| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
484,790 |
288,108 |
$29.64M |
| G0483 |
Drug test def 22+ classes |
230,633 |
136,443 |
$22.47M |
| G0481 |
Drug test def 8-14 classes |
266,851 |
155,063 |
$12.06M |
| 80307 |
|
467,370 |
276,891 |
$11.90M |
| 87798 |
|
131,414 |
97,354 |
$11.28M |
| G0482 |
Drug test def 15-21 classes |
110,101 |
73,835 |
$6.57M |
| U0005 |
Infec agen detec ampli probe |
371,184 |
226,480 |
$5.88M |
| 82306 |
|
296,112 |
260,869 |
$4.46M |
| G0480 |
Drug test def 1-7 classes |
104,131 |
68,413 |
$3.76M |
| 87633 |
|
20,873 |
17,170 |
$3.01M |
| 80061 |
|
398,600 |
358,735 |
$2.54M |
| 84443 |
|
300,841 |
269,830 |
$2.28M |
| 80050 |
|
145,313 |
129,823 |
$2.21M |
| 87491 |
|
115,619 |
97,494 |
$1.96M |
| 87591 |
|
115,635 |
97,390 |
$1.90M |
| 80053 |
|
374,798 |
337,490 |
$1.86M |
| 86769 |
|
53,684 |
33,926 |
$1.80M |
| 87801 |
|
50,456 |
42,783 |
$1.75M |
| 87481 |
|
83,153 |
56,398 |
$1.74M |
| 87631 |
|
41,848 |
35,249 |
$1.64M |
| 83036 |
|
339,080 |
298,946 |
$1.59M |
| 85025 |
|
419,202 |
374,875 |
$1.57M |
| 87661 |
|
115,584 |
90,554 |
$1.55M |
| U0004 |
Cov-19 test non-cdc hgh thru |
27,475 |
18,268 |
$1.44M |
| 87389 |
|
109,585 |
96,124 |
$1.37M |
| 82607 |
|
177,974 |
164,079 |
$1.30M |
| G2023 |
Specimen collect covid-19 |
77,843 |
49,114 |
$991K |
| 84439 |
|
216,162 |
191,482 |
$971K |
| 87635 |
|
40,123 |
34,437 |
$954K |
| 82746 |
|
129,072 |
118,755 |
$875K |
| 87486 |
|
60,862 |
52,222 |
$866K |
| 87581 |
|
60,760 |
52,434 |
$854K |
| 86803 |
|
125,566 |
108,924 |
$837K |
| 86003 |
|
15,211 |
11,298 |
$679K |
| 87502 |
|
19,050 |
16,185 |
$618K |
| 87640 |
|
42,914 |
33,242 |
$587K |
| 87340 |
|
118,748 |
101,645 |
$575K |
| 81514 |
|
14,711 |
10,634 |
$573K |
| 87653 |
|
43,760 |
33,305 |
$565K |
| 86480 |
|
16,475 |
15,596 |
$556K |
| 84403 |
|
38,658 |
35,103 |
$520K |
| 86708 |
|
84,714 |
74,248 |
$491K |
| 86704 |
|
89,787 |
79,572 |
$488K |
| 80373 |
|
56,412 |
30,541 |
$484K |
| 80299 |
|
37,002 |
22,622 |
$480K |
| 86696 |
|
46,687 |
41,285 |
$473K |
| 87999 |
|
3,621 |
2,598 |
$467K |
| 84480 |
|
85,396 |
77,836 |
$465K |
| 87529 |
|
17,189 |
13,595 |
$454K |
| 86706 |
|
96,882 |
86,154 |
$447K |
| 86481 |
|
10,678 |
9,870 |
$443K |
| 87634 |
|
17,519 |
14,721 |
$431K |
| 80171 |
|
37,481 |
29,052 |
$423K |
| 87799 |
|
38,264 |
18,587 |
$415K |
| 36415 |
|
348,143 |
280,860 |
$394K |
| 87624 |
|
29,007 |
24,894 |
$391K |
| 87541 |
|
26,833 |
22,275 |
$383K |
| G2024 |
Spec coll snf/lab covid-19 |
38,906 |
11,546 |
$380K |
| 84153 |
|
44,073 |
39,524 |
$379K |
| 80369 |
|
51,970 |
19,296 |
$377K |
| 80347 |
|
60,142 |
34,779 |
$366K |
| 80336 |
|
59,744 |
23,050 |
$361K |
| 87522 |
Neg quan hep c or qual rna |
15,795 |
13,973 |
$330K |
| 87512 |
|
17,979 |
16,391 |
$329K |
| 88175 |
|
30,820 |
26,163 |
$329K |
| 80361 |
|
55,208 |
31,203 |
$328K |
| 80366 |
|
34,307 |
23,509 |
$327K |
| 84402 |
|
25,793 |
23,469 |
$327K |
| 84481 |
|
42,558 |
37,856 |
$325K |
| 86592 |
|
141,228 |
124,388 |
$324K |
| 87086 |
|
77,769 |
68,080 |
$323K |
| 82728 |
|
50,190 |
45,016 |
$320K |
| 81001 |
|
217,568 |
189,513 |
$314K |
| 80368 |
|
38,815 |
22,780 |
$314K |
| 80353 |
|
64,928 |
38,558 |
$310K |
| 80323 |
|
42,311 |
20,421 |
$309K |
| 80363 |
|
45,473 |
26,254 |
$296K |
| 80321 |
|
53,763 |
29,467 |
$292K |
| 80365 |
|
56,984 |
34,239 |
$291K |
| 86695 |
|
40,988 |
36,185 |
$290K |
| 87651 |
|
20,390 |
18,057 |
$289K |
| 80320 |
|
35,562 |
21,590 |
$286K |
| 84702 |
|
47,258 |
36,352 |
$286K |
| 83550 |
|
78,072 |
69,924 |
$286K |
| 80351 |
|
50,994 |
28,664 |
$280K |
| 80371 |
|
50,118 |
27,428 |
$277K |
| 83789 |
|
79,090 |
37,351 |
$275K |
| 84270 |
|
26,724 |
24,327 |
$271K |
| 83540 |
|
97,326 |
86,191 |
$268K |
| 80358 |
|
57,102 |
33,882 |
$267K |
| 84146 |
|
26,930 |
24,279 |
$266K |
| 80360 |
|
56,409 |
33,540 |
$265K |
| 87505 |
|
5,336 |
3,912 |
$259K |
| 86235 |
|
7,338 |
5,580 |
$252K |
| 80359 |
|
53,050 |
30,960 |
$243K |
| 80324 |
|
44,259 |
25,423 |
$238K |
| 82670 |
|
17,500 |
15,912 |
$234K |
| 83001 |
|
24,505 |
22,307 |
$232K |
| 86762 |
|
30,018 |
26,681 |
$229K |
| 87426 |
|
8,110 |
5,924 |
$228K |
| 87507 |
|
1,393 |
1,308 |
$224K |
| 83002 |
|
24,843 |
22,332 |
$224K |
| 86038 |
|
41,554 |
38,478 |
$222K |
| 83992 |
|
54,494 |
33,247 |
$214K |
| 84144 |
|
19,804 |
16,881 |
$200K |
| 81220 |
|
1,441 |
1,025 |
$194K |
| 83735 |
|
59,879 |
53,210 |
$184K |
| 86376 |
|
23,465 |
21,243 |
$176K |
| 80345 |
|
48,457 |
27,003 |
$174K |
| 87070 |
|
34,585 |
31,353 |
$170K |
| 83013 |
|
5,007 |
4,715 |
$166K |
| 82652 |
|
10,472 |
8,837 |
$165K |
| 87536 |
|
3,317 |
2,846 |
$155K |
| 82570 |
|
78,103 |
61,383 |
$154K |
| 84445 |
|
6,064 |
5,317 |
$150K |
| 84550 |
|
73,322 |
67,647 |
$150K |
| 83655 |
|
24,653 |
23,284 |
$149K |
| 84154 |
|
17,913 |
16,461 |
$144K |
| 83970 |
|
8,007 |
7,239 |
$144K |
| 87503 |
|
16,015 |
13,458 |
$141K |
| 82627 |
|
13,456 |
12,003 |
$141K |
| 82043 |
|
51,019 |
47,228 |
$140K |
| 82677 |
|
11,460 |
10,396 |
$135K |
| 80048 |
|
31,647 |
28,446 |
$134K |
| 0223U |
|
566 |
506 |
$131K |
| 80074 |
|
8,010 |
6,632 |
$128K |
| 87563 |
|
11,364 |
9,771 |
$128K |
| 86618 |
|
12,007 |
11,081 |
$128K |
| 83021 |
|
12,436 |
9,358 |
$126K |
| 87150 |
|
1,883 |
1,330 |
$124K |
| 81226 |
|
1,764 |
1,512 |
$120K |
| 86665 |
|
7,314 |
6,438 |
$117K |
| 86360 |
|
2,720 |
2,460 |
$111K |
| 86765 |
|
16,228 |
15,816 |
$107K |
| 86800 |
|
13,263 |
11,950 |
$105K |
| 87077 |
|
21,595 |
19,018 |
$105K |
| 82785 |
|
12,621 |
11,523 |
$104K |
| 86140 |
|
45,074 |
41,832 |
$104K |
| 86787 |
|
19,681 |
17,699 |
$104K |
| 86431 |
|
38,345 |
35,302 |
$103K |
| 84436 |
|
86,562 |
77,986 |
$102K |
| 87652 |
|
5,240 |
3,831 |
$102K |
| 88305 |
|
2,611 |
2,363 |
$102K |
| 80076 |
|
27,142 |
24,987 |
$100K |
| 85651 |
|
61,769 |
57,399 |
$97K |
| 87511 |
|
7,620 |
5,861 |
$96K |
| 83516 |
|
14,444 |
8,162 |
$94K |
| 87500 |
|
8,166 |
4,536 |
$93K |
| 86780 |
|
13,599 |
12,020 |
$91K |
| 84207 |
|
5,276 |
4,951 |
$88K |
| 86357 |
|
2,643 |
2,396 |
$85K |
| 82248 |
|
36,933 |
34,595 |
$85K |
| 86355 |
|
2,586 |
2,345 |
$84K |
| 83090 |
|
11,641 |
10,468 |
$84K |
| 80164 |
|
10,445 |
8,845 |
$84K |
| 86359 |
|
2,701 |
2,395 |
$82K |
| 86617 |
|
5,804 |
5,346 |
$82K |
| 86735 |
|
16,068 |
15,582 |
$80K |
| 83880 |
|
5,186 |
4,347 |
$77K |
| 82533 |
|
10,704 |
9,553 |
$77K |
| 86703 |
|
12,490 |
12,330 |
$77K |
| 83525 |
|
14,210 |
13,010 |
$77K |
| 88142 |
|
7,096 |
6,379 |
$77K |
| 82951 |
|
10,584 |
8,826 |
$77K |
| 81225 |
|
1,748 |
1,493 |
$76K |
| 80355 |
|
17,393 |
11,081 |
$74K |
| 86060 |
|
23,137 |
22,116 |
$74K |
| 86141 |
|
13,235 |
12,022 |
$71K |
| 86317 |
|
7,234 |
6,579 |
$70K |
| 80346 |
|
55,550 |
25,977 |
$67K |
| P9604 |
One-way allow prorated trip |
21,185 |
14,342 |
$67K |
| 87902 |
|
636 |
583 |
$67K |
| 86225 |
|
12,283 |
11,222 |
$66K |
| 84425 |
|
6,233 |
5,812 |
$65K |
| 87498 |
|
5,408 |
4,733 |
$64K |
| 84100 |
|
31,676 |
28,708 |
$64K |
| 81401 |
|
1,653 |
1,376 |
$63K |
| 84479 |
|
71,377 |
63,793 |
$62K |
| 81241 |
|
1,116 |
1,063 |
$62K |
| 85045 |
|
29,810 |
27,912 |
$61K |
| 87186 |
|
16,546 |
12,284 |
$61K |
| 82378 |
|
7,855 |
7,379 |
$60K |
| 85027 |
|
17,271 |
14,916 |
$58K |
| 86677 |
|
9,418 |
6,514 |
$58K |
| 84482 |
|
7,462 |
6,814 |
$58K |
| 82105 |
|
10,109 |
9,273 |
$57K |
| 80354 |
|
17,751 |
10,688 |
$57K |
| 87184 |
|
12,069 |
10,857 |
$55K |
| 86664 |
|
6,943 |
6,410 |
$54K |
| 82150 |
|
17,268 |
15,914 |
$51K |
| 80348 |
|
19,109 |
11,604 |
$51K |
| 86008 |
|
3,144 |
2,546 |
$50K |
| 86039 |
|
9,333 |
8,477 |
$50K |
| 81240 |
|
1,090 |
1,037 |
$50K |
| 80362 |
|
69,916 |
36,802 |
$49K |
| 83721 |
|
15,105 |
14,069 |
$48K |
| 86200 |
|
6,894 |
6,404 |
$48K |
| 86304 |
|
5,930 |
5,358 |
$48K |
| 80364 |
|
15,264 |
8,267 |
$47K |
| 86663 |
|
6,978 |
6,442 |
$46K |
| 81227 |
|
1,816 |
1,523 |
$46K |
| 83690 |
|
15,081 |
14,086 |
$45K |
| 85610 |
|
27,555 |
22,502 |
$45K |
| 80370 |
|
14,895 |
6,165 |
$44K |
| 80356 |
|
11,915 |
7,126 |
$44K |
| 80372 |
|
11,417 |
6,928 |
$43K |
| 87625 |
|
5,544 |
3,771 |
$43K |
| 80325 |
|
14,510 |
8,709 |
$43K |
| 86160 |
|
3,613 |
3,319 |
$42K |
| 81479 |
|
1,911 |
1,503 |
$41K |
| 86886 |
|
14,337 |
11,596 |
$40K |
| 86705 |
|
13,643 |
10,948 |
$40K |
| 82977 |
|
16,906 |
15,011 |
$40K |
| 80335 |
|
56,150 |
19,032 |
$39K |
| 85730 |
|
15,906 |
13,767 |
$35K |
| 86709 |
|
12,043 |
9,333 |
$35K |
| 86901 |
|
21,307 |
18,190 |
$35K |
| 82784 |
|
6,368 |
5,830 |
$34K |
| 86900 |
|
21,347 |
18,228 |
$34K |
| 84378 |
|
6,137 |
5,831 |
$34K |
| 86301 |
|
4,102 |
3,835 |
$34K |
| 84466 |
|
8,717 |
6,647 |
$33K |
| 86300 |
|
2,022 |
1,944 |
$32K |
| 82550 |
|
11,613 |
10,913 |
$32K |
| 87081 |
|
7,899 |
7,066 |
$30K |
| 82672 |
|
3,125 |
2,849 |
$30K |
| 87517 |
|
1,407 |
1,359 |
$30K |
| 86255 |
|
6,362 |
5,825 |
$28K |
| 84630 |
|
6,336 |
5,609 |
$28K |
| 83003 |
|
2,571 |
2,272 |
$26K |
| 83020 |
|
4,390 |
3,358 |
$26K |
| 86644 |
|
3,830 |
3,614 |
$26K |
| 83615 |
|
11,929 |
10,720 |
$25K |
| 87350 |
|
4,498 |
4,147 |
$25K |
| 84681 |
|
2,362 |
2,142 |
$25K |
| 87400 |
|
1,879 |
1,745 |
$25K |
| 86707 |
|
4,453 |
4,005 |
$24K |
| 82180 |
|
5,071 |
4,558 |
$24K |
| 86336 |
|
2,756 |
2,542 |
$24K |
| 84590 |
|
4,901 |
4,445 |
$23K |
| 87880 |
|
2,260 |
1,854 |
$23K |
| 84446 |
|
3,346 |
3,231 |
$22K |
| 86645 |
|
3,668 |
3,523 |
$22K |
| 84252 |
|
2,634 |
2,546 |
$21K |
| 82947 |
|
15,333 |
12,954 |
$21K |
| 80178 |
|
4,648 |
3,867 |
$21K |
| 83704 |
|
2,602 |
2,314 |
$19K |
| 84305 |
|
2,449 |
2,243 |
$19K |
| 87506 |
|
246 |
230 |
$18K |
| 81355 |
|
1,153 |
941 |
$18K |
| 88112 |
|
1,030 |
1,003 |
$18K |
| 86615 |
|
2,340 |
1,740 |
$18K |
| 83825 |
|
2,975 |
2,730 |
$18K |
| 84255 |
|
1,977 |
1,879 |
$17K |
| 81511 |
|
816 |
735 |
$17K |
| 86146 |
|
805 |
663 |
$17K |
| 80349 |
|
5,647 |
4,119 |
$17K |
| 81374 |
|
1,241 |
1,045 |
$16K |
| 83921 |
|
2,069 |
1,947 |
$16K |
| 84703 |
|
3,901 |
3,417 |
$16K |
| 82175 |
|
2,325 |
2,099 |
$16K |
| 82274 |
|
3,714 |
3,504 |
$16K |
| 82465 |
|
7,396 |
6,358 |
$16K |
| 84260 |
|
1,831 |
1,546 |
$16K |
| 82172 |
|
2,395 |
1,732 |
$15K |
| 81400 |
|
1,099 |
918 |
$14K |
| 82024 |
|
743 |
694 |
$14K |
| 84432 |
|
2,115 |
1,958 |
$13K |
| 84140 |
|
1,530 |
1,383 |
$13K |
| 87209 |
|
1,807 |
1,711 |
$13K |
| 82565 |
|
4,474 |
4,316 |
$13K |
| 87205 |
|
5,540 |
4,942 |
$12K |
| 86753 |
|
1,317 |
1,276 |
$12K |
| 82679 |
|
1,156 |
1,057 |
$12K |
| 80367 |
|
1,975 |
1,695 |
$11K |
| 82553 |
|
2,757 |
2,552 |
$11K |
| 86738 |
|
1,315 |
1,234 |
$11K |
| 82542 |
|
2,404 |
1,845 |
$11K |
| 85048 |
|
16,711 |
11,622 |
$11K |
| 82525 |
|
2,097 |
1,779 |
$10K |
| 80305 |
|
1,447 |
1,212 |
$10K |
| 83520 |
|
1,950 |
1,620 |
$10K |
| 82626 |
|
865 |
822 |
$9K |
| 82664 |
|
543 |
494 |
$9K |
| 86778 |
|
1,164 |
1,048 |
$9K |
| 86666 |
|
939 |
877 |
$9K |
| 87338 |
|
1,591 |
1,547 |
$8K |
| 82530 |
|
1,275 |
1,254 |
$8K |
| 86147 |
|
601 |
381 |
$8K |
| 84450 |
|
4,051 |
3,243 |
$8K |
| 87177 |
|
1,780 |
1,694 |
$8K |
| 86790 |
|
944 |
852 |
$7K |
| 80177 |
|
1,525 |
1,301 |
$7K |
| 83695 |
|
2,194 |
1,900 |
$7K |
| 81005 |
|
6,285 |
4,440 |
$7K |
| 82397 |
|
1,587 |
1,464 |
$7K |
| 86316 |
|
1,024 |
894 |
$7K |
| 81291 |
|
1,893 |
1,745 |
$7K |
| 84460 |
|
3,839 |
2,969 |
$7K |
| 85379 |
|
1,351 |
1,245 |
$7K |
| 83498 |
|
730 |
662 |
$7K |
| 87045 |
|
1,276 |
1,198 |
$7K |
| 82310 |
|
2,935 |
2,543 |
$6K |
| 86747 |
|
705 |
701 |
$6K |
| 84165 |
|
1,729 |
994 |
$6K |
| 84156 |
|
5,141 |
4,175 |
$6K |
| 86631 |
|
1,149 |
812 |
$6K |
| 82642 |
|
751 |
695 |
$6K |
| 83986 |
|
5,269 |
2,326 |
$6K |
| 86593 |
|
2,357 |
2,092 |
$6K |
| 86308 |
|
2,043 |
1,930 |
$5K |
| 84134 |
|
1,634 |
1,458 |
$5K |
| 84442 |
|
1,173 |
1,112 |
$5K |
| 84484 |
|
998 |
843 |
$5K |
| 87210 |
|
1,555 |
1,238 |
$5K |
| 86702 |
|
1,196 |
915 |
$5K |
| 81003 |
|
9,111 |
5,310 |
$4K |
| 88141 |
|
424 |
358 |
$4K |
| 86609 |
|
901 |
759 |
$4K |
| 83521 |
|
778 |
697 |
$4K |
| 82164 |
|
678 |
560 |
$4K |
| 82952 |
|
1,024 |
921 |
$4K |
| 88342 |
|
67 |
67 |
$4K |
| 86611 |
|
286 |
264 |
$4K |
| 86215 |
|
811 |
779 |
$3K |
| 88341 |
|
51 |
51 |
$3K |
| 86701 |
|
1,478 |
1,175 |
$3K |
| 82108 |
|
621 |
442 |
$3K |
| 82985 |
|
894 |
833 |
$3K |
| 85660 |
|
1,488 |
1,282 |
$3K |
| 83088 |
|
337 |
306 |
$3K |
| 84591 |
|
1,991 |
1,504 |
$3K |
| 87641 |
|
267 |
195 |
$3K |
| 80159 |
|
844 |
641 |
$3K |
| 82077 |
|
1,515 |
1,200 |
$3K |
| 86632 |
|
803 |
353 |
$3K |
| 80069 |
|
908 |
786 |
$3K |
| 88312 |
|
88 |
87 |
$2K |
| 86757 |
|
432 |
396 |
$2K |
| 82157 |
|
171 |
156 |
$2K |
| 84600 |
|
378 |
229 |
$2K |
| 86658 |
|
115 |
114 |
$2K |
| 86382 |
|
441 |
427 |
$2K |
| 87807 |
|
142 |
132 |
$2K |
| 81231 |
|
207 |
187 |
$2K |
| 86671 |
|
346 |
321 |
$2K |
| 87255 |
|
267 |
251 |
$2K |
| 84166 |
|
323 |
193 |
$2K |
| 87147 |
|
751 |
718 |
$2K |
| 81230 |
|
205 |
185 |
$2K |
| 85060 |
|
398 |
331 |
$2K |
| 84132 |
|
1,024 |
875 |
$2K |
| 82941 |
|
176 |
172 |
$2K |
| 80185 |
|
274 |
225 |
$2K |
| 86340 |
|
274 |
265 |
$2K |
| 82166 |
|
312 |
296 |
$2K |
| 87427 |
|
149 |
132 |
$2K |
| 80503 |
|
567 |
506 |
$2K |
| 83701 |
|
142 |
129 |
$2K |
| 86037 |
|
521 |
438 |
$2K |
| 80156 |
|
210 |
185 |
$2K |
| 82380 |
|
469 |
462 |
$2K |
| 82270 |
|
1,049 |
618 |
$1K |
| 81329 |
|
70 |
59 |
$1K |
| 86162 |
|
178 |
174 |
$1K |
| 82668 |
|
261 |
234 |
$1K |
| 87449 |
|
242 |
237 |
$1K |
| 82330 |
|
389 |
354 |
$1K |
| 85018 |
|
1,126 |
997 |
$1K |
| 83527 |
|
326 |
293 |
$1K |
| 83718 |
|
523 |
399 |
$1K |
| 82747 |
|
185 |
172 |
$1K |
| 85014 |
|
1,080 |
956 |
$1K |
| 83010 |
|
244 |
237 |
$1K |
| 84588 |
|
116 |
95 |
$1K |
| 87109 |
|
195 |
193 |
$1K |
| 82040 |
|
1,118 |
834 |
$1K |
| 88262 |
|
16 |
13 |
$1K |
| 84075 |
|
1,014 |
740 |
$1K |
| 84478 |
|
830 |
659 |
$1K |
| 88230 |
|
16 |
13 |
$994.56 |
| 82088 |
|
37 |
36 |
$941.92 |
| 87101 |
|
315 |
258 |
$930.53 |
| 87254 |
|
44 |
43 |
$895.70 |
| 82610 |
|
191 |
178 |
$791.25 |
| 86334 |
|
82 |
81 |
$742.32 |
| 85007 |
|
3,186 |
2,525 |
$736.67 |
| 82140 |
|
222 |
171 |
$717.46 |
| 84155 |
|
923 |
660 |
$691.03 |
| 83874 |
|
163 |
163 |
$679.86 |
| 82978 |
|
151 |
129 |
$626.56 |
| 82950 |
|
129 |
129 |
$610.14 |
| 86015 |
|
433 |
333 |
$598.35 |
| 87046 |
|
89 |
78 |
$596.72 |
| 81508 |
|
177 |
169 |
$572.44 |
| 99072 |
|
8,047 |
3,408 |
$556.92 |
| 87341 |
|
130 |
125 |
$508.29 |
| 84080 |
|
89 |
88 |
$438.19 |
| 86021 |
|
72 |
72 |
$426.60 |
| 83519 |
|
63 |
60 |
$396.56 |
| 84520 |
|
351 |
311 |
$367.24 |
| 80175 |
|
135 |
112 |
$350.46 |
| 88304 |
|
25 |
25 |
$326.06 |
| 81015 |
|
1,212 |
1,071 |
$322.90 |
| 87476 |
|
14 |
14 |
$311.73 |
| 86256 |
|
61 |
53 |
$307.76 |
| 82390 |
|
95 |
92 |
$287.00 |
| 80051 |
|
226 |
166 |
$276.36 |
| 86638 |
|
36 |
36 |
$262.88 |
| U0002 |
Covid-19 lab test non-cdc |
57 |
39 |
$256.65 |
| 86341 |
|
26 |
25 |
$255.76 |
| 84597 |
|
26 |
25 |
$243.68 |
| 82495 |
|
29 |
29 |
$242.89 |
| 87324 |
|
38 |
36 |
$236.82 |
| 87168 |
|
207 |
203 |
$227.49 |
| 85384 |
|
56 |
53 |
$227.26 |
| 86692 |
|
15 |
13 |
$221.92 |
| 86381 |
|
56 |
52 |
$211.61 |
| 85004 |
|
72 |
66 |
$202.67 |
| 86335 |
|
14 |
12 |
$202.51 |
| 87480 |
|
18 |
12 |
$184.09 |
| 86682 |
|
13 |
13 |
$161.46 |
| 81328 |
|
26 |
25 |
$158.05 |
| 82239 |
|
16 |
12 |
$147.27 |
| 85613 |
|
28 |
26 |
$137.59 |
| 80375 |
|
996 |
441 |
$136.80 |
| 84202 |
|
13 |
12 |
$130.42 |
| 80183 |
|
41 |
26 |
$128.27 |
| 82300 |
|
14 |
12 |
$121.04 |
| 87478 |
|
14 |
14 |
$116.57 |
| 82955 |
|
34 |
30 |
$110.42 |
| 82247 |
|
88 |
73 |
$100.60 |
| 87040 |
|
12 |
12 |
$96.84 |
| 86148 |
|
12 |
12 |
$76.34 |
| 86036 |
|
28 |
28 |
$73.70 |
| 87088 |
|
25 |
24 |
$70.69 |
| 87329 |
|
13 |
13 |
$69.47 |
| G0471 |
Ven blood coll snf/hha |
223 |
182 |
$63.32 |
| 85049 |
|
14 |
13 |
$51.17 |
| 82436 |
|
14 |
14 |
$49.28 |
| 84300 |
|
15 |
15 |
$42.18 |
| 84133 |
|
15 |
15 |
$38.39 |
| 82085 |
|
15 |
12 |
$25.91 |
| 82374 |
|
38 |
29 |
$23.09 |
| 88311 |
|
22 |
22 |
$22.37 |
| 99080 |
|
135 |
115 |
$0.00 |
| 3046F |
|
13 |
12 |
$0.00 |
| 84295 |
|
22 |
13 |
$0.00 |
| 83896 |
|
5,521 |
3,759 |
$0.00 |
| 82435 |
|
22 |
13 |
$0.00 |
| 80350 |
|
16 |
16 |
$0.00 |
| CLS34 |
|
167 |
161 |
$0.00 |