| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
125,848 |
107,900 |
$7.87M |
| 87591 |
|
190,425 |
158,628 |
$3.77M |
| 87491 |
|
191,009 |
159,136 |
$3.65M |
| 80053 |
|
531,474 |
467,525 |
$2.18M |
| 80061 |
|
424,276 |
366,101 |
$2.16M |
| 87389 |
|
126,086 |
108,193 |
$1.95M |
| 84443 |
|
306,482 |
266,053 |
$1.86M |
| 82306 |
|
167,212 |
141,783 |
$1.84M |
| 80050 |
|
93,510 |
78,577 |
$1.77M |
| 80307 |
|
53,181 |
43,168 |
$1.71M |
| 87661 |
|
88,203 |
74,706 |
$1.50M |
| 80081 |
|
25,070 |
21,565 |
$1.44M |
| 85025 |
|
449,260 |
386,778 |
$1.41M |
| 87624 |
|
49,906 |
42,598 |
$1.24M |
| 83036 |
|
307,954 |
262,960 |
$1.05M |
| 88175 |
|
74,699 |
63,581 |
$1.03M |
| U0005 |
Infec agen detec ampli probe |
64,599 |
57,187 |
$965K |
| 80074 |
|
39,618 |
31,885 |
$700K |
| 87801 |
|
20,438 |
19,155 |
$689K |
| 87798 |
|
98,837 |
19,198 |
$667K |
| 86003 |
|
214,914 |
12,063 |
$662K |
| 87086 |
|
161,035 |
137,490 |
$641K |
| G0480 |
Drug test def 1-7 classes |
19,710 |
16,056 |
$549K |
| 82607 |
|
85,215 |
73,302 |
$505K |
| 87633 |
|
3,065 |
2,831 |
$475K |
| 87481 |
|
66,220 |
10,364 |
$458K |
| 81220 |
|
3,125 |
2,312 |
$452K |
| 80055 |
|
14,727 |
12,659 |
$442K |
| 81514 |
|
4,123 |
3,733 |
$437K |
| 87636 |
|
4,324 |
3,877 |
$405K |
| 88305 |
|
12,475 |
9,029 |
$374K |
| 86803 |
|
51,730 |
44,256 |
$347K |
| 81513 |
|
8,006 |
7,066 |
$345K |
| 84439 |
|
91,127 |
77,969 |
$336K |
| 87077 |
|
68,050 |
59,961 |
$316K |
| 82728 |
|
58,436 |
50,088 |
$301K |
| 87902 |
|
3,223 |
2,874 |
$295K |
| 84403 |
|
24,851 |
21,623 |
$288K |
| 88142 |
|
26,983 |
23,320 |
$283K |
| 81511 |
|
17,593 |
10,515 |
$275K |
| 82746 |
|
48,675 |
41,675 |
$270K |
| 86696 |
|
23,258 |
20,216 |
$260K |
| 84702 |
|
39,561 |
28,088 |
$257K |
| 87081 |
|
56,225 |
49,217 |
$252K |
| 87536 |
|
8,252 |
7,375 |
$248K |
| 87522 |
Neg quan hep c or qual rna |
13,060 |
11,489 |
$246K |
| 86592 |
|
98,793 |
85,628 |
$245K |
| 83970 |
|
22,224 |
19,678 |
$244K |
| 83655 |
|
31,333 |
28,587 |
$221K |
| 80048 |
|
70,851 |
61,224 |
$220K |
| 83550 |
|
62,198 |
53,603 |
$219K |
| 83880 |
|
17,950 |
15,228 |
$218K |
| 86038 |
|
35,782 |
30,822 |
$215K |
| 85027 |
|
81,671 |
70,346 |
$209K |
| 84153 |
|
29,699 |
25,217 |
$207K |
| 87635 |
|
5,882 |
5,378 |
$196K |
| 83540 |
|
74,004 |
63,292 |
$192K |
| 87186 |
|
48,052 |
42,395 |
$189K |
| 84481 |
|
23,901 |
20,882 |
$184K |
| 82670 |
|
12,756 |
11,348 |
$181K |
| 36415 |
|
332,717 |
259,478 |
$179K |
| 87340 |
|
34,678 |
28,722 |
$177K |
| 82105 |
|
18,225 |
15,425 |
$175K |
| 87480 |
|
20,392 |
16,078 |
$174K |
| 88141 |
|
15,690 |
13,235 |
$166K |
| 86695 |
|
21,863 |
19,088 |
$163K |
| 86480 |
|
8,190 |
7,071 |
$163K |
| 83013 |
|
5,938 |
5,435 |
$162K |
| 86235 |
|
36,771 |
5,825 |
$158K |
| 83001 |
|
15,040 |
13,324 |
$153K |
| 82570 |
|
81,545 |
68,974 |
$145K |
| 83735 |
|
57,098 |
48,066 |
$138K |
| 87510 |
|
16,969 |
12,931 |
$134K |
| 84146 |
|
12,619 |
11,003 |
$131K |
| 86762 |
|
15,802 |
12,730 |
$128K |
| 83020 |
|
17,693 |
14,121 |
$127K |
| 84480 |
|
22,787 |
19,633 |
$125K |
| 87660 |
|
17,410 |
12,554 |
$124K |
| 81420 |
|
427 |
388 |
$123K |
| 82785 |
|
13,978 |
8,800 |
$118K |
| 84270 |
|
10,735 |
9,423 |
$118K |
| 83002 |
|
11,348 |
10,015 |
$114K |
| 84144 |
|
10,190 |
8,553 |
$113K |
| 86665 |
|
8,980 |
4,237 |
$113K |
| 83525 |
|
16,552 |
14,679 |
$110K |
| 87070 |
|
23,688 |
20,116 |
$109K |
| 82043 |
|
55,765 |
49,364 |
$106K |
| 82677 |
|
6,195 |
5,371 |
$104K |
| 86703 |
|
10,827 |
9,454 |
$101K |
| 87799 |
|
18,574 |
2,222 |
$99K |
| 86769 |
|
4,735 |
3,858 |
$95K |
| 84436 |
|
36,087 |
30,120 |
$90K |
| 87511 |
|
7,900 |
6,054 |
$88K |
| 86376 |
|
11,767 |
10,334 |
$87K |
| 81001 |
|
66,457 |
57,316 |
$86K |
| 86140 |
|
38,278 |
32,734 |
$83K |
| 80164 |
|
14,243 |
11,859 |
$81K |
| 84550 |
|
39,426 |
34,323 |
$81K |
| 86850 |
|
16,711 |
13,427 |
$80K |
| 80076 |
|
24,647 |
20,936 |
$76K |
| 83516 |
|
23,069 |
6,907 |
$71K |
| 86431 |
|
26,248 |
22,826 |
$71K |
| 87507 |
|
344 |
275 |
$69K |
| 82950 |
|
22,251 |
19,914 |
$69K |
| 82248 |
|
30,153 |
25,469 |
$69K |
| 86336 |
|
6,211 |
5,373 |
$67K |
| 86787 |
|
8,429 |
6,862 |
$67K |
| 87631 |
|
799 |
712 |
$65K |
| 86360 |
|
4,681 |
4,090 |
$64K |
| 85652 |
|
47,900 |
41,618 |
$60K |
| 82784 |
|
22,033 |
7,380 |
$59K |
| 84681 |
|
7,171 |
6,352 |
$58K |
| 83690 |
|
16,363 |
14,372 |
$56K |
| 87653 |
|
2,607 |
2,221 |
$56K |
| 82627 |
|
4,300 |
3,869 |
$55K |
| 86359 |
|
4,691 |
4,097 |
$54K |
| 87512 |
|
3,717 |
1,662 |
$53K |
| 86800 |
|
6,876 |
6,025 |
$53K |
| 86706 |
|
11,091 |
9,342 |
$50K |
| 82652 |
|
3,452 |
2,936 |
$49K |
| 85660 |
|
11,200 |
9,700 |
$48K |
| 80177 |
|
7,632 |
6,613 |
$46K |
| 80349 |
|
5,279 |
3,559 |
$46K |
| 82150 |
|
13,709 |
11,971 |
$45K |
| 86225 |
|
9,685 |
7,201 |
$45K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
4,873 |
4,393 |
$45K |
| 87147 |
|
12,194 |
10,841 |
$44K |
| 86780 |
|
3,803 |
3,279 |
$43K |
| 87209 |
|
3,683 |
3,251 |
$43K |
| 86160 |
|
14,512 |
5,843 |
$42K |
| 84156 |
|
28,531 |
24,091 |
$41K |
| 80361 |
|
4,490 |
2,612 |
$41K |
| 84479 |
|
18,797 |
15,938 |
$41K |
| 86039 |
|
8,608 |
7,055 |
$41K |
| 82533 |
|
5,234 |
4,174 |
$41K |
| 82550 |
|
16,275 |
13,855 |
$41K |
| 84238 |
|
3,570 |
3,299 |
$40K |
| 83615 |
|
12,406 |
10,379 |
$40K |
| G0482 |
Drug test def 15-21 classes |
415 |
387 |
$40K |
| 86200 |
|
7,308 |
6,083 |
$38K |
| 85610 |
|
26,109 |
19,871 |
$38K |
| 82947 |
|
16,735 |
13,986 |
$38K |
| 86664 |
|
3,286 |
2,894 |
$37K |
| 86704 |
|
7,855 |
6,725 |
$37K |
| 86677 |
|
4,541 |
3,604 |
$37K |
| 86147 |
|
4,665 |
1,746 |
$36K |
| 87205 |
|
14,717 |
12,850 |
$36K |
| 87255 |
|
1,841 |
1,597 |
$35K |
| 88342 |
|
1,417 |
930 |
$34K |
| 88112 |
|
1,964 |
1,762 |
$34K |
| 87451 |
|
15,815 |
4,591 |
$34K |
| 83021 |
|
3,450 |
3,134 |
$33K |
| 86901 |
|
15,241 |
12,124 |
$33K |
| 82951 |
|
4,836 |
4,369 |
$32K |
| 84165 |
|
11,294 |
9,280 |
$31K |
| 80069 |
|
13,651 |
11,820 |
$31K |
| 88307 |
|
610 |
441 |
$31K |
| G2023 |
Specimen collect covid-19 |
2,766 |
2,373 |
$31K |
| 86663 |
|
3,089 |
2,721 |
$31K |
| 87427 |
|
4,506 |
4,016 |
$31K |
| 82378 |
|
4,195 |
3,445 |
$29K |
| 87045 |
|
4,560 |
4,076 |
$29K |
| 86334 |
|
5,797 |
4,613 |
$29K |
| 82024 |
|
1,584 |
1,361 |
$27K |
| 80185 |
|
5,255 |
4,397 |
$27K |
| 86694 |
|
3,123 |
2,854 |
$26K |
| 83521 |
|
2,816 |
1,350 |
$26K |
| 86900 |
|
15,258 |
12,127 |
$24K |
| 84100 |
|
15,349 |
12,511 |
$23K |
| 86146 |
|
2,301 |
993 |
$23K |
| 85018 |
|
14,887 |
13,642 |
$23K |
| 87529 |
|
1,289 |
825 |
$23K |
| 82565 |
|
11,176 |
8,693 |
$22K |
| 81596 |
|
884 |
789 |
$21K |
| 87177 |
|
3,707 |
3,275 |
$21K |
| 86361 |
|
2,911 |
2,547 |
$21K |
| 83520 |
|
4,773 |
3,013 |
$20K |
| G0123 |
Screen cerv/vag thin layer |
2,540 |
2,335 |
$20K |
| 85014 |
|
12,898 |
12,017 |
$20K |
| 85045 |
|
10,709 |
9,438 |
$20K |
| 84703 |
|
4,786 |
4,352 |
$20K |
| G0103 |
Psa screening |
11,264 |
9,463 |
$20K |
| 80178 |
|
7,471 |
6,030 |
$20K |
| 84445 |
|
915 |
840 |
$20K |
| 87632 |
|
219 |
209 |
$20K |
| 86618 |
|
2,378 |
1,986 |
$19K |
| 80197 |
|
3,510 |
2,700 |
$19K |
| 85730 |
|
9,412 |
7,321 |
$19K |
| G0481 |
Drug test def 8-14 classes |
318 |
269 |
$19K |
| 87276 |
|
2,036 |
1,783 |
$18K |
| 87046 |
|
4,573 |
4,084 |
$18K |
| 86757 |
|
2,152 |
1,057 |
$18K |
| 86258 |
|
1,848 |
1,091 |
$17K |
| 86705 |
|
2,772 |
2,467 |
$17K |
| 87493 |
|
548 |
505 |
$17K |
| 87275 |
|
2,037 |
1,784 |
$16K |
| 87426 |
|
563 |
508 |
$16K |
| 83090 |
|
2,048 |
1,758 |
$16K |
| 82977 |
|
5,654 |
4,722 |
$16K |
| 86708 |
|
2,857 |
2,465 |
$16K |
| 86304 |
|
2,267 |
1,695 |
$16K |
| 86255 |
|
2,279 |
1,398 |
$16K |
| 84207 |
|
1,892 |
1,611 |
$15K |
| 84425 |
|
1,876 |
1,665 |
$15K |
| 84460 |
|
6,793 |
5,771 |
$15K |
| 85379 |
|
3,795 |
3,427 |
$15K |
| 82140 |
|
2,969 |
2,499 |
$14K |
| 84520 |
|
7,058 |
5,437 |
$14K |
| 86364 |
|
1,749 |
1,580 |
$14K |
| 84450 |
|
6,568 |
5,537 |
$13K |
| 83883 |
|
4,306 |
1,507 |
$13K |
| 86709 |
|
1,807 |
1,639 |
$13K |
| 82465 |
|
6,353 |
5,455 |
$13K |
| 80156 |
|
2,284 |
1,994 |
$12K |
| 87563 |
|
674 |
652 |
$12K |
| 82330 |
|
3,047 |
2,695 |
$12K |
| 81329 |
|
207 |
198 |
$12K |
| 87075 |
|
3,640 |
2,998 |
$11K |
| 87449 |
|
2,077 |
1,827 |
$11K |
| 86141 |
|
1,817 |
1,561 |
$11K |
| 80346 |
|
3,172 |
1,523 |
$11K |
| 88164 |
|
2,051 |
1,862 |
$11K |
| 80175 |
|
1,555 |
1,347 |
$10K |
| 82088 |
|
613 |
546 |
$10K |
| 87517 |
|
683 |
592 |
$10K |
| 88304 |
|
877 |
730 |
$10K |
| 87015 |
|
2,680 |
2,261 |
$10K |
| 84466 |
|
2,347 |
1,968 |
$10K |
| 85060 |
|
2,436 |
1,920 |
$10K |
| 87324 |
|
1,777 |
1,571 |
$10K |
| 82247 |
|
3,927 |
2,856 |
$9K |
| 86300 |
|
2,147 |
1,170 |
$9K |
| 83721 |
|
2,558 |
2,125 |
$9K |
| 87901 |
|
118 |
107 |
$9K |
| 81025 |
|
1,956 |
1,622 |
$9K |
| 84134 |
|
1,987 |
1,502 |
$8K |
| 86008 |
|
3,597 |
1,194 |
$8K |
| 86308 |
|
1,921 |
1,733 |
$8K |
| 80183 |
|
717 |
623 |
$8K |
| 84132 |
|
3,838 |
3,267 |
$8K |
| 83921 |
|
1,103 |
1,016 |
$8K |
| 82952 |
|
3,212 |
2,903 |
$8K |
| 80365 |
|
2,217 |
964 |
$8K |
| 83498 |
|
632 |
590 |
$7K |
| 82671 |
|
553 |
495 |
$7K |
| 86593 |
|
2,680 |
2,333 |
$7K |
| G0483 |
Drug test def 22+ classes |
131 |
92 |
$7K |
| 86231 |
|
844 |
766 |
$7K |
| 84155 |
|
7,927 |
6,251 |
$7K |
| 86812 |
|
656 |
599 |
$7K |
| 80324 |
|
1,333 |
638 |
$7K |
| 86036 |
|
896 |
499 |
$6K |
| 84484 |
|
1,482 |
1,283 |
$6K |
| 83010 |
|
1,578 |
1,316 |
$6K |
| 81003 |
|
7,919 |
6,392 |
$6K |
| 87102 |
|
1,541 |
1,326 |
$6K |
| 85007 |
|
4,146 |
3,396 |
$6K |
| 83695 |
|
1,072 |
901 |
$6K |
| 86015 |
|
575 |
502 |
$6K |
| 84432 |
|
838 |
775 |
$5K |
| 82668 |
|
1,037 |
962 |
$5K |
| 80364 |
|
872 |
453 |
$5K |
| 87206 |
|
2,441 |
1,822 |
$5K |
| 87502 |
|
107 |
102 |
$5K |
| 82626 |
|
428 |
386 |
$5K |
| 82542 |
|
437 |
409 |
$5K |
| 83698 |
|
305 |
277 |
$5K |
| 83704 |
|
282 |
275 |
$5K |
| 80326 |
|
863 |
555 |
$5K |
| 86886 |
|
1,774 |
1,542 |
$5K |
| 80159 |
|
945 |
710 |
$5K |
| 80184 |
|
1,298 |
1,072 |
$5K |
| 87280 |
|
489 |
453 |
$5K |
| 80353 |
|
1,384 |
605 |
$4K |
| 80202 |
|
981 |
439 |
$4K |
| 82274 |
|
694 |
550 |
$4K |
| 87338 |
|
730 |
670 |
$4K |
| 84630 |
|
1,046 |
950 |
$4K |
| 87880 |
|
464 |
382 |
$4K |
| 82397 |
|
753 |
658 |
$4K |
| 85240 |
|
490 |
416 |
$4K |
| G0432 |
Eia hiv-1/hiv-2 screen |
604 |
229 |
$4K |
| 86381 |
|
439 |
381 |
$4K |
| P3001 |
Screening pap smear by phys |
750 |
672 |
$4K |
| 87273 |
|
845 |
440 |
$4K |
| 81015 |
|
4,117 |
3,247 |
$4K |
| 87088 |
|
781 |
666 |
$3K |
| 82040 |
|
1,749 |
1,502 |
$3K |
| 85613 |
|
1,162 |
865 |
$3K |
| 86341 |
|
402 |
296 |
$3K |
| 82232 |
|
1,039 |
818 |
$3K |
| 84075 |
|
1,813 |
1,515 |
$3K |
| P3000 |
Screen pap by tech w md supv |
471 |
457 |
$3K |
| 84080 |
|
713 |
630 |
$3K |
| 80162 |
|
1,021 |
840 |
$3K |
| 82172 |
|
312 |
267 |
$3K |
| 84295 |
|
1,577 |
1,267 |
$3K |
| 80348 |
|
3,094 |
1,062 |
$3K |
| 86301 |
|
450 |
330 |
$3K |
| 86666 |
|
629 |
289 |
$3K |
| 84244 |
|
290 |
273 |
$3K |
| 80362 |
|
500 |
459 |
$3K |
| 86335 |
|
301 |
266 |
$3K |
| 80356 |
|
656 |
555 |
$3K |
| 84305 |
|
211 |
195 |
$2K |
| 82310 |
|
1,581 |
1,326 |
$2K |
| 80354 |
|
1,159 |
550 |
$2K |
| 82610 |
|
165 |
143 |
$2K |
| 87040 |
|
747 |
392 |
$2K |
| 87350 |
|
314 |
281 |
$2K |
| 82525 |
|
464 |
414 |
$2K |
| 84154 |
|
542 |
454 |
$2K |
| 87906 |
|
27 |
25 |
$2K |
| 87210 |
|
717 |
571 |
$2K |
| 86645 |
|
176 |
150 |
$2K |
| 82575 |
|
416 |
336 |
$2K |
| 87076 |
|
555 |
431 |
$2K |
| 85246 |
|
182 |
168 |
$2K |
| 84160 |
|
1,689 |
1,443 |
$2K |
| 80358 |
|
1,149 |
466 |
$2K |
| 85384 |
|
507 |
419 |
$2K |
| 84478 |
|
1,335 |
705 |
$2K |
| 86644 |
|
181 |
152 |
$2K |
| 82085 |
|
889 |
693 |
$2K |
| 86060 |
|
344 |
292 |
$2K |
| 89055 |
|
791 |
712 |
$2K |
| 83993 |
|
110 |
104 |
$2K |
| 87185 |
|
723 |
572 |
$2K |
| 82164 |
|
300 |
260 |
$2K |
| 85306 |
|
275 |
215 |
$1K |
| 86668 |
|
74 |
68 |
$1K |
| 84166 |
|
186 |
152 |
$1K |
| 87140 |
|
342 |
279 |
$1K |
| 82679 |
|
115 |
105 |
$1K |
| 80355 |
|
2,357 |
756 |
$1K |
| 80321 |
|
1,180 |
1,007 |
$1K |
| 85245 |
|
116 |
104 |
$1K |
| 84590 |
|
286 |
255 |
$1K |
| 85303 |
|
251 |
209 |
$1K |
| 85390 |
|
238 |
214 |
$1K |
| 86765 |
|
208 |
184 |
$1K |
| 86256 |
|
246 |
118 |
$1K |
| 82553 |
|
231 |
207 |
$1K |
| 85049 |
|
740 |
592 |
$966.79 |
| 86735 |
|
166 |
140 |
$924.64 |
| 82239 |
|
101 |
72 |
$894.45 |
| 86692 |
|
57 |
46 |
$885.08 |
| 81050 |
|
472 |
393 |
$845.08 |
| 80373 |
|
1,156 |
378 |
$837.09 |
| 82747 |
|
169 |
141 |
$837.01 |
| 80345 |
|
331 |
202 |
$835.34 |
| 83835 |
|
136 |
121 |
$825.23 |
| 86790 |
|
55 |
46 |
$765.99 |
| 86880 |
|
337 |
299 |
$745.32 |
| 82157 |
|
55 |
52 |
$740.62 |
| 88173 |
|
20 |
14 |
$736.02 |
| 85300 |
|
153 |
134 |
$658.54 |
| 81374 |
|
28 |
24 |
$655.83 |
| 82103 |
|
125 |
106 |
$574.33 |
| 86317 |
|
158 |
28 |
$571.11 |
| 80347 |
|
32 |
24 |
$549.61 |
| 84300 |
|
481 |
441 |
$547.82 |
| 83519 |
|
108 |
84 |
$519.41 |
| 84482 |
|
84 |
79 |
$510.80 |
| 86337 |
|
32 |
32 |
$499.82 |
| 86617 |
|
104 |
59 |
$497.68 |
| 80323 |
|
265 |
158 |
$463.90 |
| 80337 |
|
39 |
25 |
$462.71 |
| 86777 |
|
87 |
76 |
$394.51 |
| 87290 |
|
58 |
42 |
$393.24 |
| 80366 |
|
989 |
326 |
$390.28 |
| 82270 |
|
247 |
207 |
$379.04 |
| 83789 |
|
65 |
46 |
$369.04 |
| 80299 |
|
13 |
13 |
$343.59 |
| 82390 |
|
80 |
65 |
$318.37 |
| 88302 |
|
14 |
12 |
$314.64 |
| 86702 |
|
145 |
94 |
$310.82 |
| G0328 |
Fecal blood scrn immunoassay |
158 |
117 |
$241.50 |
| 80360 |
|
253 |
183 |
$232.56 |
| 80051 |
|
61 |
54 |
$232.50 |
| 85307 |
|
67 |
53 |
$231.48 |
| 88155 |
|
65 |
46 |
$229.71 |
| 84255 |
|
15 |
14 |
$228.44 |
| 86162 |
|
31 |
30 |
$226.65 |
| 80235 |
|
12 |
12 |
$222.99 |
| 86870 |
|
37 |
29 |
$218.88 |
| 86316 |
|
27 |
24 |
$211.51 |
| 87252 |
|
22 |
12 |
$209.70 |
| 86701 |
|
145 |
94 |
$204.04 |
| G0472 |
Hep c screen high risk/other |
323 |
281 |
$203.59 |
| 87116 |
|
70 |
57 |
$202.32 |
| 86753 |
|
30 |
25 |
$197.96 |
| 82166 |
|
14 |
12 |
$193.50 |
| 80201 |
|
66 |
58 |
$184.48 |
| 89060 |
|
29 |
29 |
$178.61 |
| 83935 |
|
77 |
65 |
$171.90 |
| 84260 |
|
15 |
12 |
$169.42 |
| U0004 |
Cov-19 test non-cdc hgh thru |
21 |
20 |
$150.00 |
| 85576 |
|
17 |
14 |
$147.18 |
| 82435 |
|
101 |
99 |
$143.07 |
| 83992 |
|
233 |
156 |
$139.69 |
| 88313 |
|
30 |
29 |
$139.57 |
| 82180 |
|
44 |
40 |
$138.53 |
| 87269 |
|
12 |
12 |
$131.57 |
| 82787 |
|
156 |
39 |
$126.38 |
| 87425 |
|
16 |
14 |
$115.44 |
| 83930 |
|
53 |
49 |
$108.34 |
| 84446 |
|
13 |
13 |
$107.50 |
| 85048 |
|
56 |
37 |
$104.00 |
| 87804 |
|
20 |
19 |
$103.56 |
| 86707 |
|
27 |
24 |
$102.86 |
| 80371 |
|
211 |
146 |
$91.84 |
| 85230 |
|
16 |
12 |
$77.25 |
| 82374 |
|
55 |
52 |
$64.13 |
| 80173 |
|
20 |
15 |
$62.37 |
| 83014 |
|
16 |
13 |
$51.01 |
| 82540 |
|
36 |
30 |
$49.45 |
| 87497 |
|
13 |
12 |
$42.25 |
| 87385 |
|
15 |
12 |
$26.54 |
| 82340 |
|
12 |
12 |
$26.47 |
| 82955 |
|
12 |
12 |
$19.37 |
| 84145 |
|
18 |
17 |
$13.61 |
| 36416 |
|
119 |
81 |
$0.09 |
| 80369 |
|
200 |
139 |
$0.00 |
| P9604 |
One-way allow prorated trip |
26 |
12 |
$0.00 |
| 99000 |
|
3,513 |
2,720 |
$0.00 |
| 80368 |
|
205 |
141 |
$0.00 |
| 87483 |
|
48 |
19 |
$0.00 |
| 80188 |
|
32 |
26 |
$0.00 |