| Code | Description | Claims | Beneficiaries | Total Paid |
| 87491 |
|
1,060,905 |
926,649 |
$21.16M |
| 87591 |
|
1,053,401 |
920,094 |
$20.59M |
| 80050 |
|
789,061 |
696,368 |
$16.70M |
| 87661 |
|
738,701 |
655,136 |
$12.54M |
| 81420 |
|
42,226 |
36,376 |
$11.71M |
| 80061 |
|
1,768,106 |
1,538,467 |
$11.33M |
| 82306 |
|
852,597 |
723,068 |
$11.29M |
| 87389 |
|
738,246 |
657,202 |
$10.34M |
| U0003 |
Cov-19 amp prb hgh thruput |
129,095 |
113,563 |
$8.91M |
| 80053 |
|
1,654,006 |
1,445,431 |
$8.70M |
| 80081 |
|
162,952 |
147,553 |
$7.12M |
| 88175 |
|
483,727 |
443,938 |
$7.12M |
| 87801 |
|
147,327 |
137,257 |
$6.73M |
| 84443 |
|
874,088 |
760,912 |
$6.50M |
| 85025 |
|
1,464,954 |
1,273,313 |
$6.45M |
| 80307 |
|
168,852 |
143,130 |
$5.48M |
| 83036 |
|
1,279,116 |
1,095,496 |
$5.39M |
| 81220 |
|
23,266 |
17,762 |
$4.91M |
| 87624 |
|
259,385 |
236,674 |
$4.37M |
| 87086 |
|
840,820 |
745,399 |
$3.81M |
| 80074 |
|
164,586 |
136,544 |
$3.02M |
| 86803 |
|
387,761 |
341,069 |
$2.92M |
| 87536 |
|
62,332 |
56,344 |
$2.69M |
| 84439 |
|
640,037 |
552,898 |
$2.54M |
| 82607 |
|
351,100 |
299,674 |
$2.46M |
| 88305 |
|
53,957 |
45,305 |
$2.41M |
| 87150 |
|
140,121 |
128,311 |
$2.32M |
| 86480 |
|
54,972 |
48,013 |
$1.77M |
| 84403 |
|
133,629 |
116,534 |
$1.72M |
| U0005 |
Infec agen detec ampli probe |
90,041 |
77,301 |
$1.70M |
| 86235 |
|
32,698 |
28,648 |
$1.65M |
| 82746 |
|
237,249 |
203,288 |
$1.53M |
| 86592 |
|
611,710 |
545,386 |
$1.50M |
| 87081 |
|
348,300 |
323,882 |
$1.47M |
| 82728 |
|
252,911 |
216,971 |
$1.45M |
| G0480 |
Drug test def 1-7 classes |
33,887 |
28,582 |
$1.44M |
| G0481 |
Drug test def 8-14 classes |
29,189 |
25,286 |
$1.43M |
| 80055 |
|
34,695 |
29,638 |
$1.36M |
| 86696 |
|
114,018 |
101,476 |
$1.26M |
| 87088 |
|
276,428 |
249,442 |
$1.22M |
| 87186 |
|
237,695 |
215,708 |
$1.16M |
| 82670 |
|
84,085 |
73,427 |
$1.15M |
| 84153 |
|
136,606 |
115,670 |
$1.13M |
| 84702 |
|
159,390 |
117,624 |
$1.08M |
| 83001 |
|
108,929 |
96,646 |
$1.07M |
| 83655 |
|
125,350 |
116,435 |
$1.07M |
| 87340 |
|
189,869 |
168,458 |
$1.07M |
| 87077 |
|
236,067 |
214,489 |
$1.02M |
| 84146 |
|
97,141 |
85,308 |
$1.01M |
| 83550 |
|
242,022 |
207,730 |
$967K |
| 88142 |
|
63,216 |
58,598 |
$884K |
| 86360 |
|
37,478 |
32,845 |
$880K |
| 88141 |
|
74,415 |
67,878 |
$878K |
| 87522 |
Neg quan hep c or qual rna |
41,607 |
36,761 |
$876K |
| 86003 |
|
27,132 |
21,499 |
$859K |
| 83002 |
|
88,462 |
78,367 |
$858K |
| 84402 |
|
68,088 |
59,234 |
$851K |
| 36415 |
|
505,878 |
441,711 |
$788K |
| 87902 |
|
7,102 |
6,072 |
$786K |
| 83970 |
|
49,553 |
42,387 |
$784K |
| 82570 |
|
285,584 |
251,989 |
$783K |
| 83540 |
|
281,715 |
241,424 |
$777K |
| 86038 |
|
115,511 |
102,134 |
$754K |
| 85027 |
|
256,063 |
223,668 |
$747K |
| 86769 |
|
20,832 |
15,902 |
$735K |
| 80048 |
|
176,276 |
154,113 |
$714K |
| 86695 |
|
100,938 |
89,906 |
$708K |
| 84481 |
|
96,675 |
84,023 |
$704K |
| 82043 |
|
252,648 |
224,893 |
$694K |
| 84144 |
|
65,124 |
54,061 |
$679K |
| 84436 |
|
216,502 |
187,263 |
$627K |
| 83013 |
|
19,343 |
17,692 |
$622K |
| 87070 |
|
119,470 |
109,662 |
$616K |
| 87798 |
|
32,240 |
14,665 |
$602K |
| 82950 |
|
191,625 |
175,035 |
$601K |
| 86780 |
|
72,755 |
65,478 |
$590K |
| 81001 |
|
314,955 |
273,607 |
$544K |
| 86762 |
|
62,133 |
54,472 |
$524K |
| 82784 |
|
65,789 |
57,369 |
$523K |
| 83735 |
|
153,387 |
128,988 |
$518K |
| 83880 |
|
35,190 |
29,444 |
$512K |
| 86850 |
|
82,240 |
72,411 |
$472K |
| 86376 |
|
64,318 |
56,030 |
$458K |
| 86140 |
|
169,858 |
148,333 |
$415K |
| 86787 |
|
51,431 |
45,563 |
$412K |
| 87901 |
|
3,283 |
2,956 |
$411K |
| 84479 |
|
161,533 |
139,597 |
$409K |
| 86706 |
|
70,055 |
60,828 |
$396K |
| 84480 |
|
58,933 |
51,893 |
$392K |
| 86665 |
|
19,003 |
17,208 |
$383K |
| 83525 |
|
60,838 |
52,812 |
$381K |
| 83516 |
|
31,205 |
27,032 |
$369K |
| 81329 |
|
14,638 |
11,322 |
$349K |
| 86677 |
|
25,326 |
21,700 |
$338K |
| 86361 |
|
26,813 |
23,579 |
$329K |
| 86704 |
|
54,060 |
46,841 |
$327K |
| 84550 |
|
136,603 |
119,904 |
$327K |
| G0483 |
Drug test def 22+ classes |
6,885 |
5,756 |
$325K |
| 82627 |
|
26,699 |
23,400 |
$315K |
| 83021 |
|
26,676 |
23,907 |
$315K |
| 83020 |
|
41,675 |
37,317 |
$314K |
| 82951 |
|
41,633 |
38,376 |
$310K |
| 87625 |
|
16,520 |
14,768 |
$310K |
| 85660 |
|
85,224 |
76,219 |
$305K |
| 86147 |
|
9,324 |
7,980 |
$283K |
| 80164 |
|
44,738 |
38,049 |
$283K |
| 87900 |
|
4,126 |
3,653 |
$269K |
| 83498 |
|
21,241 |
18,722 |
$265K |
| 86160 |
|
22,215 |
19,165 |
$253K |
| 85652 |
|
169,872 |
148,491 |
$253K |
| 86364 |
|
29,572 |
25,276 |
$250K |
| 86225 |
|
35,972 |
31,462 |
$246K |
| 83690 |
|
64,998 |
57,070 |
$243K |
| 86431 |
|
83,086 |
73,716 |
$235K |
| 86708 |
|
34,342 |
29,494 |
$216K |
| 82947 |
|
102,397 |
88,596 |
$215K |
| 87480 |
|
20,410 |
17,634 |
$215K |
| 80076 |
|
52,994 |
47,488 |
$212K |
| 87075 |
|
40,622 |
37,287 |
$210K |
| 87510 |
|
20,378 |
17,603 |
$210K |
| 82248 |
|
79,682 |
68,511 |
$207K |
| 87660 |
|
19,940 |
17,598 |
$206K |
| 84270 |
|
21,459 |
18,602 |
$205K |
| 86800 |
|
28,389 |
24,818 |
$205K |
| 82105 |
|
29,631 |
25,419 |
$201K |
| 82150 |
|
57,750 |
50,200 |
$200K |
| 84681 |
|
23,842 |
20,936 |
$193K |
| 82274 |
|
20,533 |
18,527 |
$189K |
| 86870 |
|
12,638 |
11,257 |
$187K |
| 85610 |
|
95,907 |
77,450 |
$186K |
| 84450 |
|
80,639 |
69,947 |
$181K |
| 82565 |
|
83,051 |
70,908 |
$181K |
| 82785 |
|
23,816 |
20,148 |
$180K |
| 87209 |
|
17,369 |
15,768 |
$175K |
| 86258 |
|
16,538 |
13,739 |
$170K |
| 86200 |
|
28,060 |
24,571 |
$168K |
| 80069 |
|
42,117 |
36,131 |
$168K |
| 82533 |
|
19,013 |
16,283 |
$162K |
| 84156 |
|
81,080 |
69,548 |
$160K |
| 84460 |
|
63,807 |
55,777 |
$159K |
| 81257 |
|
4,519 |
3,392 |
$157K |
| 87906 |
|
2,347 |
2,102 |
$156K |
| 86356 |
|
4,951 |
4,040 |
$155K |
| 85018 |
|
89,598 |
82,475 |
$153K |
| 82977 |
|
51,296 |
44,170 |
$150K |
| 83615 |
|
51,531 |
44,451 |
$146K |
| 81596 |
|
6,469 |
5,746 |
$144K |
| 86664 |
|
15,728 |
14,344 |
$143K |
| 85730 |
|
54,842 |
45,372 |
$143K |
| 87255 |
|
8,963 |
8,308 |
$142K |
| 82550 |
|
40,605 |
35,425 |
$140K |
| 85045 |
|
64,204 |
55,211 |
$138K |
| 87529 |
|
7,585 |
6,396 |
$133K |
| 86141 |
|
24,750 |
21,099 |
$132K |
| 82247 |
|
61,255 |
51,978 |
$132K |
| 86317 |
|
15,815 |
13,880 |
$132K |
| 86901 |
|
64,930 |
57,041 |
$129K |
| 82024 |
|
6,406 |
5,612 |
$124K |
| 84520 |
|
68,881 |
58,487 |
$122K |
| 86231 |
|
20,537 |
17,160 |
$120K |
| 86900 |
|
64,844 |
56,933 |
$117K |
| 87535 |
|
8,154 |
7,036 |
$116K |
| 85014 |
|
63,949 |
58,961 |
$115K |
| 87636 |
|
1,024 |
959 |
$110K |
| 81361 |
|
4,532 |
3,400 |
$110K |
| 81003 |
|
83,366 |
71,717 |
$105K |
| 86593 |
|
43,090 |
37,983 |
$105K |
| 84703 |
|
24,767 |
21,800 |
$105K |
| 84075 |
|
55,807 |
47,862 |
$104K |
| 84100 |
|
54,330 |
44,440 |
$103K |
| 82040 |
|
55,544 |
47,531 |
$101K |
| 84425 |
|
10,880 |
9,319 |
$99K |
| 87427 |
|
15,067 |
13,956 |
$99K |
| 87517 |
|
4,572 |
4,124 |
$98K |
| 86255 |
|
17,078 |
15,161 |
$98K |
| 86146 |
|
4,050 |
3,207 |
$97K |
| 82672 |
|
9,594 |
8,390 |
$95K |
| 82652 |
|
8,826 |
6,624 |
$94K |
| 82952 |
|
38,803 |
35,804 |
$93K |
| 82310 |
|
50,341 |
43,160 |
$93K |
| 86359 |
|
5,576 |
4,752 |
$91K |
| 84295 |
|
45,180 |
38,477 |
$89K |
| 86618 |
|
9,517 |
8,280 |
$89K |
| 84155 |
|
55,053 |
47,400 |
$88K |
| 87177 |
|
17,513 |
15,912 |
$85K |
| 87045 |
|
15,039 |
13,936 |
$81K |
| 86735 |
|
11,278 |
9,780 |
$80K |
| 84132 |
|
38,929 |
33,438 |
$80K |
| 86765 |
|
11,644 |
10,131 |
$80K |
| 86709 |
|
13,757 |
11,681 |
$79K |
| 84445 |
|
4,147 |
3,704 |
$79K |
| 82435 |
|
44,406 |
37,834 |
$76K |
| 84154 |
|
9,778 |
8,364 |
$75K |
| 84165 |
|
15,285 |
13,487 |
$75K |
| 86008 |
|
10,217 |
8,502 |
$72K |
| 81479 |
|
1,789 |
1,312 |
$72K |
| 86334 |
|
7,768 |
6,874 |
$70K |
| 87521 |
Neg quan hep c or qual rna |
3,787 |
3,453 |
$68K |
| 88342 |
|
1,963 |
1,650 |
$67K |
| 82378 |
|
9,148 |
7,544 |
$66K |
| 80178 |
|
20,132 |
16,910 |
$65K |
| 86702 |
|
10,780 |
9,309 |
$63K |
| 85384 |
|
15,430 |
13,509 |
$63K |
| 80185 |
|
9,912 |
8,471 |
$62K |
| 83704 |
|
9,102 |
7,560 |
$61K |
| 84466 |
|
10,999 |
9,503 |
$58K |
| 80051 |
|
19,468 |
16,642 |
$58K |
| 87046 |
|
15,234 |
14,020 |
$57K |
| 86757 |
|
5,428 |
4,679 |
$57K |
| 82465 |
|
23,425 |
21,038 |
$55K |
| 86663 |
|
6,791 |
6,206 |
$55K |
| 86341 |
|
4,353 |
3,760 |
$54K |
| 81243 |
|
8,783 |
6,791 |
$54K |
| 87563 |
|
3,319 |
2,943 |
$54K |
| 84305 |
|
5,562 |
4,923 |
$53K |
| 86705 |
|
7,543 |
6,687 |
$51K |
| 82626 |
|
4,093 |
3,616 |
$51K |
| 86645 |
|
5,586 |
5,025 |
$51K |
| 82677 |
|
4,501 |
3,926 |
$51K |
| 88112 |
|
1,659 |
1,412 |
$51K |
| 82140 |
|
7,744 |
6,674 |
$51K |
| 87324 |
|
8,142 |
7,343 |
$50K |
| 81374 |
|
3,467 |
2,996 |
$50K |
| 86694 |
|
6,238 |
5,543 |
$50K |
| 85379 |
|
9,853 |
8,456 |
$49K |
| 81255 |
|
4,540 |
3,400 |
$49K |
| 86644 |
|
6,287 |
5,611 |
$49K |
| 80177 |
|
9,782 |
8,697 |
$49K |
| 83520 |
|
7,748 |
6,713 |
$49K |
| 81251 |
|
4,535 |
3,395 |
$48K |
| 86300 |
|
4,162 |
3,548 |
$48K |
| 82103 |
|
7,714 |
6,651 |
$47K |
| 84207 |
|
4,424 |
3,725 |
$46K |
| 87650 |
|
3,954 |
3,733 |
$46K |
| 87184 |
|
9,945 |
9,189 |
$45K |
| 83090 |
|
7,137 |
5,724 |
$44K |
| 81200 |
|
4,533 |
3,395 |
$44K |
| 86304 |
|
9,314 |
7,675 |
$44K |
| 81330 |
|
4,534 |
3,395 |
$43K |
| 87350 |
|
7,208 |
6,256 |
$42K |
| 80197 |
|
9,195 |
6,294 |
$42K |
| 86777 |
|
5,280 |
4,664 |
$42K |
| 86701 |
|
10,372 |
8,950 |
$41K |
| 82397 |
|
7,505 |
6,352 |
$41K |
| 84134 |
|
7,464 |
6,200 |
$41K |
| G0482 |
Drug test def 15-21 classes |
1,242 |
1,061 |
$40K |
| 81260 |
|
4,538 |
3,398 |
$40K |
| 80348 |
|
9,910 |
9,402 |
$40K |
| 82390 |
|
7,620 |
6,591 |
$39K |
| 82239 |
|
4,383 |
3,521 |
$39K |
| 85041 |
|
16,988 |
15,456 |
$38K |
| 80156 |
|
6,299 |
5,463 |
$38K |
| 81290 |
|
4,533 |
3,395 |
$38K |
| 82330 |
|
8,190 |
7,127 |
$38K |
| 82088 |
|
2,018 |
1,758 |
$37K |
| 86060 |
|
8,675 |
7,862 |
$37K |
| 81242 |
|
4,541 |
3,400 |
$37K |
| 81209 |
|
4,541 |
3,398 |
$36K |
| 86707 |
|
5,947 |
5,188 |
$36K |
| 87329 |
|
5,221 |
4,717 |
$35K |
| 83721 |
|
9,755 |
8,631 |
$35K |
| 80299 |
|
1,982 |
1,597 |
$34K |
| 81025 |
|
9,040 |
7,946 |
$34K |
| 88307 |
|
288 |
258 |
$33K |
| 88312 |
|
1,133 |
947 |
$33K |
| 85048 |
|
18,690 |
16,825 |
$33K |
| 86336 |
|
4,541 |
3,972 |
$33K |
| 83718 |
|
7,210 |
6,621 |
$32K |
| 86381 |
|
3,448 |
2,872 |
$31K |
| 88304 |
|
1,661 |
1,410 |
$30K |
| 87493 |
|
2,616 |
2,391 |
$30K |
| 87101 |
|
6,456 |
5,824 |
$30K |
| 80361 |
|
10,639 |
9,982 |
$29K |
| 82985 |
|
3,608 |
3,307 |
$28K |
| 86256 |
|
3,629 |
2,892 |
$28K |
| 84484 |
|
4,872 |
4,271 |
$28K |
| 84432 |
|
3,460 |
3,071 |
$27K |
| 84166 |
|
3,758 |
3,278 |
$26K |
| 82575 |
|
4,430 |
4,068 |
$26K |
| 80349 |
|
2,065 |
1,876 |
$26K |
| 86301 |
|
3,994 |
3,138 |
$25K |
| 83521 |
|
2,466 |
2,139 |
$25K |
| 82553 |
|
3,684 |
3,230 |
$24K |
| 83921 |
|
3,202 |
2,797 |
$23K |
| 80365 |
|
10,247 |
9,730 |
$23K |
| 82374 |
|
13,319 |
11,421 |
$23K |
| 87040 |
|
3,797 |
3,327 |
$22K |
| 82731 |
|
538 |
483 |
$22K |
| 83010 |
|
3,843 |
3,334 |
$22K |
| 87338 |
|
3,319 |
3,057 |
$22K |
| 82166 |
|
1,423 |
1,155 |
$22K |
| 83883 |
|
4,521 |
3,981 |
$21K |
| 82787 |
|
1,679 |
1,484 |
$20K |
| 87109 |
|
3,106 |
2,880 |
$20K |
| 82157 |
|
1,317 |
1,112 |
$20K |
| 80346 |
|
2,221 |
2,081 |
$20K |
| 84244 |
|
1,957 |
1,725 |
$20K |
| 86778 |
|
2,594 |
2,315 |
$20K |
| 87538 |
|
1,568 |
1,341 |
$19K |
| 85060 |
|
5,777 |
5,037 |
$19K |
| 82104 |
|
3,068 |
2,644 |
$19K |
| 80159 |
|
2,974 |
2,257 |
$19K |
| 80353 |
|
10,202 |
9,566 |
$19K |
| 83993 |
|
2,205 |
1,965 |
$18K |
| 84478 |
|
7,464 |
6,212 |
$18K |
| 86308 |
|
5,541 |
5,038 |
$18K |
| 84482 |
|
3,946 |
3,173 |
$18K |
| 84630 |
|
3,829 |
3,213 |
$18K |
| 80184 |
|
3,679 |
3,073 |
$18K |
| 85598 |
|
2,504 |
2,052 |
$18K |
| 85613 |
|
3,779 |
3,126 |
$17K |
| 87799 |
|
2,069 |
1,473 |
$17K |
| 86015 |
|
3,666 |
3,111 |
$17K |
| 80183 |
|
3,459 |
3,135 |
$17K |
| 85004 |
|
4,525 |
3,834 |
$17K |
| 82525 |
|
3,529 |
2,896 |
$17K |
| 84999 |
|
3,069 |
2,776 |
$17K |
| 80373 |
|
9,708 |
9,219 |
$17K |
| 80358 |
|
9,746 |
9,255 |
$16K |
| 85246 |
|
1,309 |
1,175 |
$16K |
| 87205 |
|
7,686 |
6,817 |
$16K |
| 85240 |
|
1,619 |
1,422 |
$16K |
| 82164 |
|
2,682 |
2,301 |
$16K |
| 80345 |
|
1,459 |
1,385 |
$16K |
| 86337 |
|
1,502 |
1,314 |
$15K |
| 80165 |
|
2,651 |
2,305 |
$15K |
| 82747 |
|
2,333 |
1,929 |
$15K |
| 81422 |
|
897 |
703 |
$14K |
| 86671 |
|
1,772 |
1,519 |
$14K |
| 86617 |
|
1,417 |
1,164 |
$14K |
| 80359 |
|
9,741 |
9,252 |
$14K |
| 87635 |
|
493 |
405 |
$14K |
| 85007 |
|
8,832 |
7,466 |
$13K |
| 86037 |
|
1,561 |
1,260 |
$13K |
| 85245 |
|
1,028 |
925 |
$13K |
| 86335 |
|
1,868 |
1,589 |
$13K |
| G0307 |
Cbc without platelet |
9,052 |
7,837 |
$12K |
| 81241 |
|
1,624 |
1,226 |
$12K |
| 80175 |
|
2,847 |
2,554 |
$12K |
| 80354 |
|
9,280 |
8,806 |
$12K |
| 84080 |
|
2,187 |
1,900 |
$12K |
| 88230 |
|
254 |
227 |
$12K |
| 88262 |
|
226 |
203 |
$12K |
| 85597 |
|
1,633 |
1,350 |
$12K |
| G0475 |
Hiv combination assay |
4,889 |
4,148 |
$11K |
| 89055 |
|
4,829 |
4,438 |
$11K |
| 84590 |
|
2,340 |
1,909 |
$11K |
| 80162 |
|
2,517 |
2,142 |
$11K |
| 81291 |
|
1,375 |
1,081 |
$10K |
| 83789 |
|
968 |
840 |
$10K |
| 86666 |
|
989 |
837 |
$10K |
| 81377 |
|
255 |
174 |
$10K |
| 85306 |
|
1,153 |
939 |
$10K |
| 81381 |
|
1,868 |
1,500 |
$10K |
| 87076 |
|
1,990 |
1,856 |
$10K |
| 82955 |
|
1,896 |
1,682 |
$10K |
| 87206 |
|
3,468 |
3,078 |
$10K |
| 82679 |
|
829 |
710 |
$9K |
| 88341 |
|
184 |
162 |
$9K |
| 87651 |
|
481 |
462 |
$9K |
| 83992 |
|
6,173 |
5,857 |
$9K |
| 80372 |
|
8,797 |
8,331 |
$9K |
| 87210 |
|
2,961 |
2,669 |
$8K |
| 80324 |
|
4,268 |
4,044 |
$8K |
| 82552 |
|
1,065 |
956 |
$8K |
| 87328 |
|
1,126 |
1,009 |
$8K |
| 87497 |
|
723 |
516 |
$8K |
| 80202 |
|
1,075 |
557 |
$8K |
| 82653 |
|
820 |
736 |
$8K |
| 82085 |
|
2,199 |
1,884 |
$8K |
| 87481 |
|
444 |
387 |
$7K |
| 83527 |
|
1,382 |
1,171 |
$7K |
| 84410 |
|
457 |
380 |
$7K |
| 86162 |
|
745 |
661 |
$7K |
| 84446 |
|
1,225 |
1,023 |
$7K |
| 83930 |
|
1,712 |
1,556 |
$7K |
| 82340 |
|
1,960 |
1,735 |
$6K |
| 82705 |
|
2,139 |
1,960 |
$6K |
| 83695 |
|
1,393 |
1,146 |
$5K |
| 85670 |
|
2,270 |
1,859 |
$5K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
11,524 |
10,361 |
$5K |
| 83935 |
|
1,563 |
1,395 |
$5K |
| 87804 |
|
271 |
221 |
$5K |
| 87106 |
|
878 |
802 |
$5K |
| 80367 |
|
6,107 |
5,796 |
$5K |
| 83014 |
|
1,248 |
1,131 |
$5K |
| 82610 |
|
678 |
613 |
$5K |
| 85049 |
|
2,152 |
1,843 |
$5K |
| 86357 |
|
255 |
219 |
$5K |
| 86747 |
|
343 |
303 |
$5K |
| G0472 |
Hep c screen high risk/other |
8,115 |
6,904 |
$5K |
| 85732 |
|
1,172 |
999 |
$5K |
| 81401 |
|
1,042 |
763 |
$5K |
| 87015 |
|
1,367 |
1,144 |
$4K |
| 87116 |
|
1,059 |
866 |
$4K |
| 81240 |
|
665 |
511 |
$4K |
| 87425 |
|
419 |
393 |
$4K |
| 80347 |
|
7,911 |
7,490 |
$4K |
| 86355 |
|
194 |
173 |
$4K |
| 84300 |
|
1,577 |
1,388 |
$4K |
| 84163 |
|
356 |
329 |
$4K |
| G0103 |
Psa screening |
21,343 |
18,202 |
$3K |
| 85303 |
|
562 |
464 |
$3K |
| 81383 |
|
105 |
72 |
$3K |
| 86036 |
|
677 |
563 |
$3K |
| 82172 |
|
3,587 |
2,857 |
$3K |
| G0306 |
Cbc/diffwbc w/o platelet |
1,765 |
1,570 |
$3K |
| 80356 |
|
689 |
624 |
$3K |
| 83835 |
|
374 |
344 |
$3K |
| 85300 |
|
590 |
477 |
$3K |
| 80337 |
|
5,693 |
5,387 |
$3K |
| 83874 |
|
514 |
441 |
$3K |
| 80370 |
|
7,867 |
7,462 |
$3K |
| 80338 |
|
5,695 |
5,390 |
$3K |
| 80368 |
|
5,722 |
5,416 |
$3K |
| 80360 |
|
5,711 |
5,406 |
$2K |
| 80334 |
|
5,703 |
5,397 |
$2K |
| 80377 |
|
5,679 |
5,375 |
$2K |
| 80235 |
|
367 |
325 |
$2K |
| 84252 |
|
262 |
173 |
$2K |
| 80326 |
|
5,671 |
5,364 |
$2K |
| 80364 |
|
5,667 |
5,363 |
$2K |
| 80341 |
|
5,667 |
5,362 |
$2K |
| 80331 |
|
5,667 |
5,362 |
$2K |
| 80371 |
|
5,670 |
5,365 |
$2K |
| 80344 |
|
5,680 |
5,375 |
$2K |
| 82668 |
|
381 |
311 |
$2K |
| 81517 |
|
32 |
30 |
$2K |
| 80366 |
|
5,686 |
5,381 |
$2K |
| 87254 |
|
218 |
201 |
$2K |
| 80357 |
|
5,664 |
5,359 |
$2K |
| 81490 |
|
268 |
234 |
$2K |
| 82542 |
|
221 |
178 |
$2K |
| 84152 |
|
251 |
224 |
$2K |
| 80320 |
|
179 |
170 |
$2K |
| 82232 |
|
404 |
359 |
$2K |
| 86631 |
|
294 |
266 |
$2K |
| 87420 |
|
213 |
203 |
$2K |
| 87807 |
|
216 |
208 |
$2K |
| 80355 |
|
5,659 |
5,359 |
$2K |
| 83003 |
|
226 |
195 |
$2K |
| 86880 |
|
717 |
629 |
$2K |
| 86005 |
|
608 |
510 |
$2K |
| 82180 |
|
391 |
279 |
$2K |
| 86753 |
|
233 |
181 |
$1K |
| 83625 |
|
213 |
188 |
$1K |
| 80369 |
|
347 |
342 |
$1K |
| 80201 |
|
305 |
280 |
$1K |
| 80362 |
|
430 |
422 |
$1K |
| 84145 |
|
194 |
172 |
$1K |
| 80230 |
|
79 |
58 |
$1K |
| 85305 |
|
228 |
191 |
$1K |
| 86148 |
|
360 |
192 |
$981.39 |
| 84202 |
|
102 |
98 |
$978.87 |
| 80198 |
|
133 |
127 |
$925.62 |
| 86738 |
|
58 |
52 |
$907.84 |
| 80203 |
|
177 |
161 |
$830.65 |
| 81015 |
|
640 |
581 |
$785.36 |
| 82308 |
|
52 |
43 |
$696.43 |
| 85302 |
|
150 |
129 |
$676.31 |
| 84597 |
|
98 |
76 |
$650.41 |
| 80145 |
|
73 |
66 |
$637.27 |
| 83937 |
|
41 |
32 |
$574.21 |
| 89060 |
|
133 |
122 |
$548.36 |
| 83631 |
|
149 |
128 |
$536.95 |
| 87880 |
|
72 |
67 |
$528.15 |
| 88300 |
|
72 |
69 |
$470.53 |
| 84206 |
|
31 |
26 |
$411.67 |
| G0328 |
Fecal blood scrn immunoassay |
3,244 |
2,837 |
$348.32 |
| G0123 |
Screen cerv/vag thin layer |
1,113 |
1,015 |
$318.41 |
| 86804 |
|
64 |
55 |
$302.47 |
| 89051 |
|
85 |
81 |
$298.98 |
| 85307 |
|
50 |
38 |
$291.13 |
| 86849 |
|
64 |
38 |
$268.81 |
| G0124 |
Screen c/v thin layer by md |
1,568 |
1,370 |
$264.97 |
| 86215 |
|
49 |
38 |
$255.49 |
| 87230 |
|
28 |
25 |
$253.69 |
| 87476 |
|
18 |
17 |
$246.17 |
| 82384 |
|
35 |
28 |
$243.04 |
| 81283 |
|
13 |
13 |
$232.34 |
| 82681 |
|
41 |
27 |
$228.35 |
| 82175 |
|
21 |
18 |
$226.25 |
| 85046 |
|
44 |
43 |
$183.69 |
| 83825 |
|
21 |
18 |
$180.15 |
| 84181 |
|
81 |
61 |
$168.55 |
| 86703 |
|
40 |
26 |
$136.35 |
| 84133 |
|
52 |
50 |
$128.32 |
| 81256 |
|
15 |
13 |
$118.86 |
| 83986 |
|
56 |
51 |
$117.25 |
| 84140 |
|
20 |
18 |
$113.74 |
| 85705 |
|
32 |
24 |
$103.75 |
| 82595 |
|
47 |
44 |
$98.48 |
| 84433 |
|
17 |
13 |
$97.84 |
| 80342 |
|
14 |
12 |
$94.19 |
| 86790 |
|
37 |
27 |
$90.26 |
| 83605 |
|
20 |
15 |
$85.37 |
| 80323 |
|
12 |
12 |
$84.89 |
| 80158 |
|
32 |
25 |
$68.35 |
| 84591 |
|
20 |
17 |
$43.28 |
| 87633 |
|
188 |
152 |
$40.50 |
| 36416 |
|
6,062 |
5,588 |
$26.15 |
| S3600 |
Stat lab |
4,029 |
3,234 |
$17.74 |
| 99199 |
|
128 |
104 |
$10.32 |
| 81002 |
|
1,328 |
851 |
$6.75 |
| 83698 |
|
38 |
24 |
$0.00 |
| P9604 |
One-way allow prorated trip |
50 |
47 |
$0.00 |
| P9603 |
One-way allow prorated miles |
492 |
480 |
$0.00 |
| 99422 |
|
14 |
12 |
$0.00 |
| 80374 |
|
15 |
15 |
$0.00 |