| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
353,884 |
292,524 |
$26.58M |
| 80307 |
|
355,805 |
271,796 |
$10.14M |
| 87491 |
|
546,878 |
486,243 |
$9.50M |
| 87591 |
|
538,606 |
480,059 |
$9.03M |
| 80050 |
|
380,669 |
349,621 |
$7.40M |
| 80061 |
|
1,094,431 |
1,002,858 |
$7.19M |
| G0480 |
Drug test def 1-7 classes |
233,742 |
177,670 |
$6.93M |
| 82306 |
|
431,410 |
389,236 |
$6.23M |
| 80053 |
|
1,269,232 |
1,144,975 |
$6.12M |
| 87801 |
|
156,730 |
137,953 |
$5.92M |
| 84443 |
|
695,339 |
635,305 |
$5.52M |
| 87389 |
|
308,255 |
282,007 |
$4.05M |
| 85025 |
|
950,007 |
854,938 |
$3.75M |
| 81420 |
|
7,631 |
6,907 |
$3.74M |
| 87661 |
|
268,283 |
236,137 |
$3.52M |
| 83036 |
|
745,688 |
680,450 |
$3.32M |
| 87799 |
|
122,888 |
44,119 |
$2.81M |
| 81220 |
|
7,910 |
7,254 |
$2.77M |
| 80081 |
|
65,623 |
60,946 |
$2.76M |
| 87086 |
|
600,957 |
546,918 |
$2.73M |
| 88175 |
|
177,760 |
163,224 |
$2.53M |
| U0005 |
Infec agen detec ampli probe |
120,583 |
105,712 |
$2.51M |
| 86003 |
|
52,364 |
38,914 |
$2.43M |
| 87624 |
|
127,099 |
116,303 |
$2.29M |
| 88305 |
|
66,072 |
43,433 |
$2.05M |
| 87088 |
|
403,801 |
368,852 |
$1.85M |
| 87636 |
|
14,803 |
12,489 |
$1.84M |
| 82607 |
|
237,622 |
214,028 |
$1.77M |
| 80074 |
|
75,962 |
68,239 |
$1.61M |
| 81229 |
|
2,041 |
1,950 |
$1.58M |
| 86803 |
|
195,296 |
178,077 |
$1.52M |
| 83655 |
|
192,908 |
183,565 |
$1.48M |
| 84439 |
|
321,535 |
295,990 |
$1.46M |
| 81513 |
|
53,761 |
44,996 |
$1.46M |
| G0481 |
Drug test def 8-14 classes |
43,504 |
32,395 |
$1.37M |
| 86235 |
|
33,368 |
25,107 |
$1.37M |
| 82728 |
|
204,413 |
186,384 |
$1.35M |
| G0482 |
Drug test def 15-21 classes |
26,217 |
22,639 |
$1.26M |
| 87070 |
|
213,876 |
198,167 |
$1.17M |
| G0483 |
Drug test def 22+ classes |
17,342 |
16,004 |
$1.01M |
| 87512 |
|
48,766 |
43,109 |
$970K |
| 87902 |
|
9,135 |
8,108 |
$914K |
| 87186 |
|
190,302 |
173,570 |
$906K |
| 82746 |
|
127,799 |
114,813 |
$889K |
| 87077 |
|
192,544 |
175,818 |
$857K |
| 84403 |
|
65,696 |
60,151 |
$818K |
| 83550 |
|
187,218 |
170,463 |
$804K |
| 85027 |
|
243,483 |
222,774 |
$784K |
| 87522 |
Neg quan hep c or qual rna |
42,422 |
37,905 |
$754K |
| 83013 |
|
19,933 |
18,590 |
$748K |
| 86696 |
|
65,662 |
59,487 |
$742K |
| 86038 |
|
106,488 |
97,483 |
$716K |
| 88142 |
|
64,052 |
59,104 |
$709K |
| 83970 |
|
39,940 |
36,486 |
$704K |
| 80048 |
|
170,670 |
154,458 |
$698K |
| 83540 |
|
211,329 |
192,321 |
$678K |
| 36415 |
|
588,597 |
526,916 |
$671K |
| 87081 |
|
162,050 |
151,193 |
$642K |
| 84481 |
|
73,083 |
66,927 |
$624K |
| 86480 |
|
24,029 |
22,456 |
$602K |
| 84153 |
|
72,640 |
65,025 |
$602K |
| 82670 |
|
38,908 |
35,636 |
$563K |
| 84702 |
|
79,014 |
63,325 |
$553K |
| 86592 |
|
233,326 |
212,534 |
$546K |
| 83001 |
|
52,012 |
48,032 |
$544K |
| 87340 |
|
105,010 |
96,040 |
$523K |
| 84146 |
|
41,374 |
38,232 |
$472K |
| 87633 |
|
5,352 |
4,656 |
$461K |
| 87536 |
|
12,369 |
11,215 |
$448K |
| 86695 |
|
56,789 |
51,577 |
$446K |
| 83002 |
|
42,799 |
39,400 |
$443K |
| 82570 |
|
182,763 |
165,175 |
$436K |
| 83880 |
|
27,395 |
24,329 |
$397K |
| 83735 |
|
115,511 |
101,228 |
$389K |
| 86376 |
|
50,675 |
46,509 |
$376K |
| 87480 |
|
31,431 |
29,145 |
$368K |
| 87510 |
|
29,976 |
27,903 |
$367K |
| 88141 |
|
31,375 |
28,431 |
$365K |
| 82784 |
|
45,859 |
41,279 |
$364K |
| 87660 |
|
31,485 |
29,211 |
$361K |
| 86665 |
|
19,658 |
17,392 |
$356K |
| 82105 |
|
41,157 |
37,564 |
$351K |
| 82652 |
|
23,488 |
21,072 |
$347K |
| 84144 |
|
30,955 |
26,889 |
$338K |
| 84436 |
|
107,694 |
98,345 |
$337K |
| 86364 |
|
17,756 |
15,860 |
$333K |
| 82043 |
|
156,387 |
143,296 |
$332K |
| 81511 |
|
6,542 |
5,873 |
$326K |
| 83525 |
|
50,081 |
46,432 |
$311K |
| 86140 |
|
114,439 |
103,838 |
$311K |
| 83516 |
|
55,829 |
31,187 |
$303K |
| 84402 |
|
26,060 |
24,248 |
$298K |
| 87635 |
|
8,052 |
7,336 |
$297K |
| 88307 |
|
3,102 |
2,580 |
$279K |
| 82785 |
|
28,689 |
26,709 |
$271K |
| 87650 |
|
19,753 |
18,595 |
$259K |
| 84480 |
|
36,482 |
33,504 |
$248K |
| 84479 |
|
86,815 |
79,301 |
$244K |
| 86769 |
|
6,779 |
6,038 |
$243K |
| 86200 |
|
34,373 |
31,592 |
$224K |
| 82627 |
|
18,009 |
16,800 |
$220K |
| 83021 |
|
20,398 |
18,905 |
$213K |
| 80076 |
|
50,786 |
45,302 |
$211K |
| 86704 |
|
35,973 |
32,512 |
$206K |
| 81001 |
|
131,884 |
118,864 |
$205K |
| 86706 |
|
37,821 |
34,314 |
$203K |
| 87147 |
|
61,938 |
57,594 |
$203K |
| 86039 |
|
33,148 |
30,463 |
$203K |
| 82677 |
|
14,499 |
13,587 |
$202K |
| 86160 |
|
17,901 |
15,584 |
$199K |
| 86431 |
|
65,725 |
60,270 |
$193K |
| 86762 |
|
26,227 |
24,143 |
$192K |
| 84681 |
|
20,377 |
18,733 |
$192K |
| 86787 |
|
22,858 |
20,928 |
$189K |
| 86708 |
|
29,288 |
26,487 |
$188K |
| 82950 |
|
65,244 |
61,240 |
$188K |
| 86008 |
|
9,822 |
8,220 |
$187K |
| 83690 |
|
53,154 |
48,137 |
$187K |
| 84270 |
|
16,932 |
15,559 |
$186K |
| 86225 |
|
24,976 |
23,099 |
$184K |
| 85652 |
|
123,490 |
111,983 |
$182K |
| 86800 |
|
22,430 |
20,824 |
$181K |
| 84550 |
|
77,679 |
70,324 |
$176K |
| 80164 |
|
25,751 |
23,184 |
$171K |
| 88312 |
|
4,398 |
3,543 |
$170K |
| 87563 |
|
11,029 |
9,865 |
$169K |
| 86147 |
|
12,877 |
6,676 |
$163K |
| 83520 |
|
27,384 |
18,905 |
$162K |
| 87481 |
|
20,155 |
4,486 |
$161K |
| 86664 |
|
17,795 |
16,694 |
$158K |
| 80055 |
|
6,215 |
5,863 |
$155K |
| 86336 |
|
14,712 |
13,779 |
$149K |
| 88342 |
|
6,451 |
4,916 |
$146K |
| U0002 |
Covid-19 lab test non-cdc |
3,122 |
2,858 |
$144K |
| 82533 |
|
16,934 |
14,941 |
$143K |
| 82248 |
|
52,564 |
47,298 |
$137K |
| 87075 |
|
26,660 |
24,421 |
$133K |
| 83020 |
|
17,687 |
16,052 |
$131K |
| 88185 |
|
491 |
434 |
$130K |
| 86317 |
|
18,751 |
13,084 |
$130K |
| 86850 |
|
29,127 |
27,056 |
$128K |
| 82150 |
|
40,141 |
36,224 |
$126K |
| 82024 |
|
6,830 |
6,128 |
$125K |
| 86258 |
|
4,669 |
4,288 |
$118K |
| 86146 |
|
8,285 |
4,273 |
$114K |
| 81329 |
|
2,384 |
2,175 |
$113K |
| 81596 |
|
7,638 |
6,731 |
$113K |
| 85610 |
|
57,945 |
46,905 |
$110K |
| 87209 |
|
11,613 |
10,651 |
$106K |
| 88304 |
|
8,292 |
6,204 |
$105K |
| 86334 |
|
9,862 |
8,926 |
$104K |
| 87150 |
|
5,781 |
5,509 |
$104K |
| 82550 |
|
31,396 |
28,216 |
$99K |
| 80069 |
|
24,636 |
22,274 |
$95K |
| 86618 |
|
10,600 |
9,696 |
$94K |
| 87529 |
|
4,549 |
2,483 |
$92K |
| 86255 |
|
18,168 |
8,895 |
$92K |
| 84445 |
|
5,100 |
4,772 |
$91K |
| 84165 |
|
14,508 |
13,292 |
$90K |
| 82951 |
|
14,550 |
13,710 |
$87K |
| 88112 |
|
4,658 |
3,882 |
$85K |
| 86780 |
|
12,203 |
11,124 |
$83K |
| 85018 |
|
57,581 |
53,978 |
$83K |
| 87205 |
|
35,771 |
32,704 |
$83K |
| 83615 |
|
25,131 |
21,935 |
$81K |
| 84156 |
|
43,204 |
38,989 |
$81K |
| 86361 |
|
5,984 |
5,552 |
$79K |
| 82465 |
|
31,688 |
29,799 |
$78K |
| 80348 |
|
9,624 |
5,770 |
$78K |
| 86360 |
|
3,835 |
3,521 |
$78K |
| 87255 |
|
4,391 |
4,065 |
$75K |
| 87427 |
|
11,916 |
11,150 |
$73K |
| 82672 |
|
7,106 |
6,538 |
$72K |
| 87798 |
|
5,322 |
2,357 |
$72K |
| 87625 |
|
5,361 |
4,888 |
$72K |
| 84460 |
|
25,493 |
23,013 |
$72K |
| 85660 |
|
19,708 |
18,139 |
$71K |
| 84305 |
|
6,664 |
6,344 |
$71K |
| 81241 |
|
3,471 |
3,026 |
$71K |
| 83090 |
|
9,616 |
8,413 |
$70K |
| 85730 |
|
26,274 |
23,650 |
$69K |
| 87045 |
|
14,464 |
13,565 |
$67K |
| 82977 |
|
17,082 |
15,537 |
$66K |
| 83498 |
|
4,280 |
4,015 |
$65K |
| 84425 |
|
7,958 |
7,372 |
$65K |
| 88341 |
|
1,429 |
1,164 |
$63K |
| 0241U |
|
694 |
592 |
$62K |
| 87449 |
|
11,284 |
9,263 |
$62K |
| 82140 |
|
9,572 |
8,498 |
$60K |
| 84100 |
|
28,803 |
23,785 |
$60K |
| 82947 |
|
26,952 |
24,853 |
$59K |
| 80177 |
|
10,975 |
10,016 |
$58K |
| 87177 |
|
13,602 |
12,530 |
$57K |
| 87517 |
|
2,991 |
2,708 |
$56K |
| 85045 |
|
24,660 |
22,809 |
$56K |
| 86141 |
|
9,261 |
8,286 |
$56K |
| 87493 |
|
3,177 |
2,983 |
$55K |
| 84703 |
|
13,683 |
12,616 |
$55K |
| 86705 |
|
8,388 |
7,666 |
$53K |
| 80349 |
|
6,054 |
4,635 |
$52K |
| 85014 |
|
33,441 |
31,369 |
$51K |
| 82565 |
|
20,341 |
18,037 |
$51K |
| 87338 |
|
8,183 |
7,675 |
$50K |
| 83993 |
|
8,346 |
7,690 |
$50K |
| 86870 |
|
3,085 |
2,814 |
$50K |
| 88230 |
|
846 |
803 |
$50K |
| 82274 |
|
6,121 |
5,655 |
$49K |
| 84450 |
|
19,715 |
17,719 |
$48K |
| 86757 |
|
2,328 |
2,132 |
$48K |
| 86341 |
|
7,184 |
3,379 |
$47K |
| 84154 |
|
6,521 |
5,700 |
$47K |
| 80361 |
|
4,851 |
4,217 |
$47K |
| 80346 |
|
4,223 |
3,515 |
$47K |
| 86617 |
|
3,480 |
2,916 |
$46K |
| 82247 |
|
17,310 |
13,881 |
$45K |
| 80197 |
|
7,271 |
5,319 |
$44K |
| 83921 |
|
6,700 |
6,058 |
$42K |
| 80185 |
|
5,965 |
5,275 |
$41K |
| 82310 |
|
17,383 |
15,830 |
$41K |
| 83630 |
|
4,656 |
4,420 |
$40K |
| 87101 |
|
7,124 |
6,675 |
$39K |
| 87329 |
|
5,998 |
5,602 |
$39K |
| 86900 |
|
24,850 |
22,967 |
$39K |
| 81240 |
|
2,464 |
2,132 |
$39K |
| 86901 |
|
24,834 |
22,957 |
$39K |
| 80178 |
|
11,571 |
10,273 |
$38K |
| 81243 |
|
1,402 |
1,225 |
$38K |
| 84207 |
|
3,040 |
2,708 |
$37K |
| 80355 |
|
4,371 |
2,807 |
$37K |
| 88262 |
|
592 |
555 |
$37K |
| 86645 |
|
3,909 |
3,651 |
$37K |
| 82378 |
|
8,409 |
6,516 |
$36K |
| 87046 |
|
11,172 |
8,452 |
$36K |
| 84466 |
|
5,616 |
5,053 |
$36K |
| 86709 |
|
5,671 |
5,203 |
$36K |
| 84134 |
|
5,507 |
4,891 |
$36K |
| 82088 |
|
2,415 |
2,200 |
$35K |
| 82542 |
|
3,873 |
3,324 |
$35K |
| 86381 |
|
2,665 |
2,236 |
$35K |
| 86735 |
|
4,334 |
4,013 |
$34K |
| 86304 |
|
4,391 |
3,681 |
$34K |
| 87901 |
|
364 |
344 |
$34K |
| 82103 |
|
5,580 |
5,129 |
$34K |
| 86812 |
|
2,712 |
2,484 |
$34K |
| 87324 |
|
6,116 |
5,662 |
$34K |
| 86644 |
|
3,933 |
3,663 |
$33K |
| 84432 |
|
5,358 |
4,992 |
$33K |
| 80156 |
|
4,833 |
4,457 |
$33K |
| 82157 |
|
1,988 |
1,876 |
$33K |
| 80373 |
|
3,795 |
2,351 |
$32K |
| 86036 |
|
2,657 |
2,376 |
$32K |
| 86765 |
|
4,337 |
4,012 |
$32K |
| 84630 |
|
6,068 |
5,523 |
$31K |
| 86021 |
|
7,082 |
5,804 |
$31K |
| 80299 |
|
2,420 |
2,201 |
$31K |
| 85613 |
|
7,103 |
6,466 |
$31K |
| 80368 |
|
4,075 |
2,558 |
$31K |
| 86162 |
|
2,231 |
2,086 |
$31K |
| 82164 |
|
4,522 |
3,962 |
$30K |
| 83704 |
|
3,675 |
3,184 |
$30K |
| 85240 |
|
3,450 |
3,139 |
$29K |
| 84238 |
|
2,262 |
2,118 |
$29K |
| 85246 |
|
2,524 |
2,334 |
$29K |
| 86231 |
|
1,944 |
1,861 |
$29K |
| 83721 |
|
9,323 |
8,577 |
$29K |
| 82330 |
|
5,649 |
5,160 |
$28K |
| 82952 |
|
12,505 |
11,723 |
$28K |
| 86300 |
|
8,082 |
6,343 |
$28K |
| 80175 |
|
4,808 |
4,421 |
$28K |
| 82390 |
|
5,396 |
4,825 |
$28K |
| 83718 |
|
5,365 |
4,961 |
$28K |
| 86015 |
|
2,910 |
2,536 |
$28K |
| 84166 |
|
3,511 |
3,229 |
$28K |
| 84244 |
|
2,599 |
2,453 |
$27K |
| 80323 |
|
2,516 |
1,995 |
$27K |
| 82787 |
|
1,993 |
1,783 |
$26K |
| 81291 |
|
1,720 |
1,474 |
$26K |
| 82040 |
|
12,126 |
10,963 |
$26K |
| 80365 |
|
3,089 |
2,784 |
$26K |
| 82747 |
|
3,939 |
3,596 |
$26K |
| 82653 |
|
1,410 |
1,306 |
$26K |
| 80321 |
|
2,874 |
2,171 |
$26K |
| 83519 |
|
4,458 |
2,551 |
$25K |
| 81003 |
|
20,152 |
18,019 |
$25K |
| 81025 |
|
6,092 |
5,171 |
$25K |
| 80324 |
|
2,923 |
2,237 |
$25K |
| 87076 |
|
4,537 |
4,184 |
$25K |
| 84590 |
|
4,325 |
4,048 |
$24K |
| 83631 |
|
1,848 |
1,735 |
$24K |
| 85379 |
|
5,841 |
5,355 |
$24K |
| 87804 |
|
1,535 |
1,305 |
$24K |
| 86337 |
|
2,549 |
2,362 |
$24K |
| 84155 |
|
13,100 |
11,955 |
$23K |
| 86593 |
|
9,518 |
8,504 |
$23K |
| 85245 |
|
1,980 |
1,832 |
$23K |
| 82525 |
|
4,443 |
3,998 |
$22K |
| 87506 |
|
257 |
213 |
$22K |
| 86301 |
|
3,425 |
2,728 |
$22K |
| 83521 |
|
2,138 |
1,817 |
$22K |
| 86359 |
|
1,206 |
1,125 |
$22K |
| 84520 |
|
10,342 |
9,085 |
$22K |
| 87900 |
|
364 |
344 |
$21K |
| 82668 |
|
2,603 |
2,388 |
$21K |
| 80354 |
|
2,538 |
2,166 |
$21K |
| 86060 |
|
4,633 |
4,326 |
$21K |
| 87899 |
|
3,252 |
1,773 |
$21K |
| 85060 |
|
3,303 |
2,865 |
$20K |
| 86335 |
|
1,987 |
1,796 |
$20K |
| 86148 |
|
3,385 |
1,157 |
$20K |
| 87107 |
|
2,645 |
2,481 |
$20K |
| 86671 |
|
3,841 |
1,770 |
$20K |
| 83883 |
|
4,383 |
2,080 |
$20K |
| 85306 |
|
2,782 |
2,542 |
$20K |
| 80362 |
|
2,625 |
1,709 |
$20K |
| 87497 |
|
1,190 |
726 |
$19K |
| 82107 |
|
689 |
657 |
$19K |
| 84478 |
|
5,497 |
4,711 |
$19K |
| 86355 |
|
997 |
932 |
$18K |
| 87800 |
|
1,668 |
1,268 |
$18K |
| 81015 |
|
10,450 |
9,575 |
$18K |
| 81256 |
|
954 |
857 |
$18K |
| 86777 |
|
2,090 |
1,909 |
$18K |
| 87040 |
|
3,406 |
2,623 |
$17K |
| 83698 |
|
2,633 |
2,237 |
$17K |
| 85041 |
|
10,258 |
9,490 |
$17K |
| 87350 |
|
2,721 |
2,498 |
$16K |
| 84075 |
|
7,132 |
6,414 |
$16K |
| 85303 |
|
2,676 |
2,441 |
$16K |
| 80183 |
|
2,627 |
2,428 |
$16K |
| 86611 |
|
1,838 |
1,193 |
$16K |
| 83010 |
|
2,938 |
2,548 |
$16K |
| 83003 |
|
2,734 |
1,404 |
$16K |
| 82626 |
|
1,319 |
1,229 |
$15K |
| 80356 |
|
1,462 |
1,339 |
$15K |
| 85247 |
|
1,342 |
1,235 |
$15K |
| 80326 |
|
1,486 |
1,364 |
$15K |
| 84446 |
|
2,379 |
2,178 |
$15K |
| 82172 |
|
4,650 |
3,911 |
$15K |
| 80338 |
|
1,514 |
1,383 |
$15K |
| 86707 |
|
2,148 |
1,960 |
$15K |
| 86738 |
|
1,812 |
1,754 |
$14K |
| 88313 |
|
554 |
432 |
$14K |
| 80337 |
|
1,488 |
1,366 |
$14K |
| 82085 |
|
2,429 |
2,260 |
$14K |
| 87254 |
|
704 |
663 |
$14K |
| 80370 |
|
1,484 |
1,363 |
$14K |
| 83835 |
|
1,827 |
1,641 |
$14K |
| 86308 |
|
4,248 |
3,981 |
$14K |
| 88184 |
|
507 |
450 |
$13K |
| 88302 |
|
1,186 |
1,002 |
$13K |
| 80360 |
|
1,373 |
1,277 |
$13K |
| 87185 |
|
4,143 |
3,794 |
$13K |
| 84080 |
|
2,141 |
1,940 |
$12K |
| 80184 |
|
2,174 |
1,985 |
$12K |
| 82610 |
|
2,086 |
1,937 |
$12K |
| 80372 |
|
1,343 |
1,248 |
$12K |
| 85300 |
|
2,403 |
2,147 |
$12K |
| 80353 |
|
2,007 |
1,772 |
$12K |
| 80359 |
|
1,262 |
1,178 |
$12K |
| 82180 |
|
3,085 |
2,916 |
$12K |
| 87535 |
|
887 |
791 |
$12K |
| 80345 |
|
1,683 |
1,532 |
$12K |
| 87880 |
|
1,373 |
1,156 |
$12K |
| 84484 |
|
2,397 |
2,228 |
$12K |
| 80366 |
|
1,225 |
1,140 |
$12K |
| 80377 |
|
1,488 |
1,365 |
$12K |
| 86357 |
|
602 |
564 |
$11K |
| 83014 |
|
2,665 |
2,427 |
$11K |
| 84132 |
|
4,689 |
4,216 |
$11K |
| 80051 |
|
2,839 |
2,579 |
$11K |
| 86778 |
|
1,354 |
1,241 |
$11K |
| 80364 |
|
1,129 |
1,047 |
$11K |
| 83695 |
|
3,802 |
3,281 |
$11K |
| 80367 |
|
1,105 |
1,023 |
$11K |
| 80344 |
|
1,103 |
1,022 |
$10K |
| 82397 |
|
1,391 |
1,287 |
$10K |
| 85598 |
|
1,453 |
1,309 |
$10K |
| 82530 |
|
1,187 |
1,030 |
$10K |
| 82104 |
|
1,714 |
1,505 |
$10K |
| 82239 |
|
1,007 |
854 |
$10K |
| 80159 |
|
1,599 |
1,083 |
$10K |
| 86666 |
|
755 |
630 |
$9K |
| 86702 |
|
1,563 |
1,347 |
$9K |
| 87220 |
|
3,167 |
2,977 |
$9K |
| 87102 |
|
1,978 |
1,765 |
$9K |
| 80320 |
|
1,386 |
1,258 |
$9K |
| 80333 |
|
1,102 |
1,022 |
$9K |
| 85007 |
|
5,397 |
4,989 |
$9K |
| 86774 |
|
1,193 |
1,133 |
$9K |
| 86001 |
|
1,142 |
996 |
$9K |
| 84295 |
|
3,526 |
3,164 |
$8K |
| 80357 |
|
1,172 |
1,088 |
$8K |
| 80358 |
|
1,857 |
1,688 |
$8K |
| 84482 |
|
1,097 |
1,017 |
$8K |
| 87210 |
|
3,578 |
3,238 |
$8K |
| 82657 |
|
1,179 |
538 |
$8K |
| 83992 |
|
1,651 |
1,519 |
$8K |
| 82435 |
|
3,207 |
2,886 |
$7K |
| 81400 |
|
228 |
197 |
$7K |
| 86701 |
|
1,594 |
1,377 |
$6K |
| 87807 |
|
718 |
607 |
$6K |
| 87637 |
|
83 |
77 |
$6K |
| 82374 |
|
2,958 |
2,648 |
$6K |
| 87106 |
|
1,053 |
942 |
$6K |
| 84999 |
|
934 |
847 |
$6K |
| 86747 |
|
509 |
468 |
$6K |
| 87206 |
|
1,979 |
1,735 |
$6K |
| 82175 |
|
703 |
617 |
$6K |
| 83825 |
|
771 |
687 |
$6K |
| 86880 |
|
2,194 |
1,995 |
$6K |
| 86886 |
|
1,555 |
1,384 |
$5K |
| 87015 |
|
1,568 |
1,395 |
$5K |
| 80162 |
|
1,026 |
903 |
$5K |
| 82705 |
|
2,122 |
2,001 |
$5K |
| 85597 |
|
708 |
649 |
$5K |
| 36416 |
|
7,360 |
6,568 |
$5K |
| 89055 |
|
2,372 |
2,224 |
$5K |
| 82232 |
|
728 |
660 |
$5K |
| 83935 |
|
1,550 |
1,420 |
$5K |
| 88164 |
|
915 |
874 |
$5K |
| 88263 |
|
65 |
64 |
$5K |
| 82384 |
|
413 |
375 |
$5K |
| 83930 |
|
1,372 |
1,264 |
$5K |
| 87140 |
|
1,072 |
979 |
$5K |
| 86648 |
|
616 |
580 |
$5K |
| 87507 |
|
38 |
28 |
$4K |
| 84163 |
|
506 |
480 |
$4K |
| 80202 |
|
848 |
377 |
$4K |
| 81206 |
|
85 |
76 |
$4K |
| 85305 |
|
754 |
712 |
$4K |
| 85004 |
|
1,649 |
1,513 |
$4K |
| 80340 |
|
1,101 |
1,021 |
$4K |
| 87230 |
|
486 |
466 |
$4K |
| 81595 |
|
118 |
103 |
$4K |
| 83951 |
|
177 |
165 |
$4K |
| 82139 |
|
627 |
579 |
$4K |
| 84300 |
|
1,559 |
1,444 |
$4K |
| 80201 |
|
660 |
615 |
$3K |
| 81510 |
|
149 |
143 |
$3K |
| 82985 |
|
524 |
475 |
$3K |
| 85307 |
|
545 |
487 |
$3K |
| 83605 |
|
527 |
480 |
$3K |
| 82575 |
|
611 |
530 |
$3K |
| 84376 |
|
1,043 |
1,002 |
$3K |
| 87272 |
|
381 |
361 |
$3K |
| 87425 |
|
436 |
419 |
$3K |
| 80235 |
|
428 |
389 |
$3K |
| 81508 |
|
391 |
381 |
$3K |
| 85302 |
|
465 |
443 |
$3K |
| 82656 |
|
472 |
444 |
$3K |
| 88300 |
|
482 |
470 |
$3K |
| 88173 |
|
47 |
45 |
$3K |
| 85048 |
|
2,691 |
2,405 |
$3K |
| 81401 |
|
62 |
61 |
$3K |
| 0001M |
|
231 |
200 |
$3K |
| 87634 |
|
78 |
73 |
$3K |
| 88189 |
|
68 |
64 |
$3K |
| G0476 |
Hpv combo assay ca screen |
561 |
478 |
$2K |
| 82166 |
|
197 |
183 |
$2K |
| 80325 |
|
56 |
56 |
$2K |
| G0306 |
Cbc/diffwbc w/o platelet |
912 |
779 |
$2K |
| 87116 |
|
334 |
302 |
$2K |
| 84597 |
|
343 |
319 |
$2K |
| 0223U |
|
14 |
13 |
$2K |
| 85384 |
|
530 |
487 |
$2K |
| 81599 |
|
625 |
534 |
$2K |
| 87328 |
|
288 |
277 |
$2K |
| 81374 |
|
89 |
78 |
$2K |
| 85049 |
|
1,309 |
1,117 |
$2K |
| 84140 |
|
249 |
229 |
$2K |
| 84255 |
|
191 |
165 |
$2K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
4,401 |
3,851 |
$2K |
| 86753 |
|
358 |
175 |
$2K |
| G0472 |
Hep c screen high risk/other |
3,489 |
3,062 |
$2K |
| 81517 |
|
14 |
13 |
$2K |
| 87631 |
|
37 |
32 |
$2K |
| 81270 |
|
48 |
42 |
$2K |
| 80330 |
|
1,101 |
1,022 |
$2K |
| 82380 |
|
356 |
326 |
$2K |
| 80195 |
|
258 |
213 |
$2K |
| 84182 |
|
42 |
31 |
$2K |
| 80165 |
|
258 |
240 |
$1K |
| 81257 |
|
37 |
37 |
$1K |
| G0307 |
Cbc without platelet |
664 |
601 |
$1K |
| 83722 |
|
129 |
124 |
$1K |
| 81512 |
|
34 |
32 |
$1K |
| 81381 |
|
29 |
26 |
$1K |
| 82552 |
|
154 |
145 |
$1K |
| 81479 |
|
156 |
130 |
$1K |
| G0103 |
Psa screening |
9,592 |
8,484 |
$1K |
| 83876 |
|
100 |
88 |
$1K |
| 82679 |
|
101 |
94 |
$1K |
| 83527 |
|
151 |
145 |
$1K |
| 81000 |
|
381 |
337 |
$1K |
| 82553 |
|
188 |
171 |
$1K |
| 82379 |
|
169 |
154 |
$995.64 |
| 86316 |
|
125 |
112 |
$989.95 |
| 80374 |
|
99 |
66 |
$980.36 |
| 87276 |
|
125 |
123 |
$975.77 |
| 80203 |
|
174 |
155 |
$966.64 |
| 81403 |
|
12 |
12 |
$935.89 |
| 87275 |
|
125 |
123 |
$902.03 |
| 87502 |
|
17 |
17 |
$897.38 |
| 86256 |
|
155 |
136 |
$888.47 |
| 88311 |
|
296 |
238 |
$840.54 |
| 80339 |
|
90 |
81 |
$831.59 |
| G0475 |
Hiv combination assay |
796 |
703 |
$828.24 |
| 80363 |
|
86 |
79 |
$822.64 |
| 82955 |
|
178 |
159 |
$815.00 |
| 88360 |
|
13 |
12 |
$792.28 |
| 88248 |
|
24 |
15 |
$770.70 |
| 80342 |
|
86 |
79 |
$731.14 |
| 80332 |
|
86 |
79 |
$705.59 |
| 85301 |
|
126 |
123 |
$656.17 |
| 88108 |
|
27 |
26 |
$602.85 |
| 0014M |
|
12 |
12 |
$600.00 |
| 80369 |
|
116 |
112 |
$529.10 |
| 87484 |
|
47 |
46 |
$505.32 |
| 87906 |
|
12 |
12 |
$481.93 |
| 82671 |
|
24 |
24 |
$468.41 |
| 89051 |
|
171 |
150 |
$453.22 |
| 86215 |
|
64 |
56 |
$447.10 |
| 80329 |
|
90 |
81 |
$425.03 |
| 81332 |
|
30 |
29 |
$395.32 |
| 87468 |
|
42 |
41 |
$392.47 |
| 87999 |
|
860 |
774 |
$389.75 |
| 87581 |
|
19 |
19 |
$388.76 |
| 82365 |
|
54 |
52 |
$385.73 |
| 87469 |
|
45 |
42 |
$364.11 |
| 86041 |
|
67 |
62 |
$343.26 |
| 80335 |
|
52 |
49 |
$334.40 |
| 82017 |
|
55 |
51 |
$333.89 |
| 86663 |
|
42 |
41 |
$316.78 |
| 82340 |
|
115 |
111 |
$299.58 |
| 80171 |
|
53 |
52 |
$282.80 |
| 89060 |
|
59 |
55 |
$270.58 |
| 86152 |
|
12 |
12 |
$269.64 |
| 84133 |
|
101 |
98 |
$245.99 |
| 84145 |
|
17 |
12 |
$236.92 |
| 85670 |
|
95 |
87 |
$235.43 |
| 86606 |
|
17 |
16 |
$235.37 |
| 83986 |
|
139 |
137 |
$233.97 |
| 84206 |
|
29 |
25 |
$233.52 |
| 84433 |
|
26 |
25 |
$195.36 |
| 86682 |
|
24 |
18 |
$183.78 |
| 80230 |
|
15 |
12 |
$179.28 |
| G0123 |
Screen cerv/vag thin layer |
1,426 |
1,254 |
$176.86 |
| 87280 |
|
32 |
26 |
$171.02 |
| 82523 |
|
17 |
15 |
$140.86 |
| 85651 |
|
77 |
70 |
$134.57 |
| G0328 |
Fecal blood scrn immunoassay |
876 |
836 |
$126.51 |
| 83625 |
|
27 |
25 |
$125.84 |
| 87184 |
|
30 |
29 |
$119.87 |
| 83918 |
|
15 |
13 |
$108.84 |
| 84252 |
|
13 |
13 |
$108.73 |
| 86161 |
|
16 |
16 |
$103.61 |
| 86340 |
|
17 |
14 |
$98.36 |
| 80352 |
|
13 |
13 |
$95.94 |
| 82010 |
|
40 |
25 |
$91.39 |
| 83945 |
|
12 |
12 |
$87.19 |
| 80371 |
|
13 |
13 |
$80.08 |
| 86632 |
|
12 |
12 |
$71.06 |
| 82272 |
|
28 |
28 |
$67.21 |
| 99199 |
|
16 |
15 |
$56.24 |
| 84540 |
|
45 |
40 |
$44.41 |
| 86905 |
|
16 |
15 |
$41.92 |
| 84560 |
|
14 |
14 |
$34.39 |
| 84311 |
|
13 |
12 |
$31.97 |
| P9604 |
One-way allow prorated trip |
18 |
17 |
$30.00 |
| 86153 |
|
12 |
12 |
$28.14 |
| 99001 |
|
203 |
155 |
$0.00 |
| G0124 |
Screen c/v thin layer by md |
29 |
26 |
$0.00 |