| Code | Description | Claims | Beneficiaries | Total Paid |
| 87799 |
|
154,602 |
93,736 |
$5.19M |
| 81420 |
|
6,687 |
6,629 |
$3.81M |
| 87801 |
|
102,762 |
95,943 |
$3.54M |
| 80307 |
|
116,475 |
83,581 |
$3.45M |
| G0480 |
Drug test def 1-7 classes |
101,422 |
74,401 |
$2.91M |
| 81220 |
|
10,811 |
10,071 |
$2.87M |
| 87512 |
|
97,779 |
89,456 |
$2.24M |
| 87661 |
|
102,095 |
95,258 |
$1.61M |
| 87491 |
|
103,151 |
94,524 |
$1.30M |
| 87591 |
|
103,053 |
94,450 |
$1.29M |
| U0003 |
Cov-19 amp prb hgh thruput |
22,927 |
17,353 |
$1.16M |
| 87902 |
|
15,183 |
14,367 |
$1.14M |
| 82652 |
|
65,765 |
62,401 |
$990K |
| G0483 |
Drug test def 22+ classes |
8,661 |
7,743 |
$955K |
| 84403 |
|
110,858 |
103,523 |
$861K |
| 82306 |
|
46,534 |
44,358 |
$612K |
| 87536 |
|
10,923 |
9,730 |
$488K |
| 84402 |
|
51,780 |
47,849 |
$459K |
| 87624 |
|
13,470 |
12,791 |
$309K |
| 88185 |
|
2,199 |
1,873 |
$305K |
| 84425 |
|
32,661 |
30,928 |
$295K |
| 84445 |
|
11,429 |
10,841 |
$284K |
| 84270 |
|
37,294 |
35,027 |
$270K |
| 87798 |
|
10,858 |
6,217 |
$256K |
| 86003 |
|
8,693 |
7,449 |
$252K |
| 86146 |
|
11,387 |
7,796 |
$236K |
| 87522 |
Neg quan hep c or qual rna |
7,828 |
7,205 |
$217K |
| 83498 |
|
16,585 |
15,762 |
$215K |
| 83921 |
|
19,187 |
18,306 |
$211K |
| 87529 |
|
11,286 |
5,791 |
$205K |
| 86696 |
|
24,205 |
21,895 |
$193K |
| G0481 |
Drug test def 8-14 classes |
4,670 |
3,570 |
$192K |
| 87563 |
|
9,851 |
8,945 |
$181K |
| 83516 |
|
18,512 |
16,478 |
$177K |
| 84207 |
|
13,094 |
12,453 |
$175K |
| 83520 |
|
25,266 |
14,687 |
$170K |
| 86780 |
|
17,508 |
16,527 |
$145K |
| 86695 |
|
23,472 |
21,194 |
$135K |
| 86360 |
|
5,929 |
5,614 |
$135K |
| 86235 |
|
4,669 |
3,877 |
$125K |
| 87633 |
|
605 |
533 |
$125K |
| 82024 |
|
5,697 |
5,229 |
$117K |
| 83655 |
|
13,512 |
12,355 |
$110K |
| 83021 |
|
8,336 |
7,664 |
$107K |
| 84590 |
|
14,961 |
14,347 |
$104K |
| 87535 |
|
4,743 |
4,445 |
$102K |
| 80177 |
|
11,337 |
10,378 |
$100K |
| 82088 |
|
6,485 |
6,091 |
$99K |
| 83013 |
|
2,337 |
2,264 |
$94K |
| 85246 |
|
7,297 |
6,963 |
$94K |
| 86147 |
|
4,656 |
3,298 |
$94K |
| 84443 |
|
8,592 |
8,239 |
$91K |
| 86812 |
|
7,293 |
6,719 |
$91K |
| 87389 |
|
5,015 |
4,802 |
$89K |
| 80061 |
|
9,870 |
9,528 |
$89K |
| 87481 |
|
1,201 |
998 |
$87K |
| 86255 |
|
13,486 |
11,428 |
$86K |
| 85245 |
|
6,580 |
6,294 |
$86K |
| 82784 |
|
10,646 |
9,935 |
$81K |
| 80159 |
|
11,026 |
8,476 |
$81K |
| 84630 |
|
14,012 |
13,227 |
$80K |
| U0005 |
Infec agen detec ampli probe |
4,937 |
3,705 |
$79K |
| 87497 |
|
3,074 |
2,131 |
$77K |
| 80175 |
|
9,274 |
8,494 |
$76K |
| 83835 |
|
6,781 |
6,124 |
$76K |
| 86666 |
|
6,442 |
5,573 |
$76K |
| 85240 |
|
7,012 |
6,655 |
$75K |
| 81382 |
|
1,350 |
1,227 |
$74K |
| 81381 |
|
2,588 |
2,294 |
$74K |
| 84244 |
|
6,393 |
6,030 |
$71K |
| 80053 |
|
9,837 |
9,301 |
$71K |
| 80183 |
|
7,629 |
7,102 |
$66K |
| 85247 |
|
4,627 |
4,403 |
$64K |
| 82728 |
|
7,248 |
6,826 |
$63K |
| 87635 |
|
1,658 |
1,563 |
$63K |
| 86359 |
|
5,445 |
5,127 |
$62K |
| 83880 |
|
3,578 |
3,231 |
$62K |
| 86376 |
|
6,882 |
6,451 |
$61K |
| 86787 |
|
7,141 |
6,742 |
$61K |
| 81376 |
|
1,354 |
1,229 |
$61K |
| 80348 |
|
8,377 |
5,890 |
$58K |
| 86355 |
|
4,940 |
4,635 |
$55K |
| 80050 |
|
1,679 |
1,645 |
$54K |
| 82542 |
|
5,383 |
4,905 |
$52K |
| 86341 |
|
4,364 |
3,982 |
$51K |
| 86611 |
|
4,255 |
3,642 |
$49K |
| 85025 |
|
9,781 |
9,257 |
$49K |
| 86803 |
|
4,799 |
4,451 |
$48K |
| 80349 |
|
6,502 |
5,482 |
$47K |
| 84446 |
|
5,349 |
5,109 |
$47K |
| 81206 |
|
989 |
934 |
$47K |
| 80361 |
|
4,936 |
4,189 |
$46K |
| 86480 |
|
1,433 |
1,353 |
$46K |
| 80346 |
|
5,480 |
4,650 |
$45K |
| 83036 |
|
7,889 |
7,643 |
$42K |
| 85730 |
|
9,968 |
9,388 |
$42K |
| 86021 |
|
4,244 |
3,688 |
$41K |
| 82525 |
|
5,448 |
5,095 |
$41K |
| 83020 |
|
5,035 |
4,836 |
$40K |
| 86160 |
|
3,992 |
3,385 |
$40K |
| 85613 |
|
6,042 |
5,643 |
$40K |
| 36415 |
|
42,902 |
39,559 |
$40K |
| 82787 |
|
2,873 |
2,403 |
$39K |
| 82384 |
|
2,739 |
2,571 |
$39K |
| 87338 |
|
3,630 |
3,464 |
$39K |
| 82610 |
|
4,102 |
3,782 |
$38K |
| 88189 |
|
1,638 |
1,440 |
$38K |
| 83735 |
|
9,256 |
8,720 |
$37K |
| 87517 |
|
1,371 |
1,287 |
$36K |
| 81513 |
|
526 |
493 |
$36K |
| 88184 |
|
2,139 |
1,873 |
$36K |
| 86753 |
|
5,956 |
5,299 |
$35K |
| 80373 |
|
10,246 |
6,846 |
$35K |
| 84439 |
|
6,087 |
5,846 |
$34K |
| 86357 |
|
3,351 |
3,153 |
$34K |
| 83970 |
|
1,259 |
1,186 |
$34K |
| 82040 |
|
19,544 |
18,427 |
$33K |
| 84482 |
|
5,928 |
5,505 |
$32K |
| 82164 |
|
4,221 |
3,987 |
$31K |
| 86231 |
|
5,705 |
5,461 |
$31K |
| 82607 |
|
3,501 |
3,228 |
$30K |
| 86038 |
|
4,869 |
4,591 |
$30K |
| 85303 |
|
2,869 |
2,675 |
$30K |
| 86671 |
|
4,378 |
2,150 |
$29K |
| 86738 |
|
2,534 |
2,389 |
$29K |
| 86769 |
|
785 |
719 |
$29K |
| 82239 |
|
2,692 |
2,346 |
$29K |
| 80354 |
|
5,132 |
3,179 |
$29K |
| G0482 |
Drug test def 15-21 classes |
519 |
465 |
$28K |
| 85306 |
|
2,522 |
2,337 |
$28K |
| 86774 |
|
3,171 |
3,028 |
$28K |
| 82785 |
|
2,571 |
2,459 |
$26K |
| 80365 |
|
3,340 |
2,831 |
$26K |
| 86481 |
|
631 |
572 |
$25K |
| U0002 |
Covid-19 lab test non-cdc |
518 |
484 |
$25K |
| 86800 |
|
2,858 |
2,653 |
$25K |
| 81329 |
|
1,476 |
1,356 |
$24K |
| 86162 |
|
2,879 |
2,693 |
$24K |
| 86592 |
|
8,094 |
7,712 |
$24K |
| 86665 |
|
1,018 |
893 |
$23K |
| 81240 |
|
631 |
577 |
$23K |
| 82955 |
|
4,401 |
4,175 |
$23K |
| 80355 |
|
3,219 |
1,843 |
$23K |
| 80323 |
|
2,057 |
1,625 |
$23K |
| 82085 |
|
4,323 |
4,054 |
$23K |
| 80324 |
|
3,008 |
2,225 |
$22K |
| 83695 |
|
3,160 |
2,990 |
$22K |
| 87502 |
|
422 |
417 |
$22K |
| 83003 |
|
698 |
546 |
$22K |
| 82570 |
|
7,345 |
6,868 |
$21K |
| 86200 |
|
2,823 |
2,445 |
$21K |
| 86008 |
|
1,246 |
1,185 |
$20K |
| 80164 |
|
2,287 |
2,183 |
$20K |
| 81241 |
|
704 |
625 |
$20K |
| 86225 |
|
2,614 |
2,426 |
$20K |
| 87340 |
|
2,637 |
2,431 |
$20K |
| 81270 |
|
1,963 |
1,822 |
$20K |
| 87086 |
|
3,795 |
3,446 |
$20K |
| 86148 |
|
4,241 |
1,584 |
$20K |
| 88262 |
|
262 |
250 |
$19K |
| 84432 |
|
1,963 |
1,828 |
$19K |
| 86361 |
|
1,394 |
1,317 |
$19K |
| 84255 |
|
1,336 |
1,264 |
$19K |
| 80165 |
|
2,320 |
2,207 |
$19K |
| 82627 |
|
1,349 |
1,279 |
$18K |
| 86015 |
|
2,914 |
2,717 |
$18K |
| 86364 |
|
2,453 |
2,320 |
$18K |
| 85300 |
|
2,015 |
1,883 |
$18K |
| 82397 |
|
2,043 |
1,954 |
$18K |
| 80321 |
|
2,429 |
2,043 |
$18K |
| 81374 |
|
673 |
629 |
$18K |
| 84305 |
|
1,384 |
1,341 |
$17K |
| 86648 |
|
1,980 |
1,880 |
$17K |
| 83090 |
|
1,958 |
1,848 |
$17K |
| 86140 |
|
5,425 |
5,100 |
$17K |
| 82523 |
|
2,642 |
2,469 |
$17K |
| 85041 |
|
7,872 |
7,423 |
$16K |
| 88230 |
|
284 |
271 |
$16K |
| 82670 |
|
845 |
793 |
$16K |
| 85598 |
|
1,464 |
1,344 |
$16K |
| 85018 |
|
8,989 |
8,513 |
$16K |
| 87088 |
|
2,392 |
2,160 |
$16K |
| 80353 |
|
2,595 |
2,122 |
$14K |
| 86757 |
|
886 |
845 |
$14K |
| 82175 |
|
1,349 |
1,221 |
$14K |
| 83825 |
|
1,626 |
1,473 |
$14K |
| 80201 |
|
1,712 |
1,596 |
$14K |
| 86340 |
|
1,647 |
1,576 |
$13K |
| 83001 |
|
1,098 |
1,027 |
$13K |
| 80503 |
|
1,217 |
1,153 |
$13K |
| 82985 |
|
2,527 |
2,328 |
$13K |
| 81229 |
|
26 |
25 |
$12K |
| 83519 |
|
1,284 |
1,185 |
$12K |
| 83002 |
|
1,012 |
954 |
$12K |
| 80359 |
|
2,322 |
1,794 |
$12K |
| 85597 |
|
1,079 |
1,031 |
$12K |
| 80358 |
|
2,769 |
2,418 |
$12K |
| 80366 |
|
1,311 |
1,140 |
$12K |
| 84202 |
|
1,989 |
1,783 |
$11K |
| 85014 |
|
6,530 |
6,118 |
$11K |
| 84080 |
|
2,142 |
2,010 |
$11K |
| 86036 |
|
1,589 |
1,380 |
$11K |
| 86381 |
|
1,217 |
1,125 |
$11K |
| 87521 |
Neg quan hep c or qual rna |
458 |
443 |
$11K |
| 81403 |
|
261 |
249 |
$11K |
| 84597 |
|
1,248 |
1,171 |
$11K |
| 87186 |
|
2,344 |
2,047 |
$11K |
| 82105 |
|
795 |
739 |
$10K |
| 80299 |
|
894 |
803 |
$10K |
| 80368 |
|
7,985 |
5,618 |
$9K |
| 86664 |
|
726 |
697 |
$9K |
| 82746 |
|
1,277 |
1,178 |
$9K |
| 81219 |
|
665 |
635 |
$9K |
| 82705 |
|
3,085 |
2,937 |
$9K |
| 82043 |
|
2,041 |
1,981 |
$9K |
| 86762 |
|
843 |
778 |
$9K |
| 82157 |
|
488 |
476 |
$9K |
| 85305 |
|
914 |
862 |
$9K |
| 82552 |
|
1,804 |
1,699 |
$9K |
| 81207 |
|
237 |
220 |
$8K |
| 80360 |
|
1,070 |
944 |
$8K |
| 81256 |
|
299 |
276 |
$8K |
| 83540 |
|
1,917 |
1,832 |
$8K |
| 84702 |
|
903 |
853 |
$8K |
| 84480 |
|
1,037 |
960 |
$8K |
| 80356 |
|
1,047 |
900 |
$8K |
| 86161 |
|
1,041 |
979 |
$8K |
| 82390 |
|
1,185 |
1,078 |
$8K |
| 83625 |
|
1,072 |
991 |
$8K |
| 85302 |
|
816 |
779 |
$8K |
| 84075 |
|
3,855 |
3,646 |
$8K |
| 82550 |
|
2,082 |
1,982 |
$8K |
| 83525 |
|
1,100 |
1,039 |
$8K |
| 82172 |
|
1,076 |
1,011 |
$8K |
| 83550 |
|
1,606 |
1,543 |
$8K |
| 87081 |
|
1,776 |
1,669 |
$8K |
| 83497 |
|
1,066 |
1,004 |
$8K |
| 80156 |
|
781 |
714 |
$7K |
| 86707 |
|
716 |
696 |
$7K |
| 86747 |
|
454 |
434 |
$7K |
| 86317 |
|
997 |
705 |
$7K |
| 88142 |
|
482 |
471 |
$7K |
| 80069 |
|
1,375 |
1,314 |
$7K |
| 87077 |
|
1,427 |
1,270 |
$7K |
| 81279 |
|
640 |
609 |
$7K |
| 86039 |
|
1,078 |
1,014 |
$7K |
| 88341 |
|
44 |
42 |
$7K |
| 86706 |
|
950 |
879 |
$7K |
| 84153 |
|
453 |
430 |
$7K |
| 80372 |
|
876 |
776 |
$6K |
| 84146 |
|
512 |
492 |
$6K |
| 80364 |
|
858 |
757 |
$6K |
| 80074 |
|
209 |
192 |
$6K |
| 86334 |
|
308 |
296 |
$6K |
| 86765 |
|
728 |
701 |
$6K |
| 86735 |
|
739 |
718 |
$6K |
| 84460 |
|
1,740 |
1,689 |
$6K |
| 82977 |
|
1,287 |
1,216 |
$6K |
| 80362 |
|
2,604 |
1,474 |
$6K |
| 82677 |
|
344 |
336 |
$6K |
| 80337 |
|
721 |
660 |
$6K |
| 80320 |
|
897 |
835 |
$6K |
| 86684 |
|
567 |
557 |
$5K |
| 80048 |
|
933 |
852 |
$5K |
| 80370 |
|
702 |
645 |
$5K |
| 80338 |
|
755 |
680 |
$5K |
| 87350 |
|
656 |
622 |
$5K |
| 80367 |
|
706 |
652 |
$5K |
| 84252 |
|
421 |
408 |
$5K |
| 84156 |
|
2,338 |
2,170 |
$5K |
| 80326 |
|
702 |
648 |
$5K |
| 81401 |
|
532 |
504 |
$5K |
| 86704 |
|
529 |
508 |
$5K |
| 80344 |
|
696 |
639 |
$5K |
| 80340 |
|
703 |
646 |
$5K |
| 83993 |
|
455 |
439 |
$5K |
| 84165 |
|
622 |
559 |
$5K |
| 87209 |
|
611 |
556 |
$5K |
| 80345 |
|
885 |
788 |
$5K |
| 80197 |
|
540 |
408 |
$4K |
| 80357 |
|
836 |
742 |
$4K |
| 87480 |
|
329 |
319 |
$4K |
| 87510 |
|
329 |
319 |
$4K |
| 87660 |
|
329 |
319 |
$4K |
| 83992 |
|
762 |
698 |
$4K |
| 87177 |
|
753 |
679 |
$4K |
| 80333 |
|
706 |
649 |
$4K |
| 81001 |
|
2,202 |
2,072 |
$4K |
| 82103 |
|
451 |
424 |
$4K |
| 83615 |
|
1,235 |
1,184 |
$4K |
| 84100 |
|
1,422 |
1,344 |
$4K |
| 86708 |
|
436 |
411 |
$4K |
| 84436 |
|
1,084 |
1,025 |
$4K |
| 88342 |
|
109 |
101 |
$4K |
| 80369 |
|
7,115 |
4,847 |
$4K |
| 86336 |
|
359 |
351 |
$4K |
| 81339 |
|
574 |
544 |
$4K |
| 85027 |
|
676 |
638 |
$4K |
| 85610 |
|
1,304 |
1,208 |
$4K |
| 88175 |
|
161 |
155 |
$3K |
| 80377 |
|
693 |
642 |
$3K |
| 84376 |
|
889 |
831 |
$3K |
| 86663 |
|
273 |
260 |
$3K |
| 88305 |
|
108 |
80 |
$3K |
| 86632 |
|
746 |
694 |
$3K |
| 82747 |
|
261 |
243 |
$3K |
| 87070 |
|
439 |
417 |
$3K |
| 86256 |
|
451 |
409 |
$3K |
| 82657 |
|
187 |
105 |
$3K |
| 88377 |
|
48 |
37 |
$3K |
| 87625 |
|
144 |
136 |
$3K |
| 84681 |
|
255 |
240 |
$3K |
| 82310 |
|
842 |
796 |
$3K |
| 80371 |
|
361 |
249 |
$3K |
| 83014 |
|
548 |
534 |
$3K |
| 86631 |
|
264 |
254 |
$3K |
| 82375 |
|
285 |
275 |
$3K |
| 84155 |
|
996 |
909 |
$2K |
| 86215 |
|
360 |
357 |
$2K |
| 88271 |
|
75 |
63 |
$2K |
| 82180 |
|
403 |
379 |
$2K |
| 84378 |
|
293 |
282 |
$2K |
| 87636 |
|
19 |
19 |
$2K |
| 80375 |
|
148 |
99 |
$2K |
| 82248 |
|
664 |
640 |
$2K |
| 86606 |
|
131 |
114 |
$2K |
| 80157 |
|
249 |
238 |
$2K |
| 83690 |
|
548 |
523 |
$2K |
| 85670 |
|
518 |
496 |
$2K |
| 85045 |
|
843 |
803 |
$2K |
| 86431 |
|
548 |
542 |
$2K |
| 80330 |
|
699 |
642 |
$2K |
| 86617 |
|
107 |
103 |
$2K |
| 81402 |
|
109 |
100 |
$2K |
| 80076 |
|
314 |
297 |
$2K |
| 82540 |
|
616 |
583 |
$2K |
| 83605 |
|
263 |
237 |
$2K |
| 84450 |
|
498 |
477 |
$2K |
| 80500 |
|
807 |
694 |
$2K |
| 87254 |
|
135 |
133 |
$2K |
| 81291 |
|
430 |
388 |
$2K |
| 87449 |
|
271 |
247 |
$2K |
| 81479 |
|
680 |
611 |
$1K |
| 84260 |
|
122 |
116 |
$1K |
| 84154 |
|
98 |
92 |
$1K |
| 84145 |
|
94 |
86 |
$1K |
| 82608 |
|
150 |
139 |
$1K |
| 87110 |
|
74 |
71 |
$1K |
| 83785 |
|
68 |
66 |
$1K |
| 82672 |
|
82 |
81 |
$1K |
| 80186 |
|
88 |
82 |
$1K |
| 83521 |
|
57 |
53 |
$982.95 |
| 86618 |
|
75 |
74 |
$973.17 |
| 83018 |
|
59 |
59 |
$971.26 |
| 84591 |
|
295 |
285 |
$960.57 |
| 82150 |
|
290 |
270 |
$924.28 |
| 86644 |
|
98 |
87 |
$914.56 |
| 80195 |
|
87 |
64 |
$846.92 |
| 85307 |
|
72 |
70 |
$845.71 |
| 87329 |
|
105 |
101 |
$843.50 |
| 84550 |
|
287 |
275 |
$769.12 |
| 80352 |
|
148 |
99 |
$742.35 |
| 82565 |
|
222 |
214 |
$730.44 |
| 82668 |
|
64 |
61 |
$729.13 |
| 82495 |
|
55 |
55 |
$706.26 |
| 83883 |
|
87 |
50 |
$702.84 |
| 80335 |
|
134 |
93 |
$683.22 |
| 86705 |
|
74 |
74 |
$629.92 |
| 84442 |
|
74 |
72 |
$620.15 |
| 82533 |
|
65 |
60 |
$616.77 |
| 85549 |
|
53 |
51 |
$569.65 |
| 85652 |
|
265 |
233 |
$550.80 |
| 82308 |
|
43 |
41 |
$535.81 |
| 85651 |
|
244 |
226 |
$499.20 |
| 84466 |
|
57 |
54 |
$490.61 |
| 82941 |
|
50 |
50 |
$487.81 |
| 87140 |
|
123 |
112 |
$486.17 |
| 82642 |
|
39 |
37 |
$483.62 |
| 83874 |
|
60 |
60 |
$479.81 |
| 80171 |
|
43 |
41 |
$467.08 |
| 86794 |
|
40 |
37 |
$460.90 |
| 87147 |
|
65 |
64 |
$437.66 |
| 86710 |
|
31 |
29 |
$404.44 |
| 82330 |
|
43 |
43 |
$380.71 |
| 82300 |
|
29 |
29 |
$379.88 |
| 86850 |
|
94 |
93 |
$377.65 |
| 83789 |
|
33 |
33 |
$331.38 |
| 82947 |
|
128 |
123 |
$325.63 |
| 84481 |
|
30 |
30 |
$323.55 |
| 80180 |
|
28 |
26 |
$316.53 |
| 86788 |
|
28 |
26 |
$312.15 |
| 85230 |
|
25 |
25 |
$306.50 |
| 81005 |
|
246 |
243 |
$293.45 |
| 86698 |
|
19 |
13 |
$291.61 |
| 82247 |
|
86 |
80 |
$287.36 |
| 88112 |
|
16 |
15 |
$283.13 |
| 86258 |
|
26 |
26 |
$280.65 |
| 86300 |
|
24 |
24 |
$261.40 |
| 86789 |
|
26 |
24 |
$258.10 |
| 80168 |
|
26 |
24 |
$249.24 |
| 84520 |
|
65 |
64 |
$243.25 |
| 82232 |
|
32 |
28 |
$234.83 |
| 82595 |
|
60 |
56 |
$231.46 |
| 83986 |
|
90 |
82 |
$197.12 |
| 86645 |
|
28 |
28 |
$191.40 |
| 86901 |
|
61 |
60 |
$170.43 |
| 86900 |
|
61 |
60 |
$170.43 |
| 84478 |
|
46 |
42 |
$161.17 |
| 86778 |
|
13 |
13 |
$156.92 |
| 82465 |
|
54 |
51 |
$152.63 |
| 86777 |
|
12 |
12 |
$149.86 |
| 86790 |
|
24 |
24 |
$139.43 |
| 83945 |
|
16 |
14 |
$136.63 |
| 87109 |
|
14 |
14 |
$131.61 |
| 82373 |
|
12 |
12 |
$122.30 |
| 81003 |
|
89 |
84 |
$113.72 |
| 87324 |
|
17 |
17 |
$113.11 |
| 82104 |
|
16 |
15 |
$105.70 |
| 87168 |
|
94 |
92 |
$98.57 |
| 84479 |
|
73 |
62 |
$93.82 |
| 85301 |
|
14 |
12 |
$91.06 |
| 86702 |
|
12 |
12 |
$89.17 |
| 85004 |
|
17 |
16 |
$85.83 |
| 86593 |
|
28 |
26 |
$85.13 |
| 86701 |
|
12 |
12 |
$62.71 |
| 87101 |
|
13 |
12 |
$60.87 |
| 85049 |
|
16 |
15 |
$57.20 |
| 87205 |
|
17 |
16 |
$55.51 |
| 80178 |
|
13 |
12 |
$53.64 |
| 82950 |
|
12 |
12 |
$52.25 |
| 86403 |
|
12 |
12 |
$49.35 |
| P9604 |
One-way allow prorated trip |
60 |
52 |
$48.94 |
| 85048 |
|
17 |
16 |
$34.09 |
| 99001 |
|
38 |
32 |
$6.38 |
| 81327 |
|
209 |
193 |
$0.00 |
| 81243 |
|
16 |
13 |
$0.00 |