| Code | Description | Claims | Beneficiaries | Total Paid |
| 80307 |
|
761,585 |
454,645 |
$20.51M |
| U0003 |
Cov-19 amp prb hgh thruput |
252,167 |
204,948 |
$18.29M |
| 87491 |
|
319,571 |
301,943 |
$6.56M |
| 87591 |
|
316,074 |
298,520 |
$6.36M |
| G0480 |
Drug test def 1-7 classes |
164,423 |
112,832 |
$5.63M |
| 80053 |
|
591,021 |
560,444 |
$3.28M |
| 82306 |
|
205,062 |
198,405 |
$3.18M |
| 84443 |
|
376,275 |
363,607 |
$2.94M |
| 80061 |
|
437,313 |
423,455 |
$2.89M |
| 87661 |
|
171,365 |
161,958 |
$2.43M |
| 87801 |
|
64,674 |
61,697 |
$2.33M |
| 85025 |
|
536,645 |
505,771 |
$2.02M |
| 87389 |
|
150,221 |
143,896 |
$1.95M |
| 88175 |
|
106,523 |
104,112 |
$1.79M |
| U0005 |
Infec agen detec ampli probe |
78,457 |
71,269 |
$1.76M |
| 86480 |
|
50,181 |
48,357 |
$1.71M |
| 81420 |
|
4,690 |
4,592 |
$1.47M |
| 87624 |
|
71,821 |
70,392 |
$1.34M |
| 81513 |
|
43,389 |
39,627 |
$1.31M |
| 83036 |
|
253,473 |
244,707 |
$1.29M |
| 87799 |
|
36,641 |
22,377 |
$1.25M |
| 81220 |
|
4,322 |
4,263 |
$1.20M |
| 80348 |
|
213,722 |
133,087 |
$1.16M |
| 80050 |
|
57,508 |
56,205 |
$1.03M |
| 87086 |
|
216,839 |
206,359 |
$1.03M |
| 86803 |
|
129,815 |
124,757 |
$972K |
| 87636 |
|
9,435 |
8,884 |
$970K |
| 87902 |
|
7,322 |
6,971 |
$919K |
| 84439 |
|
181,055 |
176,450 |
$906K |
| 82607 |
|
113,767 |
110,546 |
$895K |
| 88305 |
|
13,664 |
12,665 |
$823K |
| 87088 |
|
146,298 |
139,917 |
$732K |
| 87522 |
Neg quan hep c or qual rna |
31,420 |
29,517 |
$728K |
| 87536 |
|
12,949 |
12,629 |
$644K |
| 86003 |
|
14,299 |
10,546 |
$589K |
| 80349 |
|
140,508 |
97,629 |
$584K |
| 80373 |
|
83,791 |
58,610 |
$564K |
| 84403 |
|
34,565 |
33,498 |
$516K |
| 80081 |
|
13,463 |
13,085 |
$508K |
| 80362 |
|
104,733 |
70,395 |
$505K |
| 87635 |
|
12,994 |
12,771 |
$499K |
| 82728 |
|
68,074 |
65,711 |
$497K |
| 84153 |
|
46,122 |
44,871 |
$467K |
| 87481 |
|
13,668 |
8,551 |
$462K |
| 36415 |
|
499,204 |
455,353 |
$458K |
| 82746 |
|
65,870 |
63,766 |
$456K |
| 83655 |
|
59,334 |
57,530 |
$447K |
| 87512 |
|
22,757 |
22,088 |
$445K |
| 87340 |
|
75,204 |
72,141 |
$442K |
| 80354 |
|
96,183 |
60,236 |
$390K |
| 85027 |
|
111,238 |
106,589 |
$369K |
| 80355 |
|
104,405 |
63,761 |
$359K |
| 87081 |
|
90,914 |
88,756 |
$359K |
| 83550 |
|
78,634 |
76,366 |
$349K |
| 80321 |
|
70,909 |
50,829 |
$344K |
| 87070 |
|
68,884 |
66,894 |
$344K |
| 87186 |
|
65,552 |
62,642 |
$338K |
| 80048 |
|
73,568 |
69,403 |
$326K |
| 87077 |
|
63,459 |
61,029 |
$324K |
| 80074 |
|
18,867 |
17,524 |
$314K |
| 83540 |
|
88,258 |
85,368 |
$305K |
| 86769 |
|
8,063 |
7,938 |
$293K |
| 86235 |
|
8,731 |
8,098 |
$293K |
| 80360 |
|
39,493 |
29,568 |
$291K |
| 88142 |
|
19,172 |
18,825 |
$287K |
| 84702 |
|
35,255 |
29,179 |
$287K |
| 84402 |
|
18,599 |
18,212 |
$285K |
| 87633 |
|
1,654 |
1,545 |
$282K |
| 80361 |
|
54,278 |
44,807 |
$275K |
| 80346 |
|
51,587 |
39,612 |
$273K |
| 88141 |
|
20,281 |
19,819 |
$265K |
| 80359 |
|
58,269 |
36,205 |
$262K |
| 81001 |
|
137,910 |
133,152 |
$262K |
| 83013 |
|
6,602 |
6,489 |
$258K |
| 86706 |
|
43,902 |
41,682 |
$254K |
| 86038 |
|
38,121 |
37,144 |
$250K |
| 86780 |
|
33,899 |
32,982 |
$250K |
| 86704 |
|
39,591 |
37,546 |
$248K |
| 86592 |
|
100,701 |
96,876 |
$235K |
| 83970 |
|
11,448 |
10,946 |
$235K |
| 86708 |
|
33,691 |
32,018 |
$230K |
| 86762 |
|
26,672 |
25,912 |
$226K |
| 83001 |
|
20,434 |
19,872 |
$225K |
| 82670 |
|
14,242 |
13,551 |
$224K |
| 84481 |
|
23,102 |
22,545 |
$219K |
| 82043 |
|
68,293 |
66,632 |
$214K |
| 84146 |
|
18,315 |
17,536 |
$207K |
| 82570 |
|
81,794 |
75,504 |
$204K |
| 80372 |
|
29,634 |
21,298 |
$194K |
| 86696 |
|
14,957 |
14,146 |
$188K |
| 86481 |
|
3,113 |
3,092 |
$187K |
| 86787 |
|
23,130 |
22,270 |
$186K |
| 81596 |
|
6,207 |
6,051 |
$184K |
| G0481 |
Drug test def 8-14 classes |
4,842 |
4,202 |
$183K |
| 87660 |
|
17,140 |
16,774 |
$182K |
| 80324 |
|
40,275 |
31,031 |
$180K |
| 80353 |
|
45,593 |
34,514 |
$178K |
| 87480 |
|
15,036 |
14,704 |
$176K |
| 87510 |
|
15,028 |
14,696 |
$175K |
| 87631 |
|
2,381 |
2,322 |
$166K |
| 83002 |
|
15,405 |
15,014 |
$164K |
| 0241U |
|
1,734 |
1,580 |
$163K |
| 86376 |
|
18,676 |
18,352 |
$158K |
| 86765 |
|
19,070 |
18,661 |
$157K |
| 82784 |
|
20,133 |
19,228 |
$156K |
| 80366 |
|
50,162 |
36,666 |
$138K |
| 83735 |
|
38,862 |
35,414 |
$137K |
| 86735 |
|
18,052 |
17,654 |
$136K |
| 82652 |
|
11,309 |
10,886 |
$133K |
| 83520 |
|
9,300 |
7,748 |
$131K |
| 86317 |
|
14,214 |
13,473 |
$127K |
| 86800 |
|
13,182 |
12,975 |
$119K |
| 80323 |
|
29,306 |
22,938 |
$119K |
| 86140 |
|
46,508 |
44,009 |
$118K |
| 82627 |
|
8,322 |
8,087 |
$112K |
| 84154 |
|
10,063 |
9,901 |
$109K |
| 83880 |
|
6,237 |
5,715 |
$106K |
| 87147 |
|
35,355 |
34,393 |
$105K |
| 80335 |
|
25,063 |
16,706 |
$105K |
| 82105 |
|
12,923 |
12,578 |
$101K |
| 87255 |
|
5,448 |
5,316 |
$100K |
| 80369 |
|
32,344 |
23,732 |
$98K |
| 80368 |
|
41,460 |
30,906 |
$95K |
| 87563 |
|
5,503 |
5,274 |
$93K |
| 86618 |
|
8,807 |
8,668 |
$93K |
| 86665 |
|
4,676 |
4,399 |
$93K |
| 86360 |
|
3,119 |
3,087 |
$93K |
| 84425 |
|
8,174 |
8,014 |
$92K |
| 86147 |
|
3,406 |
2,633 |
$90K |
| 86361 |
|
6,088 |
5,864 |
$89K |
| 80076 |
|
20,953 |
19,987 |
$88K |
| 86364 |
|
8,074 |
7,912 |
$86K |
| 85652 |
|
60,066 |
57,654 |
$84K |
| 86695 |
|
11,789 |
11,089 |
$84K |
| 85610 |
|
35,227 |
28,987 |
$84K |
| 84144 |
|
6,745 |
6,172 |
$83K |
| 83516 |
|
9,348 |
8,253 |
$82K |
| 86200 |
|
11,050 |
10,796 |
$79K |
| 81511 |
|
1,353 |
1,346 |
$79K |
| 86431 |
|
21,682 |
21,116 |
$73K |
| 87209 |
|
8,417 |
6,633 |
$73K |
| 87650 |
|
5,985 |
5,850 |
$72K |
| 86617 |
|
4,026 |
3,617 |
$70K |
| 86146 |
|
2,318 |
1,850 |
$69K |
| 84480 |
|
11,261 |
11,012 |
$69K |
| 82248 |
|
25,108 |
24,127 |
$68K |
| 84436 |
|
23,367 |
22,448 |
$67K |
| 86160 |
|
5,332 |
5,089 |
$63K |
| 82785 |
|
6,581 |
6,450 |
$62K |
| G0483 |
Drug test def 22+ classes |
781 |
548 |
$60K |
| G0482 |
Drug test def 15-21 classes |
878 |
804 |
$59K |
| 86039 |
|
9,575 |
9,318 |
$59K |
| 87338 |
|
5,782 |
5,706 |
$59K |
| 82274 |
|
8,014 |
7,793 |
$57K |
| 86850 |
|
11,424 |
11,026 |
$57K |
| 84202 |
|
5,931 |
5,875 |
$56K |
| 87517 |
|
2,504 |
2,440 |
$56K |
| 84550 |
|
22,338 |
21,321 |
$55K |
| 83690 |
|
14,979 |
14,374 |
$55K |
| 83525 |
|
8,109 |
7,858 |
$54K |
| 82950 |
|
19,643 |
19,145 |
$54K |
| 84460 |
|
18,072 |
17,658 |
$53K |
| 87150 |
|
3,102 |
2,964 |
$53K |
| 88112 |
|
2,208 |
1,957 |
$53K |
| 87798 |
|
2,194 |
1,349 |
$52K |
| 84270 |
|
4,341 |
4,176 |
$51K |
| 86334 |
|
3,949 |
3,808 |
$49K |
| 81329 |
|
1,146 |
1,131 |
$48K |
| 87529 |
|
1,349 |
1,188 |
$48K |
| 80055 |
|
2,049 |
1,983 |
$46K |
| 82533 |
|
5,042 |
4,761 |
$46K |
| 83498 |
|
2,945 |
2,870 |
$46K |
| 80164 |
|
7,025 |
6,509 |
$45K |
| 80339 |
|
17,629 |
14,003 |
$44K |
| 86225 |
|
6,007 |
5,852 |
$44K |
| 86255 |
|
5,580 |
4,840 |
$44K |
| 86141 |
|
6,156 |
6,030 |
$43K |
| 83993 |
|
4,186 |
4,158 |
$43K |
| 82977 |
|
10,880 |
10,067 |
$43K |
| 82150 |
|
13,128 |
12,476 |
$43K |
| 80365 |
|
15,236 |
13,479 |
$40K |
| 84450 |
|
16,517 |
16,193 |
$40K |
| 87625 |
|
3,080 |
3,008 |
$40K |
| 84479 |
|
14,983 |
14,367 |
$39K |
| 86664 |
|
4,041 |
3,935 |
$39K |
| 87177 |
|
8,422 |
6,619 |
$39K |
| 84703 |
|
10,716 |
10,070 |
$38K |
| 83021 |
|
3,131 |
3,093 |
$38K |
| 87329 |
|
6,685 |
5,250 |
$38K |
| 83921 |
|
3,551 |
3,489 |
$38K |
| 83521 |
|
1,425 |
1,341 |
$37K |
| 87350 |
|
5,792 |
5,737 |
$37K |
| 82378 |
|
4,007 |
3,409 |
$37K |
| 80358 |
|
13,289 |
9,647 |
$36K |
| 86705 |
|
5,530 |
5,391 |
$36K |
| 86901 |
|
14,595 |
14,158 |
$36K |
| 82565 |
|
14,342 |
13,585 |
$35K |
| 82672 |
|
2,692 |
2,641 |
$35K |
| 87075 |
|
6,196 |
6,005 |
$35K |
| 84165 |
|
5,964 |
5,762 |
$34K |
| 82550 |
|
10,019 |
9,450 |
$34K |
| 84445 |
|
1,270 |
1,245 |
$34K |
| 82024 |
|
1,493 |
1,454 |
$34K |
| 86300 |
|
2,829 |
2,509 |
$34K |
| 82951 |
|
5,724 |
5,567 |
$33K |
| 84681 |
|
2,614 |
2,538 |
$32K |
| 85730 |
|
10,282 |
9,871 |
$32K |
| 86707 |
|
4,943 |
4,882 |
$32K |
| 83020 |
|
4,336 |
4,229 |
$31K |
| 86671 |
|
2,203 |
1,684 |
$28K |
| 87205 |
|
11,162 |
10,581 |
$26K |
| 86359 |
|
1,256 |
1,215 |
$26K |
| 87637 |
|
338 |
338 |
$26K |
| 82140 |
|
3,079 |
2,862 |
$26K |
| 82677 |
|
1,706 |
1,670 |
$25K |
| 86021 |
|
3,155 |
3,067 |
$25K |
| 80197 |
|
3,330 |
2,300 |
$24K |
| 84100 |
|
10,364 |
9,326 |
$24K |
| 84156 |
|
11,764 |
10,976 |
$24K |
| 84207 |
|
1,514 |
1,473 |
$24K |
| 82947 |
|
12,434 |
11,906 |
$24K |
| 87449 |
|
3,642 |
3,405 |
$24K |
| 80374 |
|
11,864 |
10,290 |
$23K |
| 86258 |
|
1,333 |
1,300 |
$22K |
| 88342 |
|
524 |
461 |
$22K |
| 86900 |
|
12,306 |
11,893 |
$22K |
| 86381 |
|
1,289 |
1,259 |
$21K |
| 86008 |
|
1,448 |
1,301 |
$21K |
| 80178 |
|
6,080 |
5,600 |
$21K |
| 82330 |
|
3,231 |
3,120 |
$21K |
| 84630 |
|
3,505 |
3,353 |
$21K |
| 84520 |
|
11,032 |
10,566 |
$21K |
| 82088 |
|
896 |
857 |
$20K |
| 86304 |
|
2,022 |
1,900 |
$20K |
| 80356 |
|
6,162 |
5,450 |
$19K |
| 86812 |
|
1,547 |
1,510 |
$19K |
| 86709 |
|
2,837 |
2,762 |
$19K |
| 82157 |
|
1,103 |
1,071 |
$18K |
| G0123 |
Screen cerv/vag thin layer |
2,717 |
2,685 |
$18K |
| 83090 |
|
2,039 |
1,983 |
$18K |
| 80184 |
|
2,657 |
2,066 |
$18K |
| 86341 |
|
1,213 |
851 |
$18K |
| 83615 |
|
6,323 |
5,589 |
$18K |
| 81003 |
|
15,171 |
14,875 |
$18K |
| 80299 |
|
1,009 |
850 |
$18K |
| 87901 |
|
102 |
100 |
$18K |
| 80177 |
|
2,456 |
2,370 |
$18K |
| 84432 |
|
2,198 |
2,146 |
$17K |
| 87102 |
|
3,549 |
3,222 |
$17K |
| 80371 |
|
12,496 |
5,870 |
$17K |
| 80069 |
|
4,193 |
3,866 |
$17K |
| 81241 |
|
986 |
963 |
$17K |
| 87427 |
|
2,309 |
2,272 |
$16K |
| 80345 |
|
5,137 |
4,787 |
$16K |
| 87324 |
|
2,622 |
2,539 |
$16K |
| 87800 |
|
703 |
682 |
$16K |
| 86336 |
|
1,801 |
1,764 |
$15K |
| 82247 |
|
5,299 |
4,993 |
$15K |
| 81025 |
|
4,179 |
3,993 |
$14K |
| 86355 |
|
739 |
709 |
$14K |
| 85018 |
|
11,183 |
10,850 |
$14K |
| 87045 |
|
2,668 |
2,609 |
$14K |
| 87106 |
|
2,250 |
2,085 |
$14K |
| 82103 |
|
1,793 |
1,750 |
$14K |
| 82172 |
|
1,085 |
1,035 |
$14K |
| 86301 |
|
1,364 |
1,148 |
$13K |
| 82653 |
|
682 |
678 |
$13K |
| 80320 |
|
4,270 |
4,006 |
$13K |
| 83721 |
|
4,861 |
4,680 |
$12K |
| 86593 |
|
4,960 |
4,714 |
$12K |
| 83010 |
|
1,210 |
1,152 |
$12K |
| 85060 |
|
1,043 |
997 |
$12K |
| 84305 |
|
1,012 |
982 |
$12K |
| 84155 |
|
6,010 |
5,836 |
$12K |
| 82542 |
|
1,023 |
939 |
$12K |
| 82390 |
|
1,999 |
1,957 |
$12K |
| 84075 |
|
4,139 |
4,034 |
$11K |
| 84466 |
|
1,674 |
1,636 |
$11K |
| 85014 |
|
8,982 |
8,678 |
$11K |
| 83883 |
|
942 |
906 |
$11K |
| 86036 |
|
1,224 |
1,203 |
$11K |
| 86777 |
|
1,280 |
1,233 |
$11K |
| 80175 |
|
1,442 |
1,399 |
$10K |
| 87076 |
|
1,725 |
1,633 |
$10K |
| 86015 |
|
1,420 |
1,361 |
$10K |
| 82310 |
|
4,642 |
4,491 |
$10K |
| 82465 |
|
3,786 |
3,670 |
$10K |
| 82040 |
|
4,587 |
4,454 |
$10K |
| 84134 |
|
1,456 |
1,322 |
$10K |
| 86645 |
|
1,049 |
1,015 |
$10K |
| 82668 |
|
959 |
941 |
$10K |
| 85613 |
|
1,707 |
1,655 |
$9K |
| 86644 |
|
1,107 |
1,070 |
$9K |
| 82525 |
|
1,330 |
1,284 |
$9K |
| 86357 |
|
475 |
466 |
$9K |
| 80051 |
|
2,582 |
2,526 |
$9K |
| 82626 |
|
630 |
618 |
$9K |
| 84590 |
|
1,271 |
1,235 |
$9K |
| 85004 |
|
2,454 |
2,231 |
$9K |
| 82530 |
|
688 |
626 |
$8K |
| 84244 |
|
678 |
658 |
$8K |
| 87506 |
|
81 |
80 |
$8K |
| 83519 |
|
762 |
695 |
$8K |
| 86778 |
|
956 |
918 |
$8K |
| 85045 |
|
4,001 |
3,799 |
$8K |
| 85041 |
|
4,760 |
4,625 |
$8K |
| 82164 |
|
870 |
855 |
$8K |
| 84166 |
|
860 |
811 |
$8K |
| 82955 |
|
1,199 |
1,190 |
$8K |
| 87140 |
|
1,663 |
1,634 |
$7K |
| 87101 |
|
1,610 |
1,576 |
$7K |
| 87046 |
|
1,444 |
1,389 |
$7K |
| 88304 |
|
230 |
218 |
$7K |
| 85245 |
|
536 |
533 |
$7K |
| 87468 |
|
470 |
466 |
$7K |
| 87469 |
|
468 |
464 |
$7K |
| 87484 |
|
459 |
455 |
$7K |
| 82952 |
|
3,297 |
3,219 |
$7K |
| 85379 |
|
1,219 |
1,158 |
$7K |
| 83014 |
|
1,734 |
1,683 |
$7K |
| 87478 |
|
352 |
348 |
$7K |
| 85240 |
|
648 |
634 |
$7K |
| 85048 |
|
3,954 |
3,662 |
$6K |
| 86335 |
|
447 |
420 |
$6K |
| 86308 |
|
2,093 |
2,040 |
$6K |
| 85246 |
|
467 |
462 |
$6K |
| 81015 |
|
3,786 |
3,675 |
$6K |
| 82232 |
|
721 |
664 |
$6K |
| 86148 |
|
391 |
260 |
$6K |
| P9604 |
One-way allow prorated trip |
10,056 |
6,691 |
$6K |
| 87900 |
|
103 |
101 |
$6K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
619 |
615 |
$6K |
| 87493 |
|
366 |
355 |
$6K |
| 81243 |
|
163 |
158 |
$5K |
| 87811 |
|
371 |
354 |
$5K |
| 85306 |
|
526 |
518 |
$5K |
| 86060 |
|
1,202 |
1,173 |
$5K |
| 83835 |
|
524 |
498 |
$5K |
| 87502 |
|
118 |
113 |
$5K |
| 82679 |
|
360 |
327 |
$5K |
| 86162 |
|
476 |
466 |
$5K |
| 86231 |
|
582 |
567 |
$5K |
| 82787 |
|
327 |
299 |
$5K |
| 84482 |
|
621 |
607 |
$5K |
| 86774 |
|
548 |
543 |
$5K |
| 80357 |
|
8,914 |
7,718 |
$5K |
| 82985 |
|
521 |
519 |
$4K |
| 84446 |
|
570 |
551 |
$4K |
| 82747 |
|
423 |
413 |
$4K |
| 85007 |
|
2,444 |
2,392 |
$4K |
| 84132 |
|
1,628 |
1,523 |
$4K |
| 81401 |
|
53 |
52 |
$4K |
| 82166 |
|
241 |
230 |
$4K |
| 83992 |
|
2,794 |
2,629 |
$4K |
| 36416 |
|
2,357 |
2,025 |
$4K |
| 86256 |
|
577 |
568 |
$4K |
| 84478 |
|
1,469 |
1,193 |
$4K |
| 81244 |
|
53 |
52 |
$4K |
| 83704 |
|
247 |
239 |
$3K |
| 83718 |
|
776 |
754 |
$3K |
| 81279 |
|
68 |
66 |
$3K |
| 86666 |
|
153 |
152 |
$3K |
| 86682 |
|
397 |
388 |
$3K |
| 80352 |
|
2,050 |
1,387 |
$3K |
| 87254 |
|
220 |
192 |
$3K |
| 87880 |
|
350 |
340 |
$3K |
| 99199 |
|
353 |
272 |
$3K |
| 84163 |
|
308 |
307 |
$3K |
| 83695 |
|
454 |
447 |
$3K |
| 87207 |
|
1,037 |
894 |
$3K |
| 86753 |
|
166 |
139 |
$3K |
| 87497 |
|
114 |
79 |
$3K |
| 87535 |
|
213 |
203 |
$3K |
| 80375 |
|
2,002 |
1,354 |
$3K |
| 82507 |
|
155 |
154 |
$3K |
| 80377 |
|
2,256 |
2,142 |
$3K |
| 85660 |
|
961 |
942 |
$3K |
| 81508 |
|
88 |
88 |
$3K |
| G0103 |
Psa screening |
840 |
787 |
$2K |
| 80183 |
|
344 |
338 |
$2K |
| 81270 |
|
105 |
100 |
$2K |
| 87486 |
|
69 |
68 |
$2K |
| 87185 |
|
766 |
753 |
$2K |
| 84300 |
|
841 |
819 |
$2K |
| 86870 |
|
135 |
132 |
$2K |
| 86702 |
|
583 |
527 |
$2K |
| 88185 |
|
16 |
16 |
$2K |
| 82085 |
|
449 |
435 |
$2K |
| 83630 |
|
195 |
195 |
$2K |
| 80364 |
|
3,924 |
3,187 |
$2K |
| 86747 |
|
126 |
123 |
$2K |
| 80156 |
|
267 |
251 |
$2K |
| 80159 |
|
293 |
261 |
$2K |
| 80342 |
|
360 |
325 |
$2K |
| 85303 |
|
252 |
244 |
$2K |
| 84295 |
|
1,069 |
961 |
$2K |
| 80338 |
|
2,305 |
2,193 |
$2K |
| 80332 |
|
624 |
577 |
$2K |
| 80329 |
|
391 |
347 |
$2K |
| 80367 |
|
1,880 |
1,809 |
$2K |
| 81240 |
|
139 |
133 |
$2K |
| 84255 |
|
128 |
117 |
$2K |
| 83945 |
|
187 |
185 |
$1K |
| 86337 |
|
125 |
119 |
$1K |
| 86701 |
|
583 |
527 |
$1K |
| 87906 |
|
25 |
24 |
$1K |
| 81050 |
|
1,112 |
1,075 |
$1K |
| 82340 |
|
382 |
377 |
$1K |
| 82435 |
|
705 |
678 |
$1K |
| 82365 |
|
151 |
149 |
$1K |
| 83698 |
|
84 |
80 |
$1K |
| 83825 |
|
112 |
108 |
$1K |
| 80337 |
|
1,864 |
1,793 |
$1K |
| 82374 |
|
531 |
505 |
$1K |
| 84484 |
|
195 |
171 |
$975.70 |
| 81339 |
|
30 |
29 |
$973.71 |
| 80326 |
|
1,865 |
1,794 |
$972.05 |
| 82552 |
|
115 |
112 |
$923.08 |
| 84133 |
|
328 |
324 |
$873.74 |
| 80370 |
|
1,831 |
1,761 |
$857.24 |
| 83605 |
|
140 |
135 |
$853.67 |
| 83529 |
|
40 |
40 |
$853.09 |
| 80344 |
|
1,788 |
1,723 |
$815.55 |
| 84560 |
|
280 |
278 |
$806.07 |
| G0472 |
Hep c screen high risk/other |
85 |
75 |
$764.27 |
| 82705 |
|
241 |
239 |
$764.01 |
| 81219 |
|
30 |
29 |
$758.14 |
| 80185 |
|
96 |
91 |
$755.43 |
| 82180 |
|
140 |
133 |
$736.79 |
| 85247 |
|
51 |
51 |
$709.84 |
| 80333 |
|
1,794 |
1,729 |
$707.03 |
| 80165 |
|
112 |
110 |
$677.04 |
| 82175 |
|
55 |
53 |
$611.40 |
| 87521 |
Neg quan hep c or qual rna |
25 |
24 |
$607.89 |
| 87807 |
|
87 |
85 |
$599.19 |
| 84597 |
|
79 |
72 |
$580.56 |
| 84105 |
|
178 |
177 |
$579.31 |
| 83625 |
|
80 |
78 |
$555.92 |
| 82610 |
|
57 |
38 |
$543.02 |
| 87804 |
|
44 |
43 |
$539.57 |
| 87328 |
|
73 |
73 |
$527.99 |
| 99001 |
|
283 |
208 |
$501.46 |
| 82104 |
|
59 |
59 |
$495.49 |
| 88189 |
|
14 |
13 |
$483.78 |
| 86648 |
|
52 |
52 |
$481.78 |
| 85049 |
|
209 |
199 |
$456.54 |
| 84080 |
|
67 |
66 |
$429.58 |
| 87107 |
|
75 |
73 |
$422.76 |
| 83527 |
|
79 |
78 |
$420.05 |
| 85300 |
|
66 |
62 |
$413.92 |
| 83930 |
|
253 |
243 |
$408.18 |
| 88184 |
|
16 |
16 |
$402.90 |
| 86340 |
|
46 |
46 |
$396.73 |
| 87040 |
|
70 |
66 |
$395.23 |
| 87220 |
|
232 |
230 |
$388.99 |
| 82384 |
|
28 |
25 |
$359.98 |
| 87581 |
|
12 |
12 |
$331.02 |
| 80340 |
|
1,713 |
1,654 |
$322.50 |
| 88341 |
|
12 |
12 |
$317.88 |
| 85598 |
|
39 |
36 |
$313.13 |
| 82397 |
|
52 |
52 |
$301.74 |
| 89055 |
|
117 |
112 |
$277.09 |
| 86790 |
|
17 |
13 |
$264.15 |
| 80330 |
|
1,726 |
1,666 |
$248.28 |
| 87467 |
|
29 |
28 |
$225.26 |
| 82681 |
|
13 |
13 |
$192.39 |
| 87109 |
|
18 |
13 |
$174.21 |
| 84392 |
|
58 |
57 |
$173.52 |
| 83935 |
|
51 |
50 |
$161.23 |
| 81400 |
|
13 |
12 |
$156.69 |
| 86692 |
|
14 |
14 |
$152.25 |
| 83986 |
|
3,764 |
2,613 |
$138.66 |
| 86663 |
|
13 |
13 |
$103.21 |
| 86041 |
|
13 |
12 |
$98.40 |
| 85651 |
|
43 |
40 |
$77.93 |
| 82575 |
|
15 |
13 |
$72.97 |
| 84311 |
|
3,698 |
2,549 |
$65.15 |
| G0328 |
Fecal blood scrn immunoassay |
13 |
13 |
$30.49 |
| 85384 |
|
12 |
12 |
$29.48 |
| 81291 |
|
19 |
13 |
$26.95 |
| 87168 |
|
15 |
15 |
$10.40 |
| 81479 |
|
27 |
27 |
$3.94 |
| 87999 |
|
14 |
12 |
$0.03 |
| 3046F |
|
360 |
355 |
$0.00 |
| 3050F |
|
2,667 |
2,642 |
$0.00 |
| 3051F |
|
530 |
520 |
$0.00 |
| WA047 |
|
16 |
13 |
$0.00 |
| 80414 |
|
32 |
32 |
$0.00 |
| 3048F |
|
5,101 |
5,025 |
$0.00 |
| 3052F |
|
309 |
309 |
$0.00 |
| 3049F |
|
3,474 |
3,429 |
$0.00 |
| 3044F |
|
6,055 |
5,974 |
$0.00 |
| 86001 |
|
12 |
12 |
$0.00 |
| WA081 |
|
15 |
12 |
$0.00 |