| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
138,784 |
124,086 |
$5.06M |
| 88305 |
|
76,918 |
74,983 |
$2.91M |
| 84443 |
|
829,966 |
813,015 |
$2.69M |
| 80053 |
|
1,207,124 |
1,157,205 |
$2.66M |
| 87491 |
|
361,193 |
348,670 |
$2.63M |
| 82306 |
|
478,297 |
470,549 |
$2.63M |
| 80061 |
|
984,102 |
966,487 |
$2.60M |
| 87591 |
|
363,058 |
350,466 |
$2.60M |
| 85025 |
|
1,133,124 |
1,078,892 |
$1.85M |
| 81220 |
|
8,696 |
8,521 |
$1.80M |
| 81420 |
|
5,920 |
5,889 |
$1.77M |
| 83036 |
|
836,344 |
821,118 |
$1.58M |
| 87798 |
|
79,743 |
65,286 |
$1.45M |
| 87624 |
|
121,618 |
120,612 |
$1.00M |
| 87389 |
|
208,440 |
204,924 |
$971K |
| 87661 |
|
110,791 |
106,709 |
$966K |
| 88175 |
|
158,792 |
157,373 |
$922K |
| 86003 |
|
33,297 |
32,700 |
$898K |
| 87801 |
|
55,415 |
53,904 |
$622K |
| 80307 |
|
48,394 |
45,948 |
$525K |
| 80074 |
|
54,672 |
53,014 |
$520K |
| 87086 |
|
259,415 |
244,602 |
$486K |
| 84439 |
|
280,474 |
274,679 |
$451K |
| 84153 |
|
109,579 |
107,704 |
$444K |
| 86803 |
|
137,748 |
135,821 |
$438K |
| U0005 |
Infec agen detec ampli probe |
42,529 |
38,883 |
$418K |
| 82607 |
|
159,526 |
156,797 |
$418K |
| 86235 |
|
16,736 |
16,331 |
$416K |
| 36415 |
|
1,057,253 |
988,641 |
$409K |
| 82274 |
|
97,820 |
95,403 |
$403K |
| 88312 |
|
14,296 |
14,256 |
$395K |
| 86480 |
|
44,162 |
43,408 |
$388K |
| 82746 |
|
130,926 |
128,935 |
$384K |
| 80050 |
|
22,703 |
20,303 |
$370K |
| 84403 |
|
59,655 |
58,548 |
$359K |
| 83013 |
|
25,089 |
24,845 |
$323K |
| 82043 |
|
204,546 |
200,593 |
$298K |
| 83970 |
|
24,377 |
23,781 |
$293K |
| 82728 |
|
104,748 |
102,058 |
$289K |
| 87536 |
|
10,089 |
9,819 |
$286K |
| 88313 |
|
8,641 |
8,622 |
$284K |
| 80081 |
|
6,445 |
6,245 |
$271K |
| 88341 |
|
3,457 |
3,403 |
$271K |
| 81257 |
|
571 |
570 |
$265K |
| 82570 |
|
173,779 |
169,310 |
$256K |
| 80048 |
|
95,464 |
92,157 |
$250K |
| 87186 |
|
96,119 |
92,438 |
$240K |
| 86769 |
|
9,565 |
9,421 |
$238K |
| 87522 |
Neg quan hep c or qual rna |
12,146 |
11,887 |
$230K |
| 88342 |
|
5,978 |
5,878 |
$213K |
| 83550 |
|
111,016 |
108,424 |
$201K |
| 86592 |
|
213,020 |
208,848 |
$198K |
| 87902 |
|
1,576 |
1,523 |
$198K |
| 82670 |
|
33,542 |
32,882 |
$194K |
| 87088 |
|
100,918 |
97,179 |
$190K |
| 81329 |
|
3,478 |
3,441 |
$188K |
| 87340 |
|
100,325 |
99,061 |
$179K |
| 84481 |
|
51,699 |
50,678 |
$173K |
| G0480 |
Drug test def 1-7 classes |
4,059 |
3,771 |
$173K |
| 84402 |
|
26,791 |
26,338 |
$168K |
| 83540 |
|
123,000 |
120,023 |
$167K |
| 87517 |
|
8,137 |
8,064 |
$161K |
| 88142 |
|
21,898 |
21,473 |
$160K |
| 85027 |
|
121,356 |
118,610 |
$158K |
| 86038 |
|
59,571 |
58,405 |
$158K |
| G0483 |
Drug test def 22+ classes |
1,446 |
1,434 |
$146K |
| 83880 |
|
11,740 |
11,287 |
$144K |
| 81001 |
|
230,550 |
223,828 |
$143K |
| 84436 |
|
101,268 |
99,497 |
$136K |
| 87070 |
|
55,635 |
54,216 |
$136K |
| 83001 |
|
42,179 |
41,510 |
$135K |
| 81003 |
|
302,283 |
294,983 |
$131K |
| 86706 |
|
46,939 |
46,474 |
$125K |
| 84480 |
|
44,073 |
43,440 |
$125K |
| 82652 |
|
19,759 |
19,284 |
$123K |
| 81374 |
|
3,411 |
3,371 |
$116K |
| 88141 |
|
23,923 |
23,763 |
$114K |
| 83002 |
|
35,798 |
35,234 |
$109K |
| 86704 |
|
32,666 |
32,427 |
$105K |
| 86696 |
|
23,105 |
22,493 |
$104K |
| 87077 |
|
53,578 |
52,020 |
$100K |
| 87507 |
|
405 |
398 |
$100K |
| 86376 |
|
30,697 |
30,158 |
$97K |
| 86140 |
|
83,374 |
79,890 |
$95K |
| 84702 |
|
45,013 |
36,324 |
$94K |
| 84550 |
|
111,176 |
108,825 |
$93K |
| 84146 |
|
29,000 |
28,263 |
$92K |
| 82105 |
|
21,924 |
21,439 |
$92K |
| 83735 |
|
56,265 |
52,422 |
$91K |
| 86708 |
|
21,673 |
21,394 |
$86K |
| 80076 |
|
53,797 |
52,690 |
$83K |
| 83516 |
|
14,785 |
14,423 |
$82K |
| 87637 |
|
1,894 |
1,875 |
$79K |
| 82785 |
|
24,255 |
23,946 |
$77K |
| 86360 |
|
5,141 |
4,982 |
$77K |
| 87481 |
|
2,859 |
2,710 |
$77K |
| 87529 |
|
6,426 |
6,278 |
$76K |
| 82378 |
|
19,963 |
17,817 |
$75K |
| 86762 |
|
41,435 |
40,936 |
$73K |
| 99199 |
|
13,345 |
11,864 |
$73K |
| 84479 |
|
61,315 |
60,468 |
$73K |
| 84144 |
|
19,114 |
18,026 |
$72K |
| 88304 |
|
5,209 |
5,156 |
$70K |
| 83655 |
|
34,846 |
34,247 |
$70K |
| 85610 |
|
75,193 |
68,434 |
$69K |
| 86160 |
|
13,129 |
12,796 |
$69K |
| 82784 |
|
18,435 |
17,865 |
$68K |
| 86225 |
|
18,755 |
18,399 |
$65K |
| 87209 |
|
12,081 |
10,845 |
$65K |
| 86695 |
|
20,270 |
19,680 |
$63K |
| 87081 |
|
48,121 |
47,069 |
$63K |
| 81401 |
|
411 |
410 |
$63K |
| 86300 |
|
10,241 |
9,275 |
$63K |
| 87150 |
|
13,731 |
13,505 |
$63K |
| 85730 |
|
47,966 |
46,297 |
$61K |
| 86431 |
|
50,818 |
49,955 |
$60K |
| 86800 |
|
16,521 |
16,128 |
$60K |
| 81251 |
|
187 |
186 |
$59K |
| 85652 |
|
114,651 |
110,656 |
$58K |
| 84154 |
|
16,272 |
16,127 |
$57K |
| 86787 |
|
18,387 |
18,196 |
$57K |
| 82627 |
|
12,757 |
12,570 |
$55K |
| 86147 |
|
4,201 |
4,129 |
$54K |
| 84681 |
|
7,759 |
7,604 |
$52K |
| 86200 |
|
21,909 |
21,523 |
$51K |
| 82533 |
|
10,681 |
10,236 |
$50K |
| G0481 |
Drug test def 8-14 classes |
983 |
968 |
$46K |
| 86141 |
|
13,766 |
13,619 |
$42K |
| 86304 |
|
8,882 |
8,357 |
$41K |
| 86665 |
|
3,705 |
3,621 |
$41K |
| 83520 |
|
8,543 |
8,388 |
$41K |
| 86361 |
|
4,608 |
4,485 |
$40K |
| 87901 |
|
249 |
248 |
$40K |
| 83690 |
|
22,812 |
22,297 |
$40K |
| 88307 |
|
586 |
585 |
$38K |
| 86635 |
|
3,782 |
3,518 |
$38K |
| 87900 |
|
510 |
498 |
$38K |
| 88112 |
|
2,012 |
1,953 |
$38K |
| 88185 |
|
242 |
238 |
$38K |
| 84100 |
|
35,124 |
32,262 |
$37K |
| 86317 |
|
17,562 |
17,407 |
$37K |
| 84445 |
|
3,937 |
3,872 |
$36K |
| 81243 |
|
1,490 |
1,476 |
$36K |
| 82550 |
|
20,993 |
20,142 |
$34K |
| 80347 |
|
8,483 |
8,360 |
$33K |
| 86765 |
|
14,784 |
14,635 |
$33K |
| 87177 |
|
12,161 |
10,907 |
$32K |
| 87338 |
|
15,625 |
15,467 |
$32K |
| 87075 |
|
8,546 |
8,214 |
$31K |
| 82672 |
|
5,038 |
4,988 |
$31K |
| 86735 |
|
13,307 |
13,191 |
$31K |
| 87625 |
|
1,144 |
1,134 |
$31K |
| 86146 |
|
2,205 |
2,167 |
$31K |
| 86780 |
|
8,951 |
8,770 |
$30K |
| 87427 |
|
9,482 |
9,291 |
$30K |
| 81200 |
|
175 |
174 |
$30K |
| 83615 |
|
25,456 |
23,862 |
$30K |
| 80361 |
|
11,160 |
10,902 |
$30K |
| 83525 |
|
13,047 |
12,855 |
$29K |
| 81330 |
|
175 |
174 |
$29K |
| 88173 |
|
637 |
627 |
$29K |
| 87045 |
|
9,538 |
9,350 |
$28K |
| 82977 |
|
24,181 |
23,520 |
$28K |
| 83721 |
|
12,973 |
12,803 |
$28K |
| 86301 |
|
5,239 |
4,789 |
$27K |
| 86677 |
|
4,052 |
3,920 |
$27K |
| 84165 |
|
7,851 |
7,498 |
$27K |
| 84450 |
|
35,618 |
34,440 |
$27K |
| 82024 |
|
3,415 |
3,332 |
$26K |
| 87635 |
|
988 |
959 |
$26K |
| 84156 |
|
28,712 |
27,151 |
$26K |
| 82565 |
|
32,744 |
31,332 |
$25K |
| 80365 |
|
10,466 |
10,246 |
$25K |
| 83090 |
|
5,472 |
5,388 |
$25K |
| 86850 |
|
31,172 |
30,687 |
$23K |
| 84460 |
|
26,234 |
25,481 |
$23K |
| 80164 |
|
6,567 |
6,183 |
$23K |
| 82140 |
|
4,315 |
4,132 |
$23K |
| 82951 |
|
13,030 |
12,859 |
$23K |
| 82150 |
|
17,604 |
17,218 |
$23K |
| 86334 |
|
3,494 |
3,382 |
$22K |
| 81162 |
|
12 |
12 |
$22K |
| 84425 |
|
3,724 |
3,670 |
$21K |
| 83883 |
|
3,612 |
3,380 |
$21K |
| 80069 |
|
12,563 |
11,957 |
$21K |
| 82950 |
|
27,174 |
26,448 |
$21K |
| 80348 |
|
10,771 |
10,504 |
$20K |
| 82947 |
|
41,090 |
40,078 |
$20K |
| 80373 |
|
9,985 |
9,817 |
$20K |
| 87906 |
|
234 |
233 |
$19K |
| 80354 |
|
10,563 |
10,349 |
$19K |
| 80358 |
|
10,218 |
10,047 |
$19K |
| 83498 |
|
3,188 |
3,126 |
$19K |
| 84075 |
|
21,380 |
20,652 |
$18K |
| 83992 |
|
6,307 |
6,238 |
$18K |
| 82310 |
|
19,376 |
18,654 |
$18K |
| 86709 |
|
7,282 |
7,234 |
$18K |
| 85060 |
|
4,234 |
4,145 |
$18K |
| 80353 |
|
9,887 |
9,733 |
$18K |
| 83521 |
|
1,378 |
1,274 |
$17K |
| 82330 |
|
4,233 |
4,117 |
$17K |
| 80359 |
|
10,154 |
9,954 |
$17K |
| 82248 |
|
17,471 |
16,673 |
$17K |
| 87535 |
|
2,563 |
2,549 |
$17K |
| 87046 |
|
9,518 |
9,321 |
$17K |
| 84520 |
|
27,037 |
25,943 |
$17K |
| 80372 |
|
9,812 |
9,661 |
$17K |
| 84270 |
|
3,712 |
3,670 |
$17K |
| 82247 |
|
24,178 |
23,244 |
$17K |
| 84207 |
|
2,175 |
2,159 |
$16K |
| 87480 |
|
6,216 |
6,104 |
$16K |
| 83921 |
|
2,658 |
2,573 |
$16K |
| 82397 |
|
3,750 |
3,683 |
$16K |
| 83014 |
|
12,306 |
12,216 |
$16K |
| 86256 |
|
2,395 |
2,353 |
$16K |
| 86364 |
|
5,398 |
5,382 |
$16K |
| 82507 |
|
1,084 |
1,043 |
$16K |
| 87510 |
|
6,213 |
6,101 |
$16K |
| 80197 |
|
4,328 |
3,601 |
$15K |
| 87660 |
|
6,191 |
6,079 |
$15K |
| 83695 |
|
2,286 |
2,282 |
$15K |
| 82040 |
|
20,989 |
20,294 |
$15K |
| 86664 |
|
2,519 |
2,459 |
$15K |
| 84155 |
|
23,628 |
22,691 |
$15K |
| 0202U |
|
45 |
45 |
$15K |
| 84703 |
|
13,184 |
12,865 |
$15K |
| 83993 |
|
3,294 |
3,248 |
$14K |
| 85045 |
|
19,983 |
19,235 |
$13K |
| 81596 |
|
1,196 |
1,170 |
$13K |
| 80178 |
|
4,707 |
4,346 |
$13K |
| 86901 |
|
36,479 |
35,953 |
$13K |
| 86900 |
|
36,520 |
35,993 |
$13K |
| 86341 |
|
1,285 |
1,272 |
$13K |
| 87563 |
|
4,275 |
4,221 |
$13K |
| 87350 |
|
4,318 |
4,285 |
$12K |
| 82172 |
|
4,134 |
4,098 |
$12K |
| 83021 |
|
2,180 |
2,105 |
$12K |
| 87324 |
|
3,167 |
3,107 |
$12K |
| 86705 |
|
4,641 |
4,602 |
$11K |
| 84305 |
|
3,262 |
3,163 |
$11K |
| 80051 |
|
7,068 |
6,833 |
$11K |
| 86381 |
|
2,449 |
2,422 |
$11K |
| 86707 |
|
3,874 |
3,841 |
$11K |
| 84466 |
|
2,535 |
2,478 |
$11K |
| 87538 |
|
2,196 |
2,158 |
$10K |
| 86255 |
|
3,713 |
3,652 |
$10K |
| 84132 |
|
15,632 |
14,918 |
$10K |
| 84410 |
|
713 |
695 |
$10K |
| 99001 |
|
3,180 |
2,611 |
$10K |
| 85379 |
|
3,521 |
3,457 |
$10K |
| 82626 |
|
2,271 |
2,253 |
$9K |
| 87329 |
|
2,766 |
2,642 |
$9K |
| 83010 |
|
3,214 |
3,140 |
$9K |
| 87650 |
|
514 |
514 |
$9K |
| U0002 |
Covid-19 lab test non-cdc |
176 |
175 |
$9K |
| 86593 |
|
3,472 |
3,319 |
$9K |
| 84482 |
|
1,668 |
1,654 |
$9K |
| 86008 |
|
472 |
466 |
$8K |
| 80326 |
|
6,140 |
6,074 |
$8K |
| 85613 |
|
2,724 |
2,676 |
$8K |
| 80377 |
|
6,161 |
6,094 |
$8K |
| 84478 |
|
7,178 |
6,327 |
$8K |
| 0097U |
|
38 |
38 |
$8K |
| 82390 |
|
3,329 |
3,262 |
$8K |
| 84295 |
|
14,085 |
13,479 |
$8K |
| 86359 |
|
1,419 |
1,382 |
$8K |
| 83945 |
|
1,087 |
1,044 |
$8K |
| 84166 |
|
1,344 |
1,315 |
$8K |
| 80364 |
|
6,131 |
6,067 |
$7K |
| 86037 |
|
1,108 |
1,093 |
$7K |
| 82668 |
|
1,645 |
1,618 |
$7K |
| 80341 |
|
6,160 |
6,096 |
$7K |
| 80337 |
|
6,198 |
6,133 |
$7K |
| 82088 |
|
757 |
739 |
$7K |
| 82435 |
|
13,580 |
13,015 |
$7K |
| 80370 |
|
6,216 |
6,152 |
$7K |
| 87255 |
|
816 |
806 |
$7K |
| 86618 |
|
720 |
703 |
$7K |
| 82103 |
|
2,125 |
2,084 |
$7K |
| 86258 |
|
2,150 |
2,146 |
$7K |
| 80366 |
|
6,234 |
6,162 |
$7K |
| 80367 |
|
6,134 |
6,070 |
$7K |
| 80331 |
|
6,130 |
6,065 |
$6K |
| 80355 |
|
6,249 |
6,171 |
$6K |
| 80368 |
|
6,268 |
6,197 |
$6K |
| 80360 |
|
6,214 |
6,150 |
$6K |
| 80338 |
|
6,204 |
6,138 |
$6K |
| 80371 |
|
6,129 |
6,065 |
$6K |
| 80334 |
|
6,197 |
6,132 |
$6K |
| 80357 |
|
6,165 |
6,095 |
$6K |
| 80344 |
|
6,130 |
6,065 |
$6K |
| 86015 |
|
2,283 |
2,257 |
$6K |
| 80324 |
|
3,647 |
3,526 |
$6K |
| 86694 |
|
2,108 |
2,071 |
$6K |
| 82465 |
|
9,555 |
9,322 |
$6K |
| 88344 |
|
16 |
16 |
$6K |
| 80177 |
|
1,541 |
1,493 |
$6K |
| 83020 |
|
3,628 |
3,608 |
$6K |
| 84432 |
|
1,282 |
1,256 |
$6K |
| 86162 |
|
1,503 |
1,480 |
$6K |
| 82340 |
|
2,018 |
1,946 |
$5K |
| 80346 |
|
2,192 |
2,089 |
$5K |
| 85598 |
|
1,144 |
1,121 |
$5K |
| 80159 |
|
848 |
646 |
$5K |
| 88184 |
|
230 |
228 |
$5K |
| 87101 |
|
2,577 |
2,491 |
$5K |
| 81025 |
|
4,619 |
4,521 |
$5K |
| 84630 |
|
2,913 |
2,880 |
$5K |
| 85732 |
|
2,320 |
2,292 |
$5K |
| 85018 |
|
15,600 |
15,254 |
$4K |
| 85014 |
|
11,931 |
11,678 |
$4K |
| 84300 |
|
1,999 |
1,931 |
$4K |
| 82525 |
|
1,523 |
1,493 |
$4K |
| 84484 |
|
682 |
649 |
$4K |
| 87804 |
|
179 |
175 |
$4K |
| 83704 |
|
438 |
438 |
$4K |
| 86663 |
|
643 |
607 |
$4K |
| 87205 |
|
2,619 |
2,420 |
$4K |
| 86702 |
|
875 |
855 |
$4K |
| 86060 |
|
2,832 |
2,765 |
$4K |
| 80185 |
|
626 |
574 |
$4K |
| 88189 |
|
111 |
110 |
$4K |
| 82085 |
|
1,836 |
1,809 |
$4K |
| 85660 |
|
2,027 |
1,949 |
$4K |
| 86790 |
|
234 |
233 |
$3K |
| 84560 |
|
1,223 |
1,179 |
$3K |
| 83003 |
|
137 |
134 |
$3K |
| 82232 |
|
423 |
384 |
$3K |
| 84080 |
|
620 |
609 |
$3K |
| 84105 |
|
1,054 |
1,013 |
$3K |
| 87502 |
|
181 |
180 |
$3K |
| 86644 |
|
722 |
696 |
$3K |
| 84134 |
|
601 |
506 |
$3K |
| 85240 |
|
788 |
760 |
$3K |
| 82436 |
|
981 |
943 |
$3K |
| 81256 |
|
110 |
108 |
$3K |
| 82747 |
|
780 |
771 |
$3K |
| 88360 |
|
24 |
24 |
$3K |
| 86231 |
|
3,217 |
3,210 |
$3K |
| 84540 |
|
945 |
902 |
$3K |
| 84133 |
|
1,080 |
1,035 |
$3K |
| 80299 |
|
440 |
430 |
$3K |
| 82952 |
|
5,672 |
5,540 |
$3K |
| 89055 |
|
1,775 |
1,717 |
$3K |
| 84244 |
|
610 |
600 |
$3K |
| 81241 |
|
218 |
216 |
$3K |
| 85246 |
|
619 |
597 |
$3K |
| 84392 |
|
987 |
949 |
$3K |
| 85041 |
|
6,546 |
6,417 |
$2K |
| 85670 |
|
1,738 |
1,703 |
$2K |
| 84378 |
|
2,607 |
2,589 |
$2K |
| 86331 |
|
789 |
773 |
$2K |
| 87206 |
|
1,377 |
1,175 |
$2K |
| 80156 |
|
430 |
416 |
$2K |
| 87521 |
Neg quan hep c or qual rna |
499 |
491 |
$2K |
| 82615 |
|
474 |
472 |
$2K |
| 86308 |
|
1,379 |
1,355 |
$2K |
| G0482 |
Drug test def 15-21 classes |
38 |
37 |
$2K |
| 86005 |
|
1,360 |
1,344 |
$2K |
| 80055 |
|
185 |
180 |
$2K |
| 85048 |
|
6,594 |
6,464 |
$2K |
| 86701 |
|
595 |
580 |
$2K |
| 85007 |
|
2,670 |
2,648 |
$2K |
| 87636 |
|
196 |
195 |
$2K |
| 82653 |
|
502 |
496 |
$2K |
| 81206 |
|
47 |
45 |
$2K |
| 81490 |
|
58 |
57 |
$2K |
| 83935 |
|
830 |
810 |
$2K |
| 87799 |
|
125 |
118 |
$2K |
| 81270 |
|
65 |
64 |
$2K |
| 87076 |
|
594 |
582 |
$2K |
| 81207 |
|
46 |
44 |
$1K |
| 85245 |
|
426 |
409 |
$1K |
| 81050 |
|
914 |
877 |
$1K |
| 86171 |
|
1,208 |
1,185 |
$1K |
| 82239 |
|
527 |
477 |
$1K |
| 80175 |
|
485 |
472 |
$1K |
| 83986 |
|
956 |
917 |
$1K |
| 83835 |
|
304 |
288 |
$1K |
| 82166 |
|
584 |
582 |
$1K |
| 87210 |
|
685 |
647 |
$1K |
| 82575 |
|
722 |
693 |
$1K |
| 83519 |
|
129 |
125 |
$1K |
| 86645 |
|
263 |
256 |
$1K |
| 86335 |
|
99 |
98 |
$1K |
| 82107 |
|
206 |
205 |
$1K |
| 86692 |
|
83 |
83 |
$960.00 |
| 82553 |
|
235 |
227 |
$959.32 |
| 87493 |
|
144 |
144 |
$923.97 |
| 82679 |
|
129 |
124 |
$899.98 |
| 82365 |
|
170 |
167 |
$885.81 |
| 82787 |
|
82 |
81 |
$878.21 |
| 87040 |
|
189 |
175 |
$854.05 |
| 85705 |
|
145 |
144 |
$839.39 |
| 82610 |
|
527 |
467 |
$826.85 |
| 85306 |
|
200 |
198 |
$792.85 |
| 82374 |
|
1,041 |
987 |
$774.32 |
| 82157 |
|
225 |
220 |
$722.65 |
| 84590 |
|
362 |
355 |
$678.51 |
| 86671 |
|
355 |
349 |
$636.14 |
| 86357 |
|
337 |
334 |
$628.27 |
| 81422 |
|
774 |
774 |
$600.00 |
| 80356 |
|
238 |
234 |
$591.05 |
| 86777 |
|
135 |
125 |
$587.40 |
| 87106 |
|
122 |
118 |
$560.84 |
| 88302 |
|
37 |
37 |
$520.49 |
| 80202 |
|
72 |
37 |
$520.02 |
| 82542 |
|
130 |
127 |
$500.37 |
| 86337 |
|
79 |
76 |
$489.54 |
| 80162 |
|
68 |
61 |
$472.24 |
| 82523 |
|
102 |
102 |
$462.00 |
| 82985 |
|
160 |
157 |
$458.11 |
| 81240 |
|
66 |
66 |
$456.82 |
| 83718 |
|
449 |
441 |
$447.08 |
| 85004 |
|
154 |
149 |
$443.89 |
| 85384 |
|
297 |
287 |
$431.04 |
| 81015 |
|
323 |
323 |
$424.16 |
| 82164 |
|
215 |
213 |
$406.00 |
| 86356 |
|
295 |
291 |
$389.66 |
| 80165 |
|
94 |
94 |
$376.23 |
| 86036 |
|
386 |
378 |
$343.27 |
| 86606 |
|
67 |
66 |
$339.25 |
| 82705 |
|
260 |
259 |
$339.16 |
| G0472 |
Hep c screen high risk/other |
26 |
26 |
$337.49 |
| 80184 |
|
44 |
44 |
$332.86 |
| 85049 |
|
150 |
146 |
$316.05 |
| 88311 |
|
27 |
26 |
$313.10 |
| 84446 |
|
115 |
114 |
$285.82 |
| 82131 |
|
42 |
41 |
$271.22 |
| 85597 |
|
69 |
66 |
$258.30 |
| 84152 |
|
106 |
105 |
$230.94 |
| G0328 |
Fecal blood scrn immunoassay |
164 |
162 |
$230.00 |
| 85300 |
|
67 |
67 |
$227.36 |
| 82681 |
|
14 |
14 |
$223.52 |
| 87109 |
|
25 |
25 |
$190.08 |
| 86355 |
|
12 |
12 |
$173.58 |
| 82656 |
|
79 |
76 |
$169.13 |
| 87116 |
|
74 |
50 |
$160.90 |
| 80321 |
|
78 |
71 |
$156.52 |
| 80349 |
|
480 |
440 |
$149.26 |
| 83825 |
|
52 |
51 |
$139.96 |
| 82175 |
|
27 |
26 |
$120.34 |
| 88164 |
|
339 |
325 |
$117.35 |
| 80369 |
|
31 |
30 |
$104.40 |
| 82552 |
|
70 |
70 |
$103.28 |
| 83930 |
|
39 |
38 |
$99.15 |
| 85303 |
|
27 |
27 |
$74.65 |
| 87807 |
|
12 |
12 |
$73.72 |
| 87631 |
|
118 |
115 |
$61.07 |
| 82360 |
|
12 |
12 |
$59.42 |
| 86747 |
|
13 |
13 |
$53.44 |
| 82530 |
|
28 |
26 |
$50.13 |
| 86682 |
|
15 |
15 |
$20.80 |
| 86880 |
|
27 |
26 |
$16.53 |
| 83631 |
|
27 |
25 |
$15.70 |
| 86804 |
|
152 |
151 |
$15.18 |
| 82955 |
|
12 |
12 |
$8.62 |
| 80362 |
|
181 |
139 |
$1.00 |
| 87880 |
|
220 |
220 |
$0.00 |
| 80339 |
|
15 |
13 |
$0.00 |
| 86336 |
|
224 |
222 |
$0.00 |
| 87102 |
|
52 |
51 |
$0.00 |
| 87905 |
|
52 |
51 |
$0.00 |
| 84140 |
|
12 |
12 |
$0.00 |
| 84163 |
|
42 |
42 |
$0.00 |
| 99284 |
|
26 |
25 |
$0.00 |
| 93005 |
|
22 |
21 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12 |
12 |
$0.00 |
| 87633 |
|
13 |
13 |
$0.00 |
| 36416 |
|
270 |
185 |
$0.00 |
| 82677 |
|
163 |
161 |
$0.00 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
74 |
73 |
$0.00 |
| 80345 |
|
164 |
163 |
$0.00 |
| 80374 |
|
98 |
88 |
$0.00 |
| 96375 |
|
12 |
12 |
$0.00 |
| 81229 |
|
14 |
12 |
$0.00 |
| 83789 |
|
12 |
12 |
$0.00 |
| 96374 |
|
12 |
12 |
$0.00 |
| 86226 |
|
12 |
12 |
$0.00 |
| 87593 |
|
18 |
18 |
$0.00 |
| 87581 |
|
26 |
26 |
$0.00 |
| 82642 |
|
13 |
13 |
$0.00 |
| 87486 |
|
25 |
25 |
$0.00 |
| 84591 |
|
26 |
26 |
$0.00 |
| 99285 |
|
17 |
17 |
$0.00 |
| 99283 |
|
30 |
29 |
$0.00 |
| 83874 |
|
12 |
12 |
$0.00 |
| 83605 |
|
12 |
12 |
$0.00 |
| 80320 |
|
16 |
16 |
$0.00 |
| 86738 |
|
14 |
14 |
$0.00 |