1,075 |
$12K |
| 83718 |
|
2,303 |
2,233 |
$12K |
| 86060 |
|
2,292 |
2,151 |
$12K |
| 81015 |
|
5,829 |
5,614 |
$12K |
| 82157 |
|
546 |
533 |
$12K |
| 86255 |
|
1,339 |
1,308 |
$12K |
| G0328 |
Fecal blood scrn immunoassay |
4,682 |
4,554 |
$12K |
| 85049 |
|
4,741 |
4,184 |
$11K |
| 84446 |
|
1,146 |
1,129 |
$11K |
| 83789 |
|
713 |
703 |
$11K |
| 86008 |
|
466 |
459 |
$11K |
| G0483 |
Drug test def 22+ classes |
116 |
112 |
$11K |
| 0202U |
|
420 |
401 |
$11K |
| 82985 |
|
1,165 |
1,080 |
$11K |
| 0352U |
|
73 |
72 |
$9K |
| 86337 |
|
586 |
577 |
$9K |
| 82340 |
|
2,098 |
2,009 |
$9K |
| 81256 |
|
291 |
285 |
$9K |
| 82705 |
|
2,353 |
2,245 |
$9K |
| 85613 |
|
1,129 |
1,089 |
$8K |
| 83935 |
|
1,810 |
1,716 |
$8K |
| 87254 |
|
561 |
538 |
$8K |
| 86738 |
|
444 |
428 |
$8K |
| 83695 |
|
1,133 |
1,122 |
$8K |
| 82085 |
|
1,152 |
1,125 |
$8K |
| 82668 |
|
632 |
627 |
$8K |
| 86231 |
|
714 |
707 |
$8K |
| 86036 |
|
779 |
768 |
$8K |
| 85384 |
|
1,224 |
1,126 |
$7K |
| 0097U |
|
157 |
154 |
$7K |
| 88189 |
|
182 |
175 |
$7K |
| 82164 |
|
682 |
668 |
$7K |
| 80162 |
|
894 |
828 |
$7K |
| 87637 |
|
70 |
70 |
$7K |
| 89055 |
|
2,034 |
1,995 |
$7K |
| 82731 |
|
120 |
113 |
$6K |
| 88184 |
|
213 |
206 |
$6K |
| 83631 |
|
464 |
458 |
$6K |
| 84410 |
|
182 |
174 |
$6K |
| 82955 |
|
820 |
807 |
$6K |
| 87328 |
|
689 |
668 |
$6K |
| 86880 |
|
1,649 |
1,569 |
$6K |
| 87799 |
|
369 |
326 |
$6K |
| 84300 |
|
1,641 |
1,557 |
$5K |
| 83930 |
|
1,213 |
1,141 |
$5K |
| 84145 |
|
319 |
304 |
$5K |
| 87900 |
|
52 |
52 |
$5K |
| 99199 |
|
3,103 |
2,887 |
$5K |
| 82104 |
|
472 |
455 |
$5K |
| 86658 |
|
199 |
169 |
$4K |
| 80305 |
|
583 |
538 |
$4K |
| G0103 |
Psa screening |
3,400 |
3,244 |
$4K |
| 80183 |
|
454 |
447 |
$4K |
| 86617 |
|
177 |
169 |
$4K |
| 81401 |
|
71 |
69 |
$4K |
| 80202 |
|
434 |
216 |
$4K |
| 85048 |
|
2,151 |
2,034 |
$4K |
| 80165 |
|
1,318 |
1,259 |
$4K |
| 86671 |
|
376 |
368 |
$4K |
| 0099U |
|
90 |
89 |
$4K |
| 87481 |
|
199 |
132 |
$3K |
| 82747 |
|
300 |
297 |
$3K |
| 85004 |
|
754 |
705 |
$3K |
| 82552 |
|
359 |
342 |
$3K |
| 87106 |
|
429 |
413 |
$3K |
| 87230 |
|
217 |
213 |
$3K |
| 86355 |
|
129 |
122 |
$3K |
| 82610 |
|
256 |
251 |
$3K |
| 87420 |
|
342 |
341 |
$3K |
| G0475 |
Hiv combination assay |
3,174 |
3,027 |
$3K |
| 84255 |
|
163 |
160 |
$3K |
| 89060 |
|
552 |
531 |
$3K |
| 87207 |
|
629 |
606 |
$3K |
| 89051 |
|
669 |
644 |
$3K |
| 83835 |
|
215 |
214 |
$3K |
| 87807 |
|
272 |
262 |
$3K |
| 82681 |
|
126 |
124 |
$2K |
| 85598 |
|
679 |
664 |
$2K |
| 85041 |
|
985 |
961 |
$2K |
| 82575 |
|
262 |
251 |
$2K |
| 85670 |
|
510 |
504 |
$2K |
| 82656 |
|
222 |
216 |
$2K |
| 80184 |
|
188 |
137 |
$2K |
| 84140 |
|
140 |
135 |
$2K |
| 84163 |
|
157 |
154 |
$2K |
| 86804 |
|
160 |
159 |
$2K |
| 81291 |
|
225 |
219 |
$1K |
| 87502 |
|
23 |
19 |
$1K |
| 83704 |
|
80 |
77 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
43 |
43 |
$1K |
| 87252 |
|
59 |
58 |
$1K |
| 87497 |
|
41 |
37 |
$1K |
| 83986 |
|
469 |
456 |
$1K |
| G0124 |
Screen c/v thin layer by md |
231 |
221 |
$1K |
| 83825 |
|
90 |
90 |
$1K |
| 82542 |
|
70 |
67 |
$1K |
| 84378 |
|
107 |
105 |
$976.25 |
| 87116 |
|
127 |
90 |
$908.16 |
| G0123 |
Screen cerv/vag thin layer |
892 |
860 |
$885.19 |
| 81243 |
|
52 |
52 |
$842.73 |
| 86747 |
|
37 |
36 |
$822.98 |
| 83088 |
|
42 |
41 |
$781.82 |
| 81240 |
|
26 |
24 |
$610.08 |
| 86335 |
|
30 |
30 |
$557.46 |
| 84597 |
|
56 |
54 |
$507.14 |
| 85306 |
|
40 |
39 |
$472.25 |
| 80158 |
|
30 |
24 |
$428.85 |
| 80203 |
|
44 |
41 |
$426.32 |
| 81479 |
|
25 |
25 |
$416.74 |
| 83625 |
|
55 |
52 |
$410.21 |
| 82642 |
|
58 |
56 |
$403.83 |
| 84133 |
|
127 |
122 |
$369.94 |
| 87015 |
|
71 |
55 |
$326.57 |
| S3600 |
Stat lab |
5,751 |
4,553 |
$252.90 |
| 85385 |
|
27 |
27 |
$227.14 |
| 82436 |
|
64 |
63 |
$225.84 |
| 85303 |
|
26 |
26 |
$212.09 |
| 87172 |
|
60 |
54 |
$201.90 |
| 81002 |
|
91 |
87 |
$191.94 |
| 84181 |
|
13 |
13 |
$180.78 |
| 82175 |
|
14 |
14 |
$179.84 |
| 82232 |
|
12 |
12 |
$168.69 |
| 83003 |
|
14 |
14 |
$156.79 |
| 87109 |
|
12 |
12 |
$144.35 |
| 83519 |
|
15 |
12 |
$136.17 |
| 86340 |
|
13 |
13 |
$135.68 |
| 86790 |
|
13 |
12 |
$124.30 |
| 80186 |
|
14 |
13 |
$115.82 |
| 80235 |
|
13 |
13 |
$110.24 |
| 87899 |
|
14 |
12 |
$107.79 |
| 86606 |
|
12 |
12 |
$107.61 |
| 82180 |
|
13 |
13 |
$78.96 |
| 85300 |
|
13 |
12 |
$77.38 |
| P9604 |
One-way allow prorated trip |
606 |
480 |
$59.11 |
| P9603 |
One-way allow prorated miles |
510 |
390 |
$50.90 |
| 83874 |
|
12 |
12 |
$43.86 |
| 87220 |
|
15 |
13 |
$32.89 |
| 99213 |
|
16 |
16 |
$0.00 |
| 81377 |
|
42 |
42 |
$0.00 |
| 80356 |
|
150 |
134 |
$0.00 |
| 80365 |
|
152 |
136 |
$0.00 |
| 80361 |
|
156 |
140 |
$0.00 |