| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
697,953 |
637,981 |
$20.02M |
| 87591 |
|
1,523,257 |
1,472,245 |
$8.48M |
| 87491 |
|
1,482,243 |
1,432,612 |
$7.97M |
| 84443 |
|
3,346,151 |
3,289,741 |
$6.15M |
| 80053 |
|
4,672,206 |
4,499,454 |
$5.96M |
| 82306 |
|
2,025,994 |
2,003,149 |
$5.95M |
| 80061 |
|
3,751,397 |
3,709,555 |
$5.66M |
| 81420 |
|
28,628 |
28,488 |
$4.44M |
| 80081 |
|
83,408 |
75,885 |
$4.41M |
| 85025 |
|
4,591,744 |
4,392,966 |
$4.11M |
| 81220 |
|
55,192 |
54,222 |
$3.96M |
| 83036 |
|
3,430,686 |
3,384,377 |
$3.91M |
| 86480 |
|
238,141 |
233,862 |
$3.60M |
| 87389 |
|
957,271 |
944,079 |
$3.12M |
| 87536 |
|
86,179 |
84,205 |
$2.43M |
| 88305 |
|
96,048 |
94,099 |
$1.74M |
| 87661 |
|
498,835 |
480,211 |
$1.66M |
| 80307 |
|
301,189 |
284,560 |
$1.63M |
| 87086 |
|
1,080,965 |
1,030,035 |
$1.57M |
| 86803 |
|
536,258 |
529,545 |
$1.47M |
| U0005 |
Infec agen detec ampli probe |
286,342 |
263,424 |
$1.40M |
| 80074 |
|
268,887 |
265,912 |
$1.30M |
| 84439 |
|
1,289,533 |
1,270,694 |
$1.26M |
| 86003 |
|
147,878 |
145,157 |
$1.21M |
| 86235 |
|
88,259 |
84,978 |
$1.08M |
| 82746 |
|
553,680 |
547,162 |
$1.01M |
| 86592 |
|
1,126,613 |
1,102,520 |
$992K |
| 83655 |
|
358,004 |
352,735 |
$906K |
| 82607 |
|
677,536 |
670,389 |
$861K |
| 84403 |
|
228,209 |
225,103 |
$814K |
| 84153 |
|
360,871 |
356,318 |
$786K |
| 87901 |
|
4,723 |
4,416 |
$711K |
| 82728 |
|
406,959 |
398,892 |
$692K |
| 82274 |
|
349,867 |
335,710 |
$679K |
| 87186 |
|
382,171 |
368,670 |
$609K |
| 87522 |
Neg quan hep c or qual rna |
55,026 |
53,559 |
$596K |
| 85027 |
|
538,024 |
526,223 |
$590K |
| 88185 |
|
3,550 |
3,447 |
$585K |
| 87902 |
|
7,872 |
7,597 |
$551K |
| 84702 |
|
231,820 |
191,052 |
$536K |
| 81329 |
|
31,494 |
31,120 |
$534K |
| 86361 |
|
54,872 |
54,102 |
$530K |
| 83970 |
|
117,288 |
115,276 |
$518K |
| 87900 |
|
7,705 |
7,194 |
$511K |
| 87340 |
|
392,971 |
388,249 |
$494K |
| 81001 |
|
1,011,144 |
983,489 |
$493K |
| 86769 |
|
33,042 |
31,785 |
$491K |
| 82043 |
|
823,007 |
813,544 |
$488K |
| 87088 |
|
398,347 |
387,516 |
$482K |
| 82570 |
|
731,872 |
717,223 |
$456K |
| 83550 |
|
421,995 |
416,159 |
$434K |
| 87150 |
|
79,801 |
79,355 |
$420K |
| 82670 |
|
123,170 |
121,812 |
$417K |
| 84402 |
|
107,561 |
106,188 |
$416K |
| 83013 |
|
84,022 |
83,715 |
$412K |
| 83540 |
|
470,368 |
462,217 |
$410K |
| 86360 |
|
22,968 |
22,705 |
$402K |
| 84481 |
|
200,747 |
197,954 |
$373K |
| 86038 |
|
253,125 |
249,942 |
$366K |
| 87081 |
|
264,218 |
259,140 |
$362K |
| 87624 |
|
263,881 |
263,006 |
$354K |
| 86787 |
|
105,613 |
103,536 |
$348K |
| 81490 |
|
4,407 |
4,271 |
$346K |
| 81229 |
|
2,083 |
2,065 |
$340K |
| 83880 |
|
59,294 |
57,968 |
$338K |
| G0480 |
Drug test def 1-7 classes |
16,226 |
15,854 |
$336K |
| 87077 |
|
223,215 |
217,774 |
$327K |
| 80048 |
|
343,122 |
328,961 |
$325K |
| 87798 |
|
296,426 |
277,754 |
$318K |
| 86706 |
|
177,152 |
175,464 |
$303K |
| 83001 |
|
169,005 |
167,029 |
$299K |
| 86696 |
|
121,706 |
120,081 |
$288K |
| 82951 |
|
89,956 |
87,610 |
$282K |
| 87906 |
|
4,369 |
4,080 |
$275K |
| 86780 |
|
77,127 |
75,159 |
$271K |
| 87070 |
|
176,309 |
172,716 |
$270K |
| 86704 |
|
130,842 |
129,603 |
$267K |
| 86762 |
|
200,607 |
197,674 |
$263K |
| 86376 |
|
139,462 |
138,041 |
$252K |
| 82105 |
|
57,547 |
56,269 |
$251K |
| 82652 |
|
62,867 |
62,246 |
$250K |
| 83002 |
|
148,351 |
147,011 |
$249K |
| 81374 |
|
15,280 |
15,171 |
$248K |
| 84146 |
|
136,204 |
133,991 |
$244K |
| 83735 |
|
240,942 |
218,125 |
$232K |
| 84550 |
|
416,354 |
408,533 |
$227K |
| 86140 |
|
356,050 |
341,720 |
$225K |
| 84436 |
|
416,208 |
412,158 |
$215K |
| 84480 |
|
171,908 |
170,212 |
$215K |
| 88175 |
|
354,867 |
353,747 |
$210K |
| 86708 |
|
79,539 |
78,587 |
$201K |
| 80050 |
|
22,829 |
22,658 |
$189K |
| 88341 |
|
5,989 |
5,948 |
$189K |
| 86695 |
|
110,532 |
109,056 |
$185K |
| 86300 |
|
29,184 |
25,247 |
$183K |
| 86225 |
|
103,868 |
102,453 |
$181K |
| 82950 |
|
163,217 |
159,637 |
$180K |
| G0481 |
Drug test def 8-14 classes |
11,996 |
11,707 |
$177K |
| 99199 |
|
48,663 |
42,656 |
$173K |
| 82627 |
|
50,105 |
49,672 |
$162K |
| 86160 |
|
74,635 |
71,944 |
$159K |
| 82533 |
|
45,296 |
43,191 |
$159K |
| 88313 |
|
12,184 |
12,152 |
$157K |
| 86147 |
|
23,461 |
22,656 |
$156K |
| 82378 |
|
56,349 |
49,315 |
$156K |
| 87801 |
|
265,999 |
255,397 |
$153K |
| 85652 |
|
480,239 |
465,114 |
$150K |
| 86800 |
|
69,442 |
68,647 |
$148K |
| 81401 |
|
3,054 |
2,949 |
$147K |
| 88342 |
|
7,242 |
7,188 |
$146K |
| 86431 |
|
210,941 |
208,587 |
$144K |
| 84144 |
|
54,668 |
53,457 |
$144K |
| 85610 |
|
327,719 |
302,199 |
$140K |
| 80076 |
|
242,503 |
239,136 |
$139K |
| 36415 |
|
4,333,084 |
4,063,001 |
$135K |
| 84154 |
|
70,235 |
69,686 |
$132K |
| 84100 |
|
177,743 |
162,230 |
$131K |
| 82784 |
|
89,186 |
84,811 |
$128K |
| 86317 |
|
55,305 |
54,694 |
$123K |
| 80197 |
|
37,455 |
29,297 |
$123K |
| 82248 |
|
89,316 |
85,331 |
$121K |
| 83516 |
|
67,311 |
65,786 |
$121K |
| 84445 |
|
17,250 |
17,029 |
$119K |
| 86765 |
|
62,234 |
61,559 |
$118K |
| 81003 |
|
1,182,164 |
1,157,839 |
$117K |
| 85730 |
|
225,855 |
218,686 |
$117K |
| 83525 |
|
100,630 |
99,871 |
$112K |
| 86200 |
|
97,203 |
96,336 |
$111K |
| 84479 |
|
225,420 |
223,492 |
$111K |
| 82785 |
|
103,451 |
102,293 |
$111K |
| 86735 |
|
60,218 |
59,581 |
$110K |
| 87209 |
|
52,790 |
48,304 |
$110K |
| 82977 |
|
103,958 |
100,878 |
$101K |
| 82024 |
|
14,561 |
14,284 |
$100K |
| 81243 |
|
8,874 |
8,740 |
$99K |
| 80055 |
|
4,554 |
4,531 |
$99K |
| 87517 |
|
14,052 |
13,821 |
$99K |
| 84450 |
|
155,903 |
152,597 |
$98K |
| 87799 |
|
10,089 |
8,610 |
$98K |
| 88189 |
|
3,095 |
3,018 |
$97K |
| 82565 |
|
156,785 |
153,133 |
$91K |
| 83690 |
|
91,954 |
90,379 |
$90K |
| 86141 |
|
45,737 |
45,119 |
$89K |
| 83520 |
|
42,241 |
41,519 |
$85K |
| 82397 |
|
19,424 |
18,813 |
$85K |
| 82947 |
|
208,619 |
205,343 |
$83K |
| 86665 |
|
18,728 |
18,414 |
$82K |
| 84460 |
|
123,263 |
120,605 |
$82K |
| 83498 |
|
18,907 |
18,703 |
$79K |
| 80164 |
|
30,200 |
29,075 |
$78K |
| 81162 |
|
556 |
555 |
$78K |
| 83521 |
|
9,247 |
7,413 |
$77K |
| 88312 |
|
31,104 |
31,048 |
$77K |
| 88262 |
|
2,755 |
2,735 |
$77K |
| 86359 |
|
7,400 |
7,324 |
$77K |
| 86677 |
|
27,541 |
26,941 |
$77K |
| 80069 |
|
58,450 |
56,821 |
$74K |
| 87637 |
|
22,853 |
22,391 |
$74K |
| 85045 |
|
96,349 |
94,431 |
$74K |
| 83615 |
|
110,851 |
103,256 |
$73K |
| 82247 |
|
115,673 |
111,352 |
$71K |
| 86593 |
|
33,484 |
32,093 |
$71K |
| 81206 |
|
2,685 |
2,605 |
$70K |
| 84156 |
|
158,021 |
150,520 |
$70K |
| 81479 |
|
1,117 |
1,075 |
$69K |
| 84681 |
|
29,711 |
29,510 |
$65K |
| G0483 |
Drug test def 22+ classes |
42,337 |
40,719 |
$65K |
| 84425 |
|
27,933 |
27,745 |
$65K |
| G0482 |
Drug test def 15-21 classes |
775 |
770 |
$63K |
| 82040 |
|
92,322 |
90,722 |
$63K |
| 87480 |
|
20,370 |
19,926 |
$63K |
| 84270 |
|
13,833 |
13,661 |
$62K |
| 80299 |
|
6,891 |
6,621 |
$61K |
| 87660 |
|
20,339 |
19,894 |
$61K |
| 87510 |
|
20,328 |
19,885 |
$60K |
| 81270 |
|
2,953 |
2,916 |
$59K |
| 83003 |
|
4,236 |
3,863 |
$58K |
| 82150 |
|
71,294 |
69,873 |
$57K |
| 88184 |
|
3,507 |
3,406 |
$57K |
| 87177 |
|
53,146 |
48,587 |
$57K |
| 86341 |
|
8,855 |
8,599 |
$55K |
| 82550 |
|
75,616 |
72,771 |
$55K |
| 81207 |
|
2,684 |
2,604 |
$54K |
| 87535 |
|
11,034 |
10,921 |
$54K |
| 84520 |
|
117,288 |
115,294 |
$53K |
| 84075 |
|
90,510 |
89,250 |
$53K |
| 87075 |
|
24,853 |
24,220 |
$53K |
| 81257 |
|
1,411 |
1,348 |
$52K |
| 84305 |
|
20,218 |
19,825 |
$51K |
| 84466 |
|
18,728 |
18,498 |
$51K |
| 84165 |
|
33,558 |
31,975 |
$50K |
| 86381 |
|
13,256 |
13,188 |
$50K |
| 83695 |
|
18,928 |
18,875 |
$50K |
| 82310 |
|
93,334 |
91,983 |
$49K |
| 86301 |
|
16,116 |
14,607 |
$49K |
| 86146 |
|
14,714 |
14,368 |
$49K |
| 87497 |
|
6,404 |
5,425 |
$49K |
| 86709 |
|
32,506 |
32,298 |
$49K |
| 86364 |
|
31,794 |
31,646 |
$48K |
| 84410 |
|
2,951 |
2,902 |
$48K |
| 88112 |
|
5,119 |
4,992 |
$47K |
| 86635 |
|
11,877 |
10,690 |
$46K |
| 86304 |
|
26,555 |
25,137 |
$45K |
| 86850 |
|
167,077 |
165,067 |
$44K |
| 82672 |
|
20,095 |
19,936 |
$44K |
| 86334 |
|
15,268 |
14,551 |
$43K |
| 87427 |
|
43,524 |
42,676 |
$42K |
| 87045 |
|
43,692 |
42,718 |
$41K |
| 88230 |
|
2,815 |
2,795 |
$41K |
| 84207 |
|
18,963 |
18,835 |
$40K |
| 84155 |
|
103,606 |
100,653 |
$40K |
| 82107 |
|
7,525 |
7,267 |
$39K |
| 86901 |
|
180,806 |
177,735 |
$39K |
| 86664 |
|
12,404 |
12,362 |
$38K |
| 86355 |
|
2,662 |
2,633 |
$37K |
| 81381 |
|
816 |
806 |
$37K |
| 86256 |
|
12,775 |
12,393 |
$37K |
| 82952 |
|
37,609 |
36,745 |
$37K |
| 86702 |
|
11,150 |
10,915 |
$37K |
| 80159 |
|
8,643 |
6,947 |
$37K |
| 87538 |
|
10,110 |
9,877 |
$36K |
| 86900 |
|
179,735 |
177,471 |
$36K |
| 83921 |
|
14,115 |
14,002 |
$36K |
| 84295 |
|
67,416 |
66,387 |
$35K |
| 83721 |
|
28,335 |
28,112 |
$35K |
| 85018 |
|
159,685 |
158,418 |
$35K |
| 84432 |
|
10,290 |
10,087 |
$33K |
| 82239 |
|
9,348 |
8,592 |
$33K |
| 85060 |
|
17,910 |
17,699 |
$33K |
| 82542 |
|
5,131 |
4,850 |
$33K |
| 82088 |
|
5,861 |
5,732 |
$32K |
| 86008 |
|
7,371 |
7,313 |
$31K |
| 80178 |
|
17,294 |
16,357 |
$31K |
| 85014 |
|
91,593 |
90,738 |
$31K |
| 80230 |
|
2,160 |
2,089 |
$31K |
| 86337 |
|
5,791 |
5,657 |
$30K |
| 82626 |
|
13,232 |
13,108 |
$30K |
| 82435 |
|
63,990 |
63,275 |
$29K |
| 83090 |
|
19,434 |
19,351 |
$29K |
| 83021 |
|
11,490 |
11,297 |
$29K |
| 82330 |
|
18,079 |
17,732 |
$29K |
| 82166 |
|
4,021 |
3,955 |
$28K |
| 82140 |
|
14,554 |
14,093 |
$28K |
| 84152 |
|
2,970 |
2,932 |
$28K |
| 86701 |
|
9,800 |
9,569 |
$28K |
| 83883 |
|
22,196 |
20,940 |
$28K |
| 80051 |
|
34,565 |
33,777 |
$27K |
| 82103 |
|
17,209 |
17,036 |
$27K |
| 84132 |
|
70,353 |
69,162 |
$27K |
| 82172 |
|
18,716 |
18,594 |
$25K |
| 86015 |
|
13,785 |
13,722 |
$25K |
| 84140 |
|
2,325 |
2,296 |
$25K |
| 86705 |
|
20,617 |
20,474 |
$24K |
| G0472 |
Hep c screen high risk/other |
3,295 |
3,287 |
$24K |
| 82390 |
|
17,892 |
17,754 |
$24K |
| 87529 |
|
39,165 |
37,798 |
$24K |
| 81403 |
|
401 |
395 |
$23K |
| 84134 |
|
22,947 |
20,060 |
$23K |
| 84630 |
|
18,712 |
18,562 |
$23K |
| 83020 |
|
15,147 |
14,784 |
$22K |
| 86037 |
|
7,058 |
6,824 |
$22K |
| 87635 |
|
3,433 |
3,377 |
$22K |
| 88173 |
|
2,165 |
2,121 |
$22K |
| 84482 |
|
7,366 |
7,306 |
$22K |
| 81596 |
|
5,309 |
5,263 |
$21K |
| 87210 |
|
14,458 |
14,355 |
$21K |
| 81256 |
|
1,679 |
1,658 |
$21K |
| 87507 |
|
2,536 |
2,514 |
$21K |
| 83010 |
|
19,746 |
19,430 |
$20K |
| 87521 |
Neg quan hep c or qual rna |
2,891 |
2,829 |
$20K |
| 82668 |
|
6,880 |
6,793 |
$20K |
| 86258 |
|
9,940 |
9,877 |
$20K |
| 87338 |
|
75,475 |
73,007 |
$19K |
| 82465 |
|
66,789 |
65,551 |
$19K |
| 82157 |
|
4,200 |
4,133 |
$19K |
| 84999 |
|
657 |
644 |
$18K |
| 83014 |
|
39,351 |
39,165 |
$18K |
| 84703 |
|
70,115 |
69,042 |
$18K |
| 86694 |
|
8,692 |
8,631 |
$18K |
| G0328 |
Fecal blood scrn immunoassay |
5,810 |
5,770 |
$18K |
| 85245 |
|
8,559 |
8,441 |
$18K |
| 84244 |
|
5,892 |
5,809 |
$17K |
| 85246 |
|
9,181 |
9,058 |
$17K |
| 86870 |
|
1,778 |
1,736 |
$17K |
| 84478 |
|
41,009 |
36,278 |
$17K |
| 87625 |
|
1,523 |
1,517 |
$16K |
| 85379 |
|
11,296 |
11,037 |
$16K |
| 86618 |
|
4,586 |
4,503 |
$16K |
| 81500 |
|
944 |
940 |
$16K |
| 82610 |
|
8,667 |
8,423 |
$16K |
| 80202 |
|
7,456 |
4,001 |
$16K |
| 87046 |
|
43,576 |
42,710 |
$16K |
| 0202U |
|
952 |
948 |
$16K |
| 85240 |
|
9,491 |
9,353 |
$15K |
| 81422 |
|
2,178 |
2,169 |
$15K |
| 86644 |
|
6,550 |
6,454 |
$15K |
| 81241 |
|
1,743 |
1,719 |
$15K |
| 82985 |
|
4,311 |
4,264 |
$15K |
| 80177 |
|
10,636 |
10,408 |
$15K |
| 87350 |
|
11,993 |
11,912 |
$15K |
| 86162 |
|
5,821 |
5,785 |
$15K |
| 86777 |
|
4,471 |
4,380 |
$14K |
| 86335 |
|
3,699 |
3,610 |
$14K |
| 83993 |
|
17,309 |
16,934 |
$14K |
| 87324 |
|
15,055 |
14,796 |
$14K |
| 82525 |
|
10,619 |
10,408 |
$14K |
| 88141 |
|
59,249 |
59,122 |
$14K |
| 87184 |
|
3,734 |
3,714 |
$13K |
| 86663 |
|
5,140 |
5,108 |
$13K |
| 84080 |
|
5,284 |
5,226 |
$13K |
| 87255 |
|
4,238 |
4,065 |
$13K |
| 84590 |
|
12,560 |
12,461 |
$13K |
| 80145 |
|
792 |
753 |
$13K |
| 86255 |
|
19,759 |
19,556 |
$12K |
| 87563 |
|
22,714 |
22,017 |
$12K |
| 87329 |
|
10,959 |
10,577 |
$12K |
| 82787 |
|
3,479 |
3,337 |
$12K |
| 85598 |
|
9,233 |
9,171 |
$12K |
| 85007 |
|
18,114 |
17,876 |
$12K |
| 86645 |
|
5,130 |
5,070 |
$12K |
| 82679 |
|
3,173 |
3,157 |
$11K |
| 88304 |
|
12,848 |
12,740 |
$11K |
| 81517 |
|
272 |
272 |
$11K |
| 81025 |
|
20,747 |
20,428 |
$11K |
| 88142 |
|
35,553 |
35,386 |
$10K |
| 84166 |
|
8,348 |
8,222 |
$10K |
| 86357 |
|
1,520 |
1,491 |
$10K |
| 83527 |
|
1,855 |
1,800 |
$10K |
| 86790 |
|
1,765 |
1,719 |
$10K |
| G0103 |
Psa screening |
3,357 |
3,320 |
$10K |
| 85041 |
|
34,102 |
33,830 |
$10K |
| 85048 |
|
33,932 |
33,567 |
$9K |
| 82552 |
|
2,318 |
2,276 |
$9K |
| 87636 |
|
2,703 |
2,618 |
$9K |
| 82681 |
|
1,603 |
1,559 |
$9K |
| 80185 |
|
5,029 |
4,855 |
$9K |
| 82232 |
|
4,284 |
4,060 |
$9K |
| 83519 |
|
3,778 |
3,700 |
$9K |
| 85613 |
|
15,047 |
14,886 |
$9K |
| 83718 |
|
12,794 |
12,698 |
$8K |
| 84120 |
|
895 |
891 |
$8K |
| 80156 |
|
4,792 |
4,729 |
$8K |
| 87493 |
|
2,445 |
2,423 |
$8K |
| 87040 |
|
4,304 |
4,149 |
$8K |
| 87205 |
|
9,791 |
9,131 |
$8K |
| 86060 |
|
18,114 |
18,055 |
$8K |
| 88360 |
|
264 |
255 |
$7K |
| 82374 |
|
5,709 |
5,506 |
$7K |
| 82104 |
|
3,980 |
3,952 |
$7K |
| 84484 |
|
4,658 |
4,418 |
$7K |
| 88344 |
|
315 |
314 |
$7K |
| 85004 |
|
4,176 |
4,102 |
$7K |
| 86707 |
|
7,809 |
7,757 |
$7K |
| 82642 |
|
630 |
621 |
$7K |
| 82955 |
|
3,017 |
2,947 |
$7K |
| 85660 |
|
13,108 |
12,935 |
$6K |
| 80175 |
|
4,937 |
4,853 |
$6K |
| 86671 |
|
6,858 |
6,784 |
$6K |
| 80158 |
|
1,316 |
1,064 |
$6K |
| 82164 |
|
4,256 |
4,216 |
$6K |
| 87076 |
|
4,272 |
4,231 |
$6K |
| 87101 |
|
11,968 |
11,552 |
$6K |
| 84378 |
|
9,980 |
9,868 |
$6K |
| 86308 |
|
9,194 |
9,147 |
$6K |
| 82553 |
|
4,087 |
4,028 |
$6K |
| 82085 |
|
10,961 |
10,848 |
$6K |
| G0475 |
Hiv combination assay |
1,193 |
1,186 |
$6K |
| 80165 |
|
3,168 |
3,129 |
$6K |
| 81402 |
|
240 |
231 |
$6K |
| 81240 |
|
933 |
920 |
$6K |
| 87467 |
|
351 |
347 |
$6K |
| 84446 |
|
5,539 |
5,509 |
$5K |
| 86036 |
|
3,404 |
3,375 |
$5K |
| 82747 |
|
5,808 |
5,775 |
$5K |
| 86617 |
|
1,428 |
1,376 |
$5K |
| 84143 |
|
860 |
837 |
$5K |
| 80162 |
|
2,550 |
2,439 |
$5K |
| 87116 |
|
2,140 |
1,582 |
$5K |
| 87804 |
|
2,983 |
2,960 |
$5K |
| 82575 |
|
4,310 |
4,224 |
$5K |
| 86356 |
|
941 |
898 |
$5K |
| 86747 |
|
1,280 |
1,232 |
$5K |
| 87206 |
|
6,490 |
5,761 |
$5K |
| 83835 |
|
4,484 |
4,194 |
$5K |
| 82340 |
|
5,932 |
5,716 |
$5K |
| 84433 |
|
405 |
402 |
$4K |
| 81377 |
|
243 |
243 |
$4K |
| 86231 |
|
17,741 |
17,687 |
$4K |
| 82657 |
|
969 |
939 |
$4K |
| 85597 |
|
3,872 |
3,853 |
$4K |
| 82523 |
|
780 |
755 |
$4K |
| 85670 |
|
11,352 |
11,266 |
$4K |
| 81260 |
|
500 |
476 |
$4K |
| 80184 |
|
2,472 |
2,425 |
$4K |
| 82507 |
|
1,501 |
1,439 |
$4K |
| 86171 |
|
2,611 |
2,540 |
$3K |
| 86778 |
|
2,041 |
2,014 |
$3K |
| 81291 |
|
704 |
699 |
$3K |
| 85306 |
|
2,457 |
2,408 |
$3K |
| 87015 |
|
820 |
713 |
$3K |
| 85384 |
|
4,265 |
4,068 |
$3K |
| 89055 |
|
7,821 |
7,653 |
$3K |
| 83704 |
|
2,854 |
2,841 |
$3K |
| 80195 |
|
1,412 |
1,212 |
$3K |
| 83935 |
|
3,652 |
3,527 |
$3K |
| 82030 |
|
176 |
176 |
$3K |
| 84145 |
|
838 |
806 |
$3K |
| 84255 |
|
3,403 |
3,380 |
$3K |
| 81251 |
|
456 |
445 |
$3K |
| 81200 |
|
499 |
488 |
$3K |
| 81330 |
|
456 |
445 |
$3K |
| 84300 |
|
4,206 |
4,063 |
$3K |
| 81255 |
|
438 |
427 |
$2K |
| 83789 |
|
2,078 |
2,052 |
$2K |
| 82653 |
|
4,267 |
4,239 |
$2K |
| 83625 |
|
1,771 |
1,682 |
$2K |
| 84597 |
|
2,008 |
1,995 |
$2K |
| 87481 |
|
10,250 |
10,146 |
$2K |
| 81290 |
|
442 |
431 |
$2K |
| 81242 |
|
443 |
432 |
$2K |
| S5102 |
Adult day care per diem |
25 |
24 |
$2K |
| 83930 |
|
2,516 |
2,445 |
$2K |
| 87807 |
|
634 |
626 |
$2K |
| 86710 |
|
247 |
234 |
$2K |
| 81015 |
|
2,054 |
1,981 |
$2K |
| 84252 |
|
3,734 |
3,728 |
$2K |
| 85049 |
|
4,550 |
4,384 |
$2K |
| 80183 |
|
1,883 |
1,856 |
$2K |
| 87633 |
|
1,488 |
1,239 |
$2K |
| 87328 |
|
3,231 |
3,163 |
$2K |
| 81599 |
|
864 |
863 |
$2K |
| 82530 |
|
2,000 |
1,853 |
$2K |
| 80201 |
|
1,520 |
1,501 |
$2K |
| 83951 |
|
173 |
172 |
$2K |
| 85300 |
|
1,826 |
1,794 |
$2K |
| 83825 |
|
1,401 |
1,350 |
$2K |
| 83945 |
|
1,509 |
1,444 |
$2K |
| 86682 |
|
411 |
407 |
$2K |
| 85732 |
|
13,388 |
13,260 |
$2K |
| 83605 |
|
953 |
932 |
$2K |
| 85303 |
|
1,549 |
1,525 |
$1K |
| 87880 |
|
10,109 |
10,020 |
$1K |
| 87650 |
|
145 |
145 |
$1K |
| 89051 |
|
1,228 |
1,176 |
$1K |
| 81209 |
|
441 |
430 |
$1K |
| 87106 |
|
2,222 |
2,146 |
$1K |
| 86880 |
|
3,099 |
3,053 |
$1K |
| 82175 |
|
976 |
931 |
$1K |
| 80180 |
|
206 |
164 |
$1K |
| 85705 |
|
1,313 |
1,303 |
$1K |
| 86738 |
|
237 |
227 |
$1K |
| 82308 |
|
1,072 |
1,066 |
$1K |
| 84238 |
|
154 |
153 |
$1K |
| 86606 |
|
1,119 |
1,106 |
$1K |
| 84560 |
|
2,052 |
1,971 |
$1K |
| 80280 |
|
65 |
64 |
$1K |
| 84133 |
|
1,920 |
1,839 |
$1K |
| 88289 |
|
318 |
316 |
$1K |
| 81361 |
|
309 |
280 |
$994.90 |
| 80361 |
|
55,458 |
51,419 |
$986.95 |
| 86316 |
|
1,613 |
1,565 |
$921.58 |
| 80347 |
|
51,075 |
47,232 |
$814.50 |
| U0002 |
Covid-19 lab test non-cdc |
119 |
114 |
$744.20 |
| 82677 |
|
541 |
540 |
$740.63 |
| 86148 |
|
421 |
417 |
$708.73 |
| 88271 |
|
58 |
54 |
$691.13 |
| 87420 |
|
416 |
406 |
$685.06 |
| 80375 |
|
25 |
24 |
$681.91 |
| 88275 |
|
40 |
38 |
$678.29 |
| 85302 |
|
1,179 |
1,166 |
$662.73 |
| 86631 |
|
2,753 |
2,715 |
$628.29 |
| 84105 |
|
1,020 |
978 |
$610.14 |
| 87899 |
|
416 |
412 |
$610.07 |
| 82436 |
|
888 |
849 |
$606.36 |
| 80348 |
|
54,904 |
50,828 |
$600.50 |
| 89060 |
|
479 |
452 |
$593.55 |
| 85305 |
|
1,322 |
1,305 |
$588.79 |
| 84591 |
|
2,249 |
2,242 |
$583.91 |
| 80365 |
|
52,315 |
48,387 |
$565.96 |
| 86366 |
|
30 |
30 |
$543.24 |
| 82384 |
|
1,335 |
1,229 |
$540.20 |
| 87486 |
|
437 |
435 |
$526.00 |
| 80373 |
|
51,066 |
47,166 |
$519.24 |
| 80358 |
|
50,758 |
46,863 |
$515.92 |
| 80354 |
|
54,236 |
50,319 |
$509.49 |
| 80353 |
|
50,638 |
46,746 |
$509.10 |
| 86340 |
|
348 |
343 |
$508.93 |
| 80359 |
|
51,393 |
47,480 |
$502.44 |
| 80372 |
|
50,578 |
46,686 |
$490.89 |
| 82180 |
|
562 |
554 |
$463.59 |
| 86005 |
|
13,884 |
13,667 |
$448.87 |
| 83874 |
|
201 |
198 |
$442.30 |
| 82705 |
|
2,552 |
2,486 |
$419.62 |
| 86615 |
|
306 |
296 |
$418.94 |
| 83986 |
|
2,066 |
2,001 |
$416.74 |
| 86022 |
|
198 |
190 |
$391.00 |
| 87102 |
|
1,776 |
1,728 |
$370.70 |
| 87502 |
|
1,232 |
1,130 |
$365.89 |
| 82941 |
|
607 |
595 |
$360.74 |
| 87252 |
|
206 |
194 |
$359.12 |
| 80324 |
|
13,886 |
12,950 |
$327.04 |
| 87631 |
|
492 |
489 |
$322.38 |
| 83631 |
|
936 |
922 |
$308.97 |
| 84206 |
|
281 |
277 |
$295.25 |
| 84392 |
|
653 |
642 |
$290.48 |
| 84540 |
|
404 |
393 |
$282.41 |
| 82540 |
|
462 |
459 |
$274.02 |
| 84150 |
|
15 |
15 |
$262.16 |
| 83992 |
|
40,969 |
37,863 |
$260.04 |
| 86658 |
|
226 |
221 |
$259.17 |
| 80349 |
|
4,137 |
4,063 |
$251.81 |
| 86161 |
|
390 |
386 |
$239.91 |
| 82656 |
|
1,333 |
1,234 |
$237.28 |
| 81364 |
|
38 |
38 |
$233.69 |
| 81219 |
|
13 |
12 |
$225.03 |
| 83529 |
|
28 |
28 |
$207.18 |
| 86305 |
|
98 |
96 |
$197.64 |
| 86336 |
|
253 |
251 |
$196.70 |
| 82615 |
|
271 |
265 |
$193.28 |
| 81383 |
|
89 |
88 |
$184.31 |
| 87109 |
|
681 |
676 |
$178.44 |
| 86632 |
|
1,954 |
1,935 |
$174.03 |
| 86331 |
|
1,188 |
1,147 |
$173.73 |
| 82634 |
|
13 |
12 |
$168.73 |
| 82379 |
|
385 |
382 |
$164.29 |
| 87425 |
|
370 |
364 |
$153.00 |
| 80370 |
|
40,990 |
37,896 |
$147.63 |
| 80368 |
|
42,294 |
39,175 |
$146.25 |
| 80171 |
|
30 |
30 |
$144.59 |
| 80326 |
|
39,171 |
36,135 |
$142.72 |
| P9011 |
Blood split unit |
60 |
60 |
$142.17 |
| 80377 |
|
39,115 |
36,076 |
$141.26 |
| 80360 |
|
41,142 |
38,040 |
$139.86 |
| 80366 |
|
39,397 |
36,344 |
$139.69 |
| 80367 |
|
39,338 |
36,297 |
$139.27 |
| 80355 |
|
39,571 |
36,515 |
$138.51 |
| 82300 |
|
42 |
40 |
$136.46 |
| 80341 |
|
39,097 |
36,061 |
$136.02 |
| 80364 |
|
39,090 |
36,054 |
$135.85 |
| 85247 |
|
247 |
244 |
$135.54 |
| 80337 |
|
40,825 |
37,735 |
$135.03 |
| 80331 |
|
39,086 |
36,050 |
$132.92 |
| 80334 |
|
40,441 |
37,358 |
$131.79 |
| 80344 |
|
39,099 |
36,063 |
$131.79 |
| 80338 |
|
40,873 |
37,782 |
$131.45 |
| 80371 |
|
39,093 |
36,057 |
$131.28 |
| 87496 |
|
12 |
12 |
$125.38 |
| 80357 |
|
39,699 |
36,657 |
$122.85 |
| 85301 |
|
490 |
487 |
$108.17 |
| 84442 |
|
59 |
59 |
$107.87 |
| 86001 |
|
1,635 |
1,633 |
$102.55 |
| 80356 |
|
1,950 |
1,810 |
$101.65 |
| 80220 |
|
90 |
89 |
$101.35 |
| G0307 |
Cbc without platelet |
40 |
40 |
$100.04 |
| 83919 |
|
153 |
150 |
$99.15 |
| G0306 |
Cbc/diffwbc w/o platelet |
54 |
51 |
$95.77 |
| 86609 |
|
94 |
93 |
$91.16 |
| 86692 |
|
47 |
47 |
$86.78 |
| 81244 |
|
65 |
64 |
$85.32 |
| 87254 |
|
732 |
642 |
$79.31 |
| 81050 |
|
284 |
277 |
$68.86 |
| 36416 |
|
2,610 |
2,308 |
$68.72 |
| 86215 |
|
24 |
24 |
$67.55 |
| 85385 |
|
712 |
708 |
$64.14 |
| 87581 |
|
436 |
434 |
$63.00 |
| 86804 |
|
15 |
15 |
$61.16 |
| 82139 |
|
622 |
604 |
$60.01 |
| 86611 |
|
215 |
212 |
$59.70 |
| 84202 |
|
98 |
98 |
$57.43 |
| 83497 |
|
44 |
39 |
$56.99 |
| 80235 |
|
172 |
168 |
$49.23 |
| 82010 |
|
13 |
13 |
$46.55 |
| 80179 |
|
39 |
39 |
$45.63 |
| 87905 |
|
828 |
814 |
$43.20 |
| 86602 |
|
52 |
52 |
$40.10 |
| 82595 |
|
91 |
90 |
$37.57 |
| 80203 |
|
218 |
218 |
$32.03 |
| 82365 |
|
732 |
700 |
$27.52 |
| 80362 |
|
2,887 |
2,704 |
$25.96 |
| 86157 |
|
40 |
40 |
$24.25 |
| 85307 |
|
12 |
12 |
$22.90 |
| 81002 |
|
13 |
13 |
$22.69 |
| 82131 |
|
223 |
214 |
$18.36 |
| 89321 |
|
29 |
28 |
$16.41 |
| 83876 |
|
247 |
247 |
$14.98 |
| 80321 |
|
672 |
628 |
$13.76 |
| 84163 |
|
24 |
24 |
$13.65 |
| 82360 |
|
361 |
332 |
$12.58 |
| 86703 |
|
857 |
854 |
$12.51 |
| 86698 |
|
80 |
78 |
$9.76 |
| 99000 |
|
2,135 |
2,117 |
$3.63 |
| 82945 |
|
12 |
12 |
$3.29 |
| 82270 |
|
27 |
27 |
$2.92 |
| 80500 |
|
917 |
913 |
$0.00 |
| 80342 |
|
180 |
172 |
$0.00 |
| 88302 |
|
309 |
309 |
$0.00 |
| 80346 |
|
3,368 |
3,288 |
$0.00 |
| 88321 |
|
1,166 |
1,132 |
$0.00 |
| 80503 |
|
310 |
310 |
$0.00 |
| 88164 |
|
8,566 |
8,557 |
$0.00 |
| 0097U |
|
397 |
395 |
$0.00 |
| 86596 |
|
42 |
42 |
$0.00 |
| 86042 |
|
28 |
28 |
$0.00 |
| 88147 |
|
2,486 |
2,447 |
$0.00 |
| 99001 |
|
3,144 |
2,799 |
$0.00 |
| 80323 |
|
500 |
495 |
$0.00 |
| 85250 |
|
65 |
64 |
$0.00 |
| 80332 |
|
14 |
14 |
$0.00 |
| 85549 |
|
13 |
12 |
$0.00 |
| 86362 |
|
12 |
12 |
$0.00 |
| 83080 |
|
34 |
34 |
$0.00 |
| 87275 |
|
37 |
37 |
$0.00 |
| 87299 |
|
37 |
37 |
$0.00 |
| 86051 |
|
30 |
30 |
$0.00 |
| 84588 |
|
13 |
12 |
$0.00 |
| 81335 |
|
17 |
12 |
$0.00 |
| 87260 |
|
37 |
37 |
$0.00 |
| 0024U |
|
29 |
29 |
$0.00 |
| 87279 |
|
37 |
37 |
$0.00 |
| 89310 |
|
14 |
12 |
$0.00 |
| 80169 |
|
12 |
12 |
$0.00 |
| 80168 |
|
12 |
12 |
$0.00 |
| 88346 |
|
12 |
12 |
$0.00 |
| 86043 |
|
29 |
29 |
$0.00 |
| 88237 |
|
12 |
12 |
$0.00 |
| 82375 |
|
12 |
12 |
$0.00 |
| 83698 |
|
14 |
14 |
$0.00 |
| 80345 |
|
37 |
37 |
$0.00 |
| 96040 |
|
274 |
274 |
$0.00 |
| 88307 |
|
214 |
214 |
$0.00 |
| 80374 |
|
1,354 |
1,273 |
$0.00 |
| 87593 |
|
144 |
135 |
$0.00 |
| 88311 |
|
31 |
31 |
$0.00 |
| 80320 |
|
216 |
214 |
$0.00 |
| 86041 |
|
70 |
70 |
$0.00 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
39 |
39 |
$0.00 |
| 85362 |
|
37 |
37 |
$0.00 |
| 87280 |
|
38 |
38 |
$0.00 |
| 84260 |
|
50 |
50 |
$0.00 |
| 80186 |
|
14 |
12 |
$0.00 |
| 82017 |
|
39 |
38 |
$0.00 |
| 85415 |
|
19 |
18 |
$0.00 |
| 87276 |
|
37 |
37 |
$0.00 |
| 87505 |
|
12 |
12 |
$0.00 |
| 87337 |
|
12 |
12 |
$0.00 |
| 84181 |
|
34 |
34 |
$0.00 |
| 88300 |
|
14 |
14 |
$0.00 |