| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
112,923 |
101,174 |
$8.46M |
| 87491 |
|
179,197 |
167,500 |
$6.28M |
| 87591 |
|
178,828 |
167,034 |
$6.22M |
| 84443 |
|
236,679 |
221,566 |
$3.30M |
| 87389 |
|
102,307 |
95,399 |
$3.29M |
| 87661 |
|
107,395 |
99,410 |
$3.16M |
| 80053 |
|
343,050 |
313,254 |
$3.12M |
| 82306 |
|
152,005 |
144,405 |
$3.07M |
| 80050 |
|
70,941 |
64,439 |
$3.03M |
| 80061 |
|
306,766 |
289,177 |
$2.95M |
| 81513 |
|
32,468 |
30,425 |
$2.70M |
| 88175 |
|
110,615 |
104,731 |
$2.42M |
| 87624 |
|
78,370 |
73,678 |
$2.32M |
| 85025 |
|
301,317 |
272,275 |
$1.86M |
| 83036 |
|
254,934 |
241,632 |
$1.84M |
| 87481 |
|
33,341 |
30,955 |
$1.82M |
| U0005 |
Infec agen detec ampli probe |
92,683 |
83,824 |
$1.45M |
| 86480 |
|
26,084 |
24,881 |
$1.43M |
| 87086 |
|
171,444 |
156,483 |
$1.29M |
| 0241U |
|
18,334 |
17,233 |
$1.28M |
| 87801 |
|
30,366 |
27,828 |
$1.25M |
| 88305 |
|
37,490 |
34,256 |
$1.22M |
| 80307 |
|
26,925 |
23,203 |
$1.21M |
| 87507 |
|
3,407 |
3,181 |
$934K |
| 86803 |
|
65,497 |
61,945 |
$862K |
| 82607 |
|
63,007 |
59,619 |
$784K |
| 80048 |
|
94,521 |
86,408 |
$670K |
| 86235 |
|
7,065 |
5,076 |
$634K |
| 83970 |
|
20,153 |
19,162 |
$619K |
| 87633 |
|
1,956 |
1,784 |
$617K |
| 82728 |
|
58,609 |
55,516 |
$598K |
| 87529 |
|
9,859 |
8,302 |
$584K |
| 84439 |
|
69,906 |
65,034 |
$545K |
| 87340 |
|
51,909 |
48,619 |
$519K |
| 82746 |
|
42,996 |
40,624 |
$518K |
| G0480 |
Drug test def 1-7 classes |
9,478 |
7,461 |
$512K |
| 87563 |
|
20,125 |
18,898 |
$505K |
| 86003 |
|
11,381 |
8,846 |
$504K |
| 80081 |
|
8,500 |
7,320 |
$501K |
| 83655 |
|
41,235 |
39,765 |
$485K |
| 85027 |
|
82,892 |
77,136 |
$482K |
| 84153 |
|
32,052 |
30,274 |
$473K |
| 87186 |
|
52,144 |
47,076 |
$467K |
| 87081 |
|
72,285 |
68,827 |
$464K |
| 84702 |
|
37,428 |
28,051 |
$445K |
| 83550 |
|
59,396 |
56,264 |
$433K |
| 86780 |
|
37,268 |
34,514 |
$417K |
| 83880 |
|
15,080 |
13,065 |
$411K |
| 84403 |
|
15,713 |
14,764 |
$354K |
| 87651 |
|
11,379 |
10,808 |
$353K |
| 82570 |
|
83,678 |
78,163 |
$352K |
| 0240U |
|
5,730 |
5,437 |
$347K |
| 83540 |
|
63,201 |
59,824 |
$343K |
| 82043 |
|
75,430 |
71,829 |
$341K |
| 80074 |
|
10,790 |
9,985 |
$330K |
| 86762 |
|
27,471 |
25,437 |
$329K |
| 87077 |
|
40,286 |
37,045 |
$299K |
| 81420 |
|
573 |
513 |
$291K |
| 84481 |
|
22,176 |
20,646 |
$280K |
| 87635 |
|
7,551 |
7,050 |
$268K |
| 86592 |
|
67,013 |
63,308 |
$267K |
| 87088 |
|
34,215 |
32,072 |
$259K |
| 86706 |
|
25,711 |
24,216 |
$259K |
| G0483 |
Drug test def 22+ classes |
1,735 |
1,644 |
$255K |
| 87902 |
|
1,115 |
1,039 |
$254K |
| 86787 |
|
25,567 |
24,018 |
$243K |
| 82784 |
|
18,544 |
16,863 |
$241K |
| 86140 |
|
50,943 |
45,261 |
$231K |
| 86038 |
|
20,388 |
19,147 |
$229K |
| 81220 |
|
2,012 |
1,838 |
$224K |
| 81001 |
|
82,062 |
75,792 |
$223K |
| 84146 |
|
13,560 |
12,655 |
$222K |
| 82105 |
|
14,246 |
13,489 |
$217K |
| 83001 |
|
13,175 |
12,512 |
$217K |
| 83735 |
|
37,633 |
31,453 |
$215K |
| 86704 |
|
17,807 |
16,778 |
$196K |
| 87522 |
Neg quan hep c or qual rna |
4,840 |
4,587 |
$191K |
| 87480 |
|
9,853 |
9,112 |
$189K |
| 87510 |
|
9,848 |
9,107 |
$184K |
| 82670 |
|
8,816 |
8,261 |
$182K |
| 83516 |
|
11,618 |
9,465 |
$180K |
| 87070 |
|
23,870 |
21,506 |
$180K |
| 87536 |
|
2,405 |
2,273 |
$179K |
| 87660 |
|
9,785 |
9,054 |
$173K |
| 80076 |
|
23,619 |
22,101 |
$168K |
| 87641 |
|
6,411 |
5,467 |
$167K |
| 86850 |
|
30,061 |
28,320 |
$166K |
| 87798 |
|
4,140 |
2,466 |
$146K |
| 88341 |
|
2,207 |
1,954 |
$143K |
| 85610 |
|
40,736 |
27,406 |
$139K |
| 82274 |
|
11,812 |
11,304 |
$138K |
| 87808 |
|
10,824 |
9,838 |
$138K |
| 87493 |
|
4,583 |
4,227 |
$136K |
| 83013 |
|
3,383 |
3,207 |
$132K |
| 82950 |
|
26,039 |
24,537 |
$120K |
| 88342 |
|
6,031 |
5,505 |
$118K |
| 86665 |
|
4,162 |
3,518 |
$116K |
| 86160 |
|
6,862 |
5,908 |
$116K |
| 83002 |
|
8,490 |
7,946 |
$116K |
| 87636 |
|
903 |
860 |
$114K |
| 83690 |
|
17,812 |
16,597 |
$111K |
| 86200 |
|
9,633 |
9,204 |
$108K |
| 87521 |
Neg quan hep c or qual rna |
3,384 |
3,143 |
$108K |
| 0202U |
|
687 |
663 |
$107K |
| 84144 |
|
6,175 |
5,410 |
$106K |
| 86696 |
|
5,515 |
5,131 |
$104K |
| 87640 |
|
5,323 |
4,719 |
$104K |
| 83020 |
|
11,590 |
10,796 |
$103K |
| 85652 |
|
42,026 |
37,462 |
$101K |
| 81329 |
|
1,265 |
1,167 |
$101K |
| 86376 |
|
8,445 |
8,022 |
$100K |
| 84270 |
|
5,468 |
5,229 |
$99K |
| 87210 |
|
20,840 |
19,096 |
$99K |
| 86364 |
|
8,261 |
7,670 |
$97K |
| 87505 |
|
1,200 |
1,151 |
$97K |
| 82533 |
|
6,873 |
5,534 |
$95K |
| 86618 |
|
6,174 |
5,864 |
$95K |
| 88307 |
|
1,489 |
1,392 |
$94K |
| 88344 |
|
1,025 |
833 |
$92K |
| 86146 |
|
2,489 |
2,211 |
$91K |
| 88304 |
|
6,292 |
5,813 |
$90K |
| 88142 |
|
6,213 |
5,835 |
$89K |
| 86147 |
|
3,268 |
2,681 |
$88K |
| 87517 |
|
2,142 |
2,040 |
$86K |
| 84484 |
|
7,289 |
6,494 |
$85K |
| 84156 |
|
29,058 |
25,565 |
$85K |
| 86800 |
|
6,304 |
6,015 |
$85K |
| 84550 |
|
22,332 |
20,685 |
$83K |
| 87205 |
|
20,970 |
18,858 |
$82K |
| 88312 |
|
3,884 |
3,576 |
$82K |
| 86901 |
|
25,875 |
24,255 |
$81K |
| 84425 |
|
4,726 |
4,493 |
$80K |
| 86431 |
|
14,922 |
14,091 |
$79K |
| 83520 |
|
5,562 |
4,989 |
$79K |
| 80197 |
|
7,181 |
4,493 |
$76K |
| 83721 |
|
10,423 |
9,339 |
$75K |
| 86225 |
|
6,567 |
5,991 |
$75K |
| 83525 |
|
7,322 |
7,001 |
$72K |
| 82951 |
|
5,859 |
5,567 |
$72K |
| 84165 |
|
7,448 |
6,878 |
$72K |
| 81003 |
|
35,083 |
32,908 |
$71K |
| 86900 |
|
24,848 |
23,376 |
$70K |
| 86334 |
|
3,716 |
3,431 |
$69K |
| 82330 |
|
5,829 |
5,148 |
$68K |
| 88112 |
|
1,991 |
1,861 |
$67K |
| 82627 |
|
4,003 |
3,808 |
$66K |
| 82677 |
|
3,229 |
2,945 |
$64K |
| 84445 |
|
2,080 |
1,991 |
$63K |
| 82565 |
|
14,385 |
12,132 |
$63K |
| 86769 |
|
1,768 |
1,685 |
$60K |
| 86336 |
|
3,442 |
3,145 |
$60K |
| 87502 |
|
772 |
702 |
$60K |
| 82024 |
|
2,050 |
1,878 |
$59K |
| 80164 |
|
5,336 |
4,990 |
$59K |
| 86695 |
|
4,480 |
4,137 |
$59K |
| 83521 |
|
2,497 |
2,261 |
$58K |
| 82550 |
|
10,571 |
9,249 |
$58K |
| 84100 |
|
15,771 |
13,461 |
$58K |
| 87449 |
|
5,031 |
4,680 |
$55K |
| 84402 |
|
2,600 |
2,466 |
$55K |
| 87075 |
|
6,287 |
5,299 |
$54K |
| 86039 |
|
5,534 |
5,180 |
$53K |
| 84460 |
|
11,046 |
9,281 |
$51K |
| 83498 |
|
2,507 |
2,344 |
$50K |
| 81374 |
|
1,116 |
1,052 |
$50K |
| 87147 |
|
9,272 |
8,608 |
$50K |
| 87427 |
|
4,731 |
4,429 |
$50K |
| 83993 |
|
3,517 |
3,298 |
$49K |
| 88173 |
|
1,342 |
1,233 |
$49K |
| 83615 |
|
9,523 |
7,949 |
$49K |
| 84703 |
|
6,889 |
6,544 |
$48K |
| 87040 |
|
3,034 |
2,664 |
$48K |
| 85379 |
|
5,406 |
5,163 |
$47K |
| 82785 |
|
3,796 |
3,551 |
$47K |
| 87497 |
|
1,305 |
829 |
$46K |
| 82652 |
|
2,011 |
1,856 |
$45K |
| 87804 |
|
1,491 |
1,420 |
$45K |
| 80177 |
|
4,018 |
3,760 |
$44K |
| 85730 |
|
8,836 |
8,110 |
$43K |
| 82088 |
|
1,204 |
1,146 |
$42K |
| 87799 |
|
1,275 |
902 |
$42K |
| 87045 |
|
4,621 |
4,328 |
$42K |
| 81025 |
|
5,541 |
5,242 |
$40K |
| 84450 |
|
8,609 |
7,067 |
$40K |
| 84207 |
|
1,743 |
1,669 |
$39K |
| 82378 |
|
2,851 |
2,557 |
$38K |
| 84630 |
|
3,771 |
3,596 |
$37K |
| 87338 |
|
2,532 |
2,407 |
$36K |
| 88360 |
|
506 |
451 |
$36K |
| 86304 |
|
2,231 |
2,051 |
$36K |
| 88185 |
|
400 |
352 |
$35K |
| 80069 |
|
5,312 |
4,526 |
$35K |
| 84480 |
|
3,185 |
2,989 |
$34K |
| 85018 |
|
15,002 |
14,413 |
$34K |
| 82247 |
|
7,249 |
4,868 |
$33K |
| 87209 |
|
2,115 |
1,927 |
$33K |
| 86735 |
|
2,685 |
2,490 |
$33K |
| 82248 |
|
7,697 |
6,304 |
$33K |
| 83921 |
|
1,963 |
1,855 |
$32K |
| G0416 |
Prostate biopsy, any mthd |
128 |
103 |
$31K |
| 86341 |
|
1,298 |
1,067 |
$31K |
| 85390 |
|
3,306 |
2,975 |
$31K |
| 85613 |
|
3,328 |
2,956 |
$31K |
| 86765 |
|
2,947 |
2,768 |
$30K |
| 82140 |
|
2,516 |
2,253 |
$30K |
| 88262 |
|
272 |
242 |
$30K |
| 86870 |
|
828 |
740 |
$30K |
| 86361 |
|
1,333 |
1,268 |
$28K |
| 86708 |
|
2,810 |
2,635 |
$28K |
| 80055 |
|
1,625 |
1,442 |
$28K |
| 82977 |
|
4,949 |
4,454 |
$28K |
| 82150 |
|
4,603 |
4,269 |
$27K |
| 84305 |
|
1,616 |
1,556 |
$27K |
| 82947 |
|
7,688 |
6,950 |
$27K |
| G0103 |
Psa screening |
3,025 |
2,884 |
$27K |
| 84166 |
|
1,724 |
1,602 |
$25K |
| 86300 |
|
1,085 |
954 |
$25K |
| 87625 |
|
914 |
840 |
$25K |
| 84244 |
|
1,320 |
1,265 |
$25K |
| 80175 |
|
2,228 |
2,087 |
$24K |
| 86258 |
|
1,636 |
1,426 |
$24K |
| 82390 |
|
2,568 |
2,401 |
$24K |
| 86381 |
|
1,482 |
1,434 |
$23K |
| 86255 |
|
1,067 |
766 |
$23K |
| 82103 |
|
2,085 |
1,923 |
$23K |
| 83630 |
|
1,804 |
1,705 |
$22K |
| 85046 |
|
4,660 |
4,369 |
$22K |
| 82239 |
|
1,462 |
1,195 |
$22K |
| 84145 |
|
966 |
893 |
$22K |
| 80178 |
|
3,918 |
3,567 |
$22K |
| 82077 |
|
1,719 |
1,490 |
$21K |
| 86141 |
|
1,752 |
1,630 |
$21K |
| 86705 |
|
1,892 |
1,800 |
$20K |
| 99000 |
|
6,681 |
3,464 |
$20K |
| 85014 |
|
9,311 |
8,661 |
$20K |
| 82952 |
|
5,311 |
5,084 |
$20K |
| 84202 |
|
1,364 |
1,317 |
$20K |
| 87426 |
|
794 |
599 |
$19K |
| 86677 |
|
2,351 |
2,252 |
$19K |
| 86644 |
|
1,421 |
1,112 |
$19K |
| 84681 |
|
1,905 |
1,820 |
$19K |
| 87046 |
|
4,727 |
4,422 |
$18K |
| 85732 |
|
3,292 |
2,966 |
$18K |
| 82657 |
|
999 |
896 |
$18K |
| 81229 |
|
95 |
93 |
$18K |
| 87177 |
|
2,163 |
1,965 |
$17K |
| 83883 |
|
938 |
809 |
$17K |
| 85245 |
|
1,028 |
936 |
$16K |
| 87102 |
|
2,360 |
2,180 |
$16K |
| 84432 |
|
1,185 |
1,144 |
$16K |
| 86617 |
|
683 |
605 |
$16K |
| 84134 |
|
2,093 |
1,836 |
$15K |
| 83835 |
|
1,069 |
976 |
$15K |
| 84132 |
|
3,800 |
3,204 |
$15K |
| 86015 |
|
1,592 |
1,541 |
$15K |
| 83090 |
|
1,068 |
962 |
$14K |
| 80047 |
|
1,604 |
1,458 |
$14K |
| 86301 |
|
918 |
825 |
$14K |
| 86709 |
|
1,641 |
1,517 |
$14K |
| 86008 |
|
228 |
200 |
$14K |
| 88230 |
|
210 |
181 |
$14K |
| 80143 |
|
964 |
876 |
$13K |
| 82164 |
|
1,060 |
1,005 |
$13K |
| 84155 |
|
4,467 |
4,138 |
$13K |
| 80179 |
|
919 |
837 |
$12K |
| 82610 |
|
1,005 |
924 |
$12K |
| 86694 |
|
893 |
830 |
$12K |
| 82525 |
|
1,146 |
1,081 |
$12K |
| 88237 |
|
161 |
145 |
$12K |
| 88184 |
|
420 |
370 |
$11K |
| 83605 |
|
1,117 |
892 |
$11K |
| 84080 |
|
993 |
939 |
$11K |
| 82653 |
|
611 |
586 |
$11K |
| 81240 |
|
337 |
302 |
$10K |
| 86849 |
|
214 |
203 |
$10K |
| 88275 |
|
201 |
186 |
$10K |
| 82803 |
|
427 |
381 |
$10K |
| 86645 |
|
934 |
870 |
$10K |
| 82397 |
|
776 |
752 |
$10K |
| 84466 |
|
1,052 |
976 |
$10K |
| 85576 |
|
329 |
283 |
$10K |
| 87800 |
|
469 |
351 |
$9K |
| 87076 |
|
1,192 |
1,081 |
$9K |
| 84478 |
|
1,980 |
1,685 |
$9K |
| 86308 |
|
1,963 |
1,841 |
$9K |
| 80156 |
|
753 |
726 |
$9K |
| 84436 |
|
1,514 |
1,327 |
$9K |
| 88271 |
|
196 |
179 |
$9K |
| 86593 |
|
2,298 |
2,125 |
$9K |
| 84520 |
|
2,434 |
2,198 |
$8K |
| 81401 |
|
270 |
247 |
$8K |
| 85246 |
|
538 |
484 |
$8K |
| 83010 |
|
782 |
720 |
$8K |
| 82040 |
|
2,096 |
1,968 |
$8K |
| 84163 |
|
616 |
591 |
$7K |
| 80299 |
|
270 |
246 |
$7K |
| 85049 |
|
1,840 |
972 |
$7K |
| 82310 |
|
1,688 |
1,589 |
$7K |
| 87880 |
|
482 |
460 |
$7K |
| 89051 |
|
1,422 |
994 |
$7K |
| 84075 |
|
1,604 |
1,412 |
$7K |
| 82465 |
|
1,773 |
1,670 |
$7K |
| 81479 |
|
127 |
104 |
$7K |
| 82962 |
|
2,037 |
1,068 |
$7K |
| 85240 |
|
615 |
555 |
$6K |
| 82340 |
|
1,197 |
1,137 |
$6K |
| 85660 |
|
1,214 |
1,124 |
$6K |
| 82157 |
|
304 |
286 |
$6K |
| 80183 |
|
572 |
539 |
$6K |
| 81243 |
|
182 |
173 |
$6K |
| 84238 |
|
200 |
194 |
$6K |
| 36415 |
|
14,427 |
11,378 |
$6K |
| 83519 |
|
250 |
201 |
$6K |
| 80202 |
|
451 |
201 |
$6K |
| 87015 |
|
1,203 |
800 |
$5K |
| 86777 |
|
393 |
366 |
$5K |
| 85670 |
|
3,194 |
2,823 |
$5K |
| 80185 |
|
414 |
376 |
$5K |
| 85306 |
|
366 |
326 |
$5K |
| 85307 |
|
361 |
322 |
$4K |
| 85598 |
|
293 |
263 |
$4K |
| 82104 |
|
398 |
383 |
$4K |
| 87116 |
|
461 |
337 |
$4K |
| 84300 |
|
998 |
936 |
$4K |
| 84590 |
|
474 |
463 |
$4K |
| 82542 |
|
248 |
208 |
$4K |
| 87350 |
|
389 |
374 |
$4K |
| 82166 |
|
296 |
292 |
$4K |
| 87150 |
|
116 |
107 |
$4K |
| 83695 |
|
561 |
487 |
$4K |
| 87101 |
|
490 |
474 |
$4K |
| 86256 |
|
312 |
280 |
$4K |
| 85303 |
|
324 |
295 |
$4K |
| 86335 |
|
162 |
146 |
$4K |
| 88313 |
|
167 |
156 |
$3K |
| 82365 |
|
320 |
313 |
$3K |
| 87106 |
|
379 |
347 |
$3K |
| 85247 |
|
203 |
199 |
$3K |
| 87807 |
|
255 |
236 |
$3K |
| 88264 |
|
29 |
27 |
$3K |
| 87206 |
|
648 |
524 |
$3K |
| G0472 |
Hep c screen high risk/other |
614 |
570 |
$3K |
| 82668 |
|
214 |
200 |
$3K |
| 83718 |
|
424 |
393 |
$3K |
| 86036 |
|
321 |
310 |
$3K |
| 87468 |
|
103 |
94 |
$3K |
| 81206 |
|
26 |
26 |
$3K |
| 87484 |
|
97 |
89 |
$3K |
| 83789 |
|
136 |
123 |
$3K |
| 86778 |
|
172 |
156 |
$2K |
| 88302 |
|
166 |
149 |
$2K |
| 81256 |
|
56 |
53 |
$2K |
| 89060 |
|
313 |
294 |
$2K |
| 81050 |
|
697 |
659 |
$2K |
| 84182 |
|
28 |
25 |
$2K |
| 82731 |
|
29 |
25 |
$2K |
| 82085 |
|
257 |
244 |
$2K |
| 86060 |
|
261 |
247 |
$2K |
| 86707 |
|
196 |
193 |
$2K |
| 80235 |
|
122 |
111 |
$2K |
| 84446 |
|
190 |
189 |
$2K |
| 86162 |
|
115 |
106 |
$2K |
| G0482 |
Drug test def 15-21 classes |
15 |
15 |
$2K |
| 82747 |
|
120 |
115 |
$2K |
| 86832 |
|
14 |
13 |
$2K |
| 87593 |
|
44 |
37 |
$1K |
| 82787 |
|
100 |
99 |
$1K |
| 86360 |
|
40 |
37 |
$1K |
| 81015 |
|
553 |
520 |
$1K |
| 84154 |
|
76 |
72 |
$1K |
| 86833 |
|
13 |
12 |
$1K |
| 82232 |
|
110 |
103 |
$1K |
| 83935 |
|
238 |
219 |
$1K |
| 87176 |
|
260 |
236 |
$1K |
| 87109 |
|
84 |
81 |
$1K |
| 87181 |
|
103 |
89 |
$1K |
| 82261 |
|
66 |
60 |
$1K |
| 87324 |
|
98 |
93 |
$906.37 |
| 88300 |
|
78 |
75 |
$813.38 |
| 86337 |
|
53 |
46 |
$799.17 |
| 83014 |
|
87 |
79 |
$776.71 |
| 82530 |
|
56 |
54 |
$744.64 |
| G0475 |
Hiv combination assay |
193 |
173 |
$715.65 |
| G0143 |
Scr c/v cyto,thinlayer,rescr |
87 |
86 |
$713.05 |
| 99001 |
|
155 |
151 |
$708.31 |
| 88333 |
|
39 |
36 |
$704.36 |
| 85300 |
|
66 |
66 |
$703.39 |
| 86359 |
|
26 |
25 |
$690.86 |
| 88311 |
|
347 |
282 |
$689.44 |
| 87469 |
|
28 |
24 |
$687.74 |
| 82985 |
|
51 |
51 |
$687.19 |
| 86682 |
|
54 |
53 |
$635.62 |
| 81270 |
|
14 |
14 |
$616.27 |
| 85048 |
|
310 |
246 |
$614.22 |
| 84133 |
|
162 |
142 |
$584.51 |
| 84482 |
|
59 |
54 |
$583.95 |
| 87999 |
|
14 |
13 |
$575.51 |
| P9604 |
One-way allow prorated trip |
865 |
512 |
$554.79 |
| 84295 |
|
111 |
38 |
$486.72 |
| 86077 |
|
18 |
16 |
$471.02 |
| 83930 |
|
87 |
79 |
$433.06 |
| 84597 |
|
42 |
40 |
$414.27 |
| 87107 |
|
41 |
37 |
$320.42 |
| 82955 |
|
39 |
38 |
$292.17 |
| 84255 |
|
13 |
12 |
$269.76 |
| 87425 |
|
18 |
13 |
$266.40 |
| 86041 |
|
26 |
24 |
$246.74 |
| 82626 |
|
13 |
12 |
$214.13 |
| 82017 |
|
12 |
12 |
$167.02 |
| 87385 |
|
13 |
12 |
$144.03 |
| 80051 |
|
18 |
15 |
$135.31 |
| 80184 |
|
13 |
13 |
$129.82 |
| 87341 |
|
15 |
13 |
$125.81 |
| 82575 |
|
15 |
14 |
$125.45 |
| 86666 |
|
15 |
12 |
$113.47 |
| 82172 |
|
12 |
12 |
$112.28 |
| 82180 |
|
12 |
12 |
$105.82 |
| 84560 |
|
26 |
25 |
$105.00 |
| 86753 |
|
15 |
12 |
$99.95 |
| 80201 |
|
14 |
13 |
$99.23 |
| 80203 |
|
12 |
12 |
$90.10 |
| 86886 |
|
15 |
14 |
$87.81 |
| 87207 |
|
12 |
12 |
$76.68 |
| 80321 |
|
227 |
209 |
$76.00 |
| 84479 |
|
13 |
13 |
$72.97 |
| 84105 |
|
12 |
12 |
$56.65 |
| P9603 |
One-way allow prorated miles |
133 |
76 |
$52.08 |
| 99211 |
|
62 |
59 |
$12.92 |
| 36416 |
|
12 |
12 |
$6.11 |
| 80325 |
|
29 |
24 |
$0.00 |
| 80348 |
|
294 |
194 |
$0.00 |
| 80349 |
|
33 |
30 |
$0.00 |