| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
373,787 |
256,955 |
$18.02M |
| 80050 |
|
439,483 |
413,152 |
$10.16M |
| 87491 |
|
453,233 |
417,506 |
$9.13M |
| 87591 |
|
446,051 |
411,019 |
$9.00M |
| 80307 |
|
235,667 |
176,317 |
$7.21M |
| 80061 |
|
1,101,129 |
1,033,779 |
$5.81M |
| 82306 |
|
434,608 |
400,489 |
$5.05M |
| 80081 |
|
102,458 |
97,580 |
$4.37M |
| 87389 |
|
335,801 |
311,458 |
$4.33M |
| 80053 |
|
1,096,177 |
1,015,623 |
$3.87M |
| 84443 |
|
704,167 |
655,934 |
$3.53M |
| 83036 |
|
914,226 |
848,801 |
$3.46M |
| U0005 |
Infec agen detec ampli probe |
249,114 |
177,290 |
$3.42M |
| 88175 |
|
213,806 |
203,010 |
$3.31M |
| 85025 |
|
1,144,227 |
1,047,627 |
$3.12M |
| G0480 |
Drug test def 1-7 classes |
81,935 |
51,518 |
$3.10M |
| 81514 |
|
36,463 |
33,597 |
$2.85M |
| 87661 |
|
150,438 |
135,562 |
$2.81M |
| 87624 |
|
97,972 |
94,330 |
$1.96M |
| 87086 |
|
478,296 |
439,791 |
$1.84M |
| 86003 |
|
75,203 |
38,242 |
$1.72M |
| 80074 |
|
83,272 |
68,769 |
$1.45M |
| 84439 |
|
349,576 |
327,747 |
$1.38M |
| 86803 |
|
183,699 |
170,321 |
$1.29M |
| 88305 |
|
23,480 |
19,306 |
$1.15M |
| 82607 |
|
167,117 |
155,889 |
$1.13M |
| 87800 |
|
37,763 |
36,916 |
$991K |
| 86235 |
|
22,990 |
18,628 |
$957K |
| 84403 |
|
69,960 |
65,150 |
$934K |
| 87633 |
|
14,557 |
13,588 |
$881K |
| 84702 |
|
107,228 |
86,955 |
$853K |
| 86696 |
|
74,357 |
68,487 |
$825K |
| 84481 |
|
111,298 |
104,897 |
$804K |
| 81420 |
|
2,617 |
2,546 |
$769K |
| 87536 |
|
18,905 |
16,965 |
$766K |
| 86592 |
|
315,859 |
288,522 |
$734K |
| 83013 |
|
24,474 |
23,420 |
$734K |
| 87798 |
|
10,529 |
8,423 |
$710K |
| 86480 |
|
24,450 |
22,886 |
$683K |
| 82105 |
|
76,733 |
72,534 |
$673K |
| G0481 |
Drug test def 8-14 classes |
8,749 |
6,428 |
$643K |
| 82746 |
|
94,319 |
87,710 |
$642K |
| 87070 |
|
127,439 |
120,690 |
$604K |
| 83525 |
|
88,480 |
81,964 |
$549K |
| 87340 |
|
111,154 |
102,547 |
$546K |
| 36415 |
|
788,712 |
689,393 |
$546K |
| 82670 |
|
34,963 |
32,801 |
$531K |
| 84153 |
|
73,103 |
67,232 |
$520K |
| 87522 |
Neg quan hep c or qual rna |
24,130 |
21,956 |
$512K |
| 87186 |
|
134,743 |
124,574 |
$509K |
| 86695 |
|
67,660 |
62,112 |
$507K |
| 88141 |
|
35,572 |
33,535 |
$497K |
| 83970 |
|
39,593 |
37,814 |
$479K |
| 87081 |
|
129,880 |
123,873 |
$477K |
| 87481 |
|
40,654 |
11,143 |
$454K |
| 86376 |
|
57,673 |
54,310 |
$427K |
| 86038 |
|
72,877 |
68,435 |
$425K |
| 83001 |
|
43,463 |
41,217 |
$422K |
| 84146 |
|
43,386 |
40,640 |
$420K |
| 87077 |
|
119,180 |
110,727 |
$416K |
| 82728 |
|
75,014 |
70,630 |
$404K |
| 83550 |
|
110,364 |
103,122 |
$399K |
| 87801 |
|
11,452 |
10,461 |
$397K |
| 84270 |
|
34,815 |
32,667 |
$395K |
| 83655 |
|
60,247 |
57,649 |
$380K |
| 87635 |
|
13,133 |
12,018 |
$373K |
| 87902 |
|
3,277 |
2,976 |
$369K |
| 83540 |
|
138,782 |
129,766 |
$356K |
| 86706 |
|
64,322 |
58,991 |
$353K |
| 87529 |
|
29,129 |
14,621 |
$346K |
| 83880 |
|
28,650 |
26,387 |
$343K |
| 87636 |
|
4,914 |
4,613 |
$341K |
| 81220 |
|
3,233 |
2,548 |
$336K |
| 86780 |
|
44,914 |
41,167 |
$329K |
| 83002 |
|
34,430 |
32,647 |
$328K |
| 82677 |
|
24,220 |
22,522 |
$326K |
| 86704 |
|
51,039 |
46,768 |
$319K |
| 84144 |
|
27,871 |
24,653 |
$317K |
| 86708 |
|
50,542 |
46,241 |
$303K |
| 86762 |
|
37,160 |
32,916 |
$295K |
| 84436 |
|
101,435 |
94,356 |
$293K |
| 86769 |
|
11,971 |
9,795 |
$289K |
| 82043 |
|
139,624 |
133,491 |
$273K |
| 82570 |
|
145,828 |
137,521 |
$259K |
| 86850 |
|
54,158 |
48,750 |
$254K |
| 81003 |
|
269,664 |
246,154 |
$246K |
| 82950 |
|
100,180 |
94,149 |
$242K |
| 85027 |
|
84,058 |
78,951 |
$240K |
| 86787 |
|
35,160 |
29,331 |
$234K |
| 86336 |
|
24,343 |
22,624 |
$216K |
| 82652 |
|
19,844 |
16,906 |
$214K |
| 86160 |
|
24,288 |
21,889 |
$212K |
| 82785 |
|
23,302 |
21,877 |
$211K |
| 83516 |
|
44,746 |
24,106 |
$207K |
| 82627 |
|
17,628 |
16,673 |
$203K |
| 80048 |
|
69,582 |
63,782 |
$201K |
| 87631 |
|
3,089 |
2,974 |
$200K |
| 83735 |
|
72,159 |
64,213 |
$195K |
| 88142 |
|
17,776 |
16,618 |
$194K |
| 86140 |
|
81,192 |
74,503 |
$191K |
| 84480 |
|
34,192 |
30,871 |
$190K |
| 83020 |
|
28,728 |
25,740 |
$189K |
| 82951 |
|
28,164 |
27,161 |
$186K |
| 84479 |
|
67,211 |
62,953 |
$182K |
| 87147 |
|
66,053 |
61,812 |
$174K |
| 81001 |
|
130,560 |
120,078 |
$170K |
| 86665 |
|
8,613 |
7,951 |
$167K |
| 80164 |
|
32,792 |
30,278 |
$166K |
| 84681 |
|
15,465 |
14,155 |
$165K |
| 84550 |
|
100,261 |
94,677 |
$156K |
| 86431 |
|
56,506 |
53,062 |
$156K |
| 86800 |
|
18,829 |
18,053 |
$155K |
| 87901 |
|
1,091 |
945 |
$152K |
| 80323 |
|
13,989 |
6,773 |
$151K |
| 86694 |
|
20,310 |
19,033 |
$150K |
| 86361 |
|
12,142 |
10,829 |
$146K |
| 86147 |
|
4,979 |
4,169 |
$140K |
| 80349 |
|
25,158 |
21,683 |
$140K |
| 86225 |
|
21,405 |
20,238 |
$137K |
| 85652 |
|
111,157 |
103,587 |
$133K |
| 83498 |
|
8,676 |
8,123 |
$129K |
| 87209 |
|
15,447 |
11,648 |
$122K |
| 80076 |
|
30,700 |
29,090 |
$120K |
| 87507 |
|
1,996 |
1,931 |
$117K |
| 87660 |
|
14,244 |
13,169 |
$116K |
| 83690 |
|
34,513 |
32,453 |
$115K |
| 87799 |
|
4,835 |
3,505 |
$113K |
| 82248 |
|
60,900 |
55,469 |
$109K |
| 82533 |
|
13,418 |
12,181 |
$108K |
| 87480 |
|
14,184 |
13,155 |
$108K |
| 82784 |
|
19,322 |
16,084 |
$108K |
| 87511 |
|
8,331 |
6,900 |
$107K |
| 86200 |
|
17,409 |
16,530 |
$105K |
| 87653 |
|
6,067 |
5,886 |
$102K |
| 82024 |
|
4,760 |
4,522 |
$101K |
| 84445 |
|
3,795 |
3,584 |
$97K |
| 86364 |
|
18,257 |
10,935 |
$97K |
| 86039 |
|
18,667 |
17,457 |
$95K |
| 82550 |
|
38,256 |
35,791 |
$94K |
| 85610 |
|
63,722 |
53,857 |
$92K |
| 87510 |
|
14,210 |
13,158 |
$90K |
| 82150 |
|
27,549 |
25,814 |
$87K |
| 87046 |
|
17,125 |
16,266 |
$87K |
| 87045 |
|
16,975 |
16,180 |
$86K |
| 86360 |
|
4,727 |
4,413 |
$86K |
| 85730 |
|
35,851 |
32,674 |
$82K |
| 80069 |
|
31,355 |
29,001 |
$82K |
| 86141 |
|
12,535 |
11,545 |
$82K |
| 82977 |
|
26,527 |
24,480 |
$80K |
| 80361 |
|
11,186 |
8,928 |
$80K |
| 87512 |
|
3,574 |
2,477 |
$80K |
| 86901 |
|
45,164 |
40,172 |
$77K |
| 86900 |
|
46,478 |
41,489 |
$76K |
| 84156 |
|
55,271 |
50,537 |
$76K |
| 80358 |
|
10,371 |
8,362 |
$75K |
| 85660 |
|
26,773 |
24,841 |
$74K |
| 86258 |
|
14,203 |
7,631 |
$74K |
| 86008 |
|
4,924 |
3,985 |
$72K |
| 80365 |
|
10,077 |
8,080 |
$71K |
| 86317 |
|
2,593 |
1,881 |
$70K |
| 80376 |
|
6,696 |
5,323 |
$69K |
| 80348 |
|
10,172 |
7,507 |
$68K |
| 80373 |
|
6,415 |
5,052 |
$67K |
| 84100 |
|
41,299 |
37,530 |
$67K |
| 88342 |
|
1,651 |
1,489 |
$66K |
| 80364 |
|
8,057 |
5,494 |
$65K |
| 80347 |
|
8,051 |
5,823 |
$65K |
| 87177 |
|
15,093 |
11,631 |
$64K |
| 80372 |
|
5,943 |
4,673 |
$63K |
| 82672 |
|
5,479 |
5,139 |
$63K |
| 82947 |
|
34,268 |
30,702 |
$62K |
| 80354 |
|
7,858 |
5,993 |
$61K |
| 80326 |
|
8,985 |
6,882 |
$61K |
| 80337 |
|
6,820 |
3,166 |
$60K |
| 80357 |
|
6,235 |
4,801 |
$60K |
| 80055 |
|
2,084 |
2,038 |
$55K |
| 80177 |
|
12,602 |
11,771 |
$53K |
| 81025 |
|
12,301 |
10,934 |
$52K |
| G0475 |
Hiv combination assay |
9,204 |
8,478 |
$52K |
| 82274 |
|
8,858 |
8,381 |
$52K |
| 87906 |
|
701 |
590 |
$51K |
| 80355 |
|
7,010 |
5,458 |
$50K |
| 85060 |
|
5,193 |
4,842 |
$48K |
| 86664 |
|
5,388 |
5,118 |
$48K |
| 82140 |
|
9,996 |
8,851 |
$48K |
| 83615 |
|
18,321 |
17,130 |
$48K |
| 84703 |
|
11,455 |
10,662 |
$48K |
| 83090 |
|
6,973 |
6,094 |
$47K |
| 80330 |
|
5,253 |
2,587 |
$47K |
| 86146 |
|
2,112 |
1,738 |
$47K |
| 82952 |
|
23,170 |
22,078 |
$47K |
| 84425 |
|
5,908 |
5,555 |
$46K |
| 84484 |
|
7,729 |
6,913 |
$45K |
| 87338 |
|
7,675 |
7,353 |
$44K |
| 85007 |
|
28,916 |
27,442 |
$44K |
| 82247 |
|
19,240 |
14,875 |
$44K |
| 84305 |
|
3,833 |
3,643 |
$44K |
| 84154 |
|
7,425 |
6,804 |
$43K |
| 86663 |
|
5,555 |
5,274 |
$43K |
| 82747 |
|
6,269 |
5,959 |
$41K |
| 84134 |
|
8,467 |
7,369 |
$40K |
| 83014 |
|
11,285 |
10,759 |
$39K |
| 85246 |
|
3,265 |
3,135 |
$39K |
| 80178 |
|
13,636 |
12,571 |
$39K |
| 86709 |
|
6,754 |
5,967 |
$38K |
| 85245 |
|
3,164 |
3,056 |
$38K |
| 84207 |
|
3,652 |
3,344 |
$37K |
| 82397 |
|
5,836 |
5,506 |
$36K |
| 80344 |
|
4,111 |
2,115 |
$36K |
| 83520 |
|
4,683 |
4,458 |
$35K |
| 84466 |
|
6,300 |
5,932 |
$35K |
| 83789 |
|
2,733 |
2,500 |
$35K |
| 80352 |
|
3,789 |
2,983 |
$34K |
| 82239 |
|
3,969 |
3,420 |
$32K |
| 85379 |
|
7,379 |
6,472 |
$32K |
| 86304 |
|
4,090 |
3,771 |
$32K |
| 87804 |
|
3,817 |
3,656 |
$31K |
| 82553 |
|
4,699 |
4,212 |
$30K |
| 83993 |
|
3,288 |
3,184 |
$30K |
| 80371 |
|
3,812 |
3,010 |
$30K |
| 85240 |
|
3,198 |
3,048 |
$30K |
| 85045 |
|
16,623 |
15,530 |
$30K |
| 86870 |
|
2,999 |
2,704 |
$29K |
| 86341 |
|
2,388 |
2,156 |
$29K |
| 88304 |
|
1,141 |
1,056 |
$29K |
| 87075 |
|
6,372 |
5,986 |
$29K |
| 86645 |
|
3,009 |
2,821 |
$28K |
| 80185 |
|
7,061 |
6,264 |
$28K |
| 85018 |
|
23,197 |
22,162 |
$28K |
| 82378 |
|
5,530 |
5,049 |
$28K |
| 84460 |
|
13,041 |
11,886 |
$28K |
| 80197 |
|
7,900 |
6,015 |
$28K |
| 84165 |
|
9,811 |
9,314 |
$28K |
| 80156 |
|
6,327 |
5,998 |
$27K |
| 86735 |
|
3,396 |
3,136 |
$26K |
| 87255 |
|
1,337 |
1,118 |
$26K |
| 86644 |
|
3,298 |
2,932 |
$25K |
| 88307 |
|
200 |
189 |
$25K |
| 86335 |
|
4,268 |
3,864 |
$24K |
| 80183 |
|
5,602 |
5,274 |
$24K |
| 82542 |
|
2,065 |
1,832 |
$24K |
| 80345 |
|
4,353 |
3,441 |
$24K |
| 83698 |
|
1,652 |
1,441 |
$23K |
| 87581 |
|
1,333 |
1,048 |
$23K |
| 86765 |
|
3,190 |
2,940 |
$22K |
| 87486 |
|
1,321 |
1,026 |
$21K |
| 84432 |
|
2,243 |
2,158 |
$21K |
| 87449 |
|
4,291 |
3,987 |
$21K |
| 82088 |
|
1,199 |
1,105 |
$21K |
| 88312 |
|
412 |
378 |
$21K |
| 86255 |
|
4,929 |
3,803 |
$20K |
| 85613 |
|
4,141 |
3,549 |
$20K |
| 82575 |
|
3,745 |
3,425 |
$20K |
| 88341 |
|
327 |
302 |
$19K |
| 86705 |
|
3,474 |
3,267 |
$19K |
| 87497 |
|
1,177 |
1,020 |
$18K |
| 84478 |
|
6,254 |
4,885 |
$18K |
| 87493 |
|
1,263 |
1,227 |
$18K |
| 87563 |
|
1,054 |
974 |
$18K |
| 87517 |
|
1,722 |
1,641 |
$18K |
| 86757 |
|
1,586 |
850 |
$18K |
| 86777 |
|
2,340 |
2,110 |
$17K |
| 84450 |
|
8,974 |
8,304 |
$17K |
| 86738 |
|
2,846 |
1,474 |
$17K |
| 86060 |
|
4,505 |
4,318 |
$17K |
| 87637 |
|
265 |
259 |
$16K |
| 80159 |
|
2,963 |
2,451 |
$16K |
| 84630 |
|
2,891 |
2,696 |
$16K |
| 80324 |
|
3,187 |
2,873 |
$16K |
| 82166 |
|
1,254 |
999 |
$16K |
| 80346 |
|
2,691 |
2,367 |
$16K |
| 82565 |
|
9,985 |
9,166 |
$15K |
| 85014 |
|
13,943 |
12,986 |
$15K |
| 85384 |
|
2,901 |
2,465 |
$15K |
| 80175 |
|
3,749 |
3,631 |
$15K |
| 87040 |
|
3,807 |
2,918 |
$15K |
| 82390 |
|
3,131 |
3,021 |
$15K |
| 82103 |
|
2,484 |
2,386 |
$15K |
| 86593 |
|
6,404 |
5,584 |
$15K |
| 81511 |
|
4,612 |
4,076 |
$15K |
| 86381 |
|
1,709 |
1,639 |
$14K |
| 86812 |
|
1,338 |
1,289 |
$14K |
| 83010 |
|
2,961 |
2,636 |
$14K |
| 87088 |
|
3,055 |
2,900 |
$14K |
| 80370 |
|
1,571 |
1,277 |
$14K |
| 86702 |
|
3,726 |
2,963 |
$14K |
| 83883 |
|
3,642 |
3,157 |
$14K |
| 86308 |
|
4,491 |
4,267 |
$14K |
| 83695 |
|
2,486 |
2,153 |
$13K |
| 80359 |
|
2,914 |
2,714 |
$13K |
| 81596 |
|
1,022 |
866 |
$12K |
| 81000 |
|
8,207 |
7,583 |
$12K |
| 82671 |
|
757 |
720 |
$11K |
| 84446 |
|
2,018 |
1,876 |
$11K |
| 80368 |
|
1,211 |
1,061 |
$11K |
| 82465 |
|
5,027 |
4,697 |
$11K |
| 87329 |
|
1,817 |
1,723 |
$11K |
| 81015 |
|
8,165 |
7,641 |
$11K |
| 86778 |
|
1,465 |
1,328 |
$11K |
| 86677 |
|
2,049 |
1,455 |
$11K |
| 84590 |
|
2,180 |
2,027 |
$11K |
| 80341 |
|
1,418 |
1,143 |
$11K |
| 82787 |
|
1,709 |
1,189 |
$10K |
| 86015 |
|
2,187 |
2,106 |
$10K |
| 85385 |
|
1,810 |
1,602 |
$10K |
| 87350 |
|
1,563 |
1,380 |
$10K |
| 82330 |
|
2,190 |
2,090 |
$10K |
| 86036 |
|
2,209 |
2,121 |
$10K |
| 87280 |
|
1,493 |
1,362 |
$10K |
| 87625 |
|
524 |
514 |
$10K |
| 82731 |
|
346 |
298 |
$10K |
| 84163 |
|
1,312 |
1,267 |
$9K |
| 82172 |
|
5,112 |
4,193 |
$9K |
| 82610 |
|
1,194 |
1,145 |
$9K |
| 87184 |
|
2,656 |
2,524 |
$9K |
| 86611 |
|
1,484 |
978 |
$9K |
| 80320 |
|
1,357 |
1,188 |
$9K |
| 86701 |
|
3,740 |
2,971 |
$9K |
| 86337 |
|
942 |
876 |
$9K |
| 86886 |
|
2,944 |
2,677 |
$9K |
| 86334 |
|
1,328 |
1,248 |
$9K |
| 87101 |
|
2,087 |
1,913 |
$8K |
| 80184 |
|
2,982 |
2,686 |
$8K |
| 82679 |
|
671 |
658 |
$8K |
| 83721 |
|
2,804 |
2,569 |
$8K |
| 81050 |
|
4,107 |
3,775 |
$8K |
| 86631 |
|
417 |
319 |
$8K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
4,995 |
4,713 |
$7K |
| 82310 |
|
5,614 |
5,213 |
$7K |
| 84244 |
|
831 |
802 |
$7K |
| 83921 |
|
1,232 |
1,173 |
$7K |
| 82525 |
|
1,309 |
1,212 |
$7K |
| 84166 |
|
1,523 |
1,463 |
$7K |
| 84155 |
|
9,335 |
8,729 |
$7K |
| 82085 |
|
1,595 |
1,561 |
$7K |
| 82653 |
|
700 |
681 |
$6K |
| 88112 |
|
306 |
250 |
$6K |
| 86618 |
|
680 |
657 |
$6K |
| 86359 |
|
381 |
367 |
$6K |
| 80235 |
|
951 |
836 |
$6K |
| 82157 |
|
407 |
397 |
$6K |
| 84132 |
|
3,789 |
3,388 |
$6K |
| 86632 |
|
416 |
319 |
$6K |
| 82626 |
|
384 |
369 |
$6K |
| 87076 |
|
1,352 |
1,225 |
$5K |
| 86747 |
|
416 |
399 |
$5K |
| 81241 |
|
213 |
205 |
$5K |
| 80051 |
|
3,737 |
3,435 |
$5K |
| 82104 |
|
710 |
698 |
$5K |
| 80353 |
|
1,095 |
978 |
$5K |
| 80362 |
|
12,981 |
5,122 |
$5K |
| 89055 |
|
2,248 |
2,146 |
$5K |
| 83521 |
|
670 |
570 |
$5K |
| 86301 |
|
946 |
866 |
$4K |
| 82270 |
|
3,902 |
3,619 |
$4K |
| 87425 |
|
611 |
593 |
$4K |
| 85306 |
|
478 |
439 |
$4K |
| 87662 |
|
280 |
130 |
$4K |
| 80201 |
|
958 |
891 |
$4K |
| 80363 |
|
741 |
457 |
$4K |
| 82657 |
|
290 |
287 |
$4K |
| 88262 |
|
123 |
115 |
$4K |
| 86355 |
|
222 |
213 |
$4K |
| 82164 |
|
922 |
900 |
$4K |
| 82180 |
|
915 |
840 |
$4K |
| 86256 |
|
774 |
743 |
$3K |
| G0103 |
Psa screening |
13,895 |
13,359 |
$3K |
| 88230 |
|
126 |
116 |
$3K |
| 82955 |
|
635 |
508 |
$3K |
| 84075 |
|
3,411 |
3,185 |
$3K |
| 84520 |
|
4,458 |
4,000 |
$3K |
| 83527 |
|
485 |
448 |
$3K |
| 82340 |
|
887 |
814 |
$3K |
| 85303 |
|
439 |
413 |
$3K |
| 86357 |
|
178 |
176 |
$3K |
| 87341 |
|
566 |
487 |
$3K |
| 99001 |
|
2,040 |
1,765 |
$3K |
| 86768 |
|
385 |
367 |
$3K |
| 86794 |
|
339 |
334 |
$3K |
| 80203 |
|
448 |
441 |
$3K |
| 84597 |
|
627 |
537 |
$3K |
| 87427 |
|
428 |
421 |
$3K |
| 87210 |
|
954 |
855 |
$3K |
| 80321 |
|
389 |
344 |
$3K |
| 83630 |
|
256 |
252 |
$3K |
| 88185 |
|
29 |
26 |
$2K |
| 84080 |
|
464 |
453 |
$2K |
| 82530 |
|
258 |
249 |
$2K |
| 87328 |
|
286 |
279 |
$2K |
| 83935 |
|
874 |
835 |
$2K |
| 0097U |
|
672 |
654 |
$2K |
| 82272 |
|
1,970 |
1,845 |
$2K |
| 82040 |
|
2,770 |
2,573 |
$2K |
| 84482 |
|
405 |
374 |
$2K |
| 80162 |
|
1,124 |
1,022 |
$2K |
| 80202 |
|
369 |
173 |
$2K |
| 86300 |
|
231 |
167 |
$2K |
| 86622 |
|
338 |
319 |
$2K |
| 80325 |
|
6,983 |
4,613 |
$2K |
| 87593 |
|
60 |
45 |
$2K |
| 83930 |
|
722 |
683 |
$2K |
| 86162 |
|
281 |
266 |
$2K |
| 82985 |
|
292 |
274 |
$2K |
| 85300 |
|
248 |
232 |
$2K |
| 84300 |
|
955 |
919 |
$2K |
| 87538 |
|
100 |
91 |
$1K |
| 83704 |
|
347 |
214 |
$1K |
| 86609 |
|
259 |
192 |
$1K |
| 87880 |
|
202 |
199 |
$1K |
| 80165 |
|
258 |
256 |
$1K |
| 86703 |
|
225 |
173 |
$1K |
| 81329 |
|
30 |
28 |
$1K |
| 83835 |
|
189 |
181 |
$1K |
| 87185 |
|
478 |
435 |
$1K |
| 82139 |
|
129 |
120 |
$1K |
| 87205 |
|
660 |
612 |
$1K |
| 87535 |
|
100 |
91 |
$1K |
| 83003 |
|
135 |
123 |
$1K |
| 88280 |
|
125 |
117 |
$1K |
| 86356 |
|
67 |
39 |
$1K |
| 84182 |
|
74 |
59 |
$1K |
| 81240 |
|
39 |
37 |
$950.28 |
| 82668 |
|
224 |
222 |
$895.83 |
| 87102 |
|
257 |
237 |
$864.68 |
| 80299 |
|
1,065 |
972 |
$851.79 |
| 87220 |
|
327 |
302 |
$821.45 |
| 86363 |
|
108 |
104 |
$818.29 |
| 82705 |
|
326 |
323 |
$803.07 |
| G0328 |
Fecal blood scrn immunoassay |
3,229 |
3,193 |
$799.10 |
| 84145 |
|
268 |
201 |
$781.64 |
| 82379 |
|
86 |
85 |
$774.97 |
| 88291 |
|
148 |
143 |
$747.39 |
| 87107 |
|
126 |
120 |
$701.75 |
| 81507 |
|
31 |
12 |
$642.75 |
| 84238 |
|
42 |
42 |
$621.90 |
| 83992 |
|
164 |
112 |
$566.37 |
| 88302 |
|
24 |
24 |
$544.00 |
| 84591 |
|
149 |
133 |
$536.64 |
| 85049 |
|
465 |
333 |
$505.58 |
| 36416 |
|
4,688 |
3,985 |
$492.67 |
| U0002 |
Covid-19 lab test non-cdc |
503 |
468 |
$472.22 |
| 85004 |
|
380 |
358 |
$458.74 |
| 82595 |
|
224 |
220 |
$431.98 |
| 86707 |
|
137 |
134 |
$413.91 |
| 88184 |
|
29 |
26 |
$378.52 |
| 84133 |
|
154 |
146 |
$327.79 |
| 86037 |
|
96 |
96 |
$319.85 |
| G0472 |
Hep c screen high risk/other |
509 |
507 |
$316.14 |
| 87651 |
|
28 |
25 |
$316.11 |
| 86231 |
|
56 |
56 |
$311.28 |
| 86905 |
|
108 |
104 |
$286.56 |
| 86148 |
|
40 |
29 |
$284.34 |
| 83605 |
|
47 |
43 |
$276.96 |
| 86880 |
|
96 |
91 |
$267.68 |
| 84252 |
|
40 |
31 |
$264.77 |
| 84378 |
|
59 |
56 |
$234.88 |
| 80198 |
|
168 |
123 |
$232.67 |
| 80360 |
|
193 |
158 |
$208.19 |
| 83718 |
|
61 |
54 |
$197.88 |
| G0123 |
Screen cerv/vag thin layer |
417 |
409 |
$192.36 |
| 86596 |
|
57 |
56 |
$186.06 |
| 81381 |
|
729 |
429 |
$183.12 |
| 82642 |
|
16 |
16 |
$177.06 |
| 81243 |
|
12 |
12 |
$172.83 |
| 83874 |
|
47 |
44 |
$167.80 |
| 80339 |
|
31 |
29 |
$161.81 |
| 82436 |
|
46 |
42 |
$135.54 |
| 87337 |
|
28 |
28 |
$127.46 |
| 84295 |
|
184 |
168 |
$120.85 |
| 85046 |
|
44 |
36 |
$117.02 |
| 83625 |
|
15 |
13 |
$113.99 |
| 83018 |
|
12 |
12 |
$112.98 |
| 82175 |
|
13 |
13 |
$112.68 |
| 80335 |
|
704 |
299 |
$109.16 |
| 87181 |
|
66 |
54 |
$108.25 |
| 83825 |
|
14 |
14 |
$96.57 |
| 82077 |
|
55 |
43 |
$90.15 |
| 88155 |
|
12 |
12 |
$67.45 |
| 80366 |
|
58 |
43 |
$58.57 |
| 82232 |
|
15 |
12 |
$50.31 |
| 83529 |
|
67 |
48 |
$43.87 |
| 87172 |
|
17 |
15 |
$35.75 |
| G0476 |
Hpv combo assay ca screen |
12 |
12 |
$27.38 |
| 85670 |
|
14 |
13 |
$24.24 |
| 85651 |
|
12 |
12 |
$17.11 |
| 82374 |
|
26 |
26 |
$13.46 |
| 83519 |
|
119 |
68 |
$0.00 |
| T4534 |
Youth size pull-on |
12 |
12 |
$0.00 |
| 80340 |
|
47 |
29 |
$0.00 |
| 82435 |
|
38 |
36 |
$0.00 |
| U0001 |
2019-ncov diagnostic p |
25 |
22 |
$0.00 |
| 80334 |
|
33 |
20 |
$0.00 |
| G0482 |
Drug test def 15-21 classes |
127 |
63 |
$0.00 |
| 80356 |
|
14 |
13 |
$0.00 |
| 80338 |
|
33 |
20 |
$0.00 |
| G0141 |
Scr c/v cyto,autosys and md |
15 |
15 |
$0.00 |