| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
921,196 |
802,422 |
$62.80M |
| 87389 |
|
1,241,898 |
1,112,473 |
$44.84M |
| 80050 |
|
957,294 |
864,325 |
$28.39M |
| 80053 |
|
3,831,698 |
3,441,905 |
$26.94M |
| 84443 |
|
2,431,035 |
2,202,706 |
$26.89M |
| 82306 |
|
1,790,274 |
1,614,330 |
$25.73M |
| 80061 |
|
3,464,440 |
3,143,228 |
$24.59M |
| 81420 |
|
62,806 |
55,991 |
$20.96M |
| 85025 |
|
3,528,193 |
3,150,958 |
$17.15M |
| 87491 |
|
520,757 |
473,164 |
$16.40M |
| 87591 |
|
518,903 |
468,885 |
$16.27M |
| 83036 |
|
2,794,998 |
2,530,469 |
$15.63M |
| 86480 |
|
344,705 |
312,958 |
$14.84M |
| 80081 |
|
211,607 |
189,007 |
$10.84M |
| 80074 |
|
369,050 |
327,189 |
$9.91M |
| 86803 |
|
822,490 |
740,766 |
$8.88M |
| 87086 |
|
1,376,635 |
1,236,223 |
$8.39M |
| 82607 |
|
928,814 |
842,569 |
$8.25M |
| U0005 |
Infec agen detec ampli probe |
505,318 |
433,713 |
$7.93M |
| 87661 |
|
333,856 |
299,783 |
$7.68M |
| 84439 |
|
1,207,246 |
1,091,874 |
$7.46M |
| 81220 |
|
36,855 |
31,574 |
$7.29M |
| 82746 |
|
619,168 |
559,382 |
$5.27M |
| 83655 |
|
499,062 |
463,140 |
$4.90M |
| 80307 |
|
140,671 |
124,797 |
$4.64M |
| 87902 |
|
25,757 |
23,551 |
$4.21M |
| 87536 |
|
69,601 |
64,313 |
$4.11M |
| 84403 |
|
241,298 |
217,575 |
$4.10M |
| 87522 |
Neg quan hep c or qual rna |
157,016 |
142,718 |
$4.10M |
| 82728 |
|
514,692 |
466,612 |
$4.08M |
| 86235 |
|
61,692 |
55,371 |
$4.06M |
| 87340 |
|
429,165 |
386,960 |
$3.36M |
| 84153 |
|
298,578 |
271,113 |
$3.35M |
| 36415 |
|
1,702,047 |
1,470,480 |
$3.16M |
| 85027 |
|
678,299 |
609,021 |
$3.08M |
| 83550 |
|
508,379 |
459,423 |
$2.91M |
| 86592 |
|
864,925 |
777,332 |
$2.80M |
| 87186 |
|
437,612 |
399,061 |
$2.80M |
| 87798 |
|
60,457 |
39,796 |
$2.70M |
| 83013 |
|
79,491 |
72,750 |
$2.59M |
| 84702 |
|
278,234 |
213,903 |
$2.56M |
| 87088 |
|
422,354 |
384,726 |
$2.50M |
| 83540 |
|
573,364 |
517,403 |
$2.45M |
| 87637 |
|
21,268 |
19,058 |
$2.45M |
| G0480 |
Drug test def 1-7 classes |
52,102 |
45,351 |
$2.44M |
| 83001 |
|
169,845 |
153,881 |
$2.25M |
| 87081 |
|
447,905 |
413,613 |
$2.16M |
| G0483 |
Drug test def 22+ classes |
21,536 |
19,527 |
$2.14M |
| 86003 |
|
41,719 |
37,349 |
$2.11M |
| 82570 |
|
593,364 |
538,120 |
$2.11M |
| 84146 |
|
167,878 |
150,074 |
$2.09M |
| 82043 |
|
573,916 |
523,057 |
$2.08M |
| 84402 |
|
127,380 |
114,614 |
$2.07M |
| 86706 |
|
254,407 |
229,207 |
$2.06M |
| 87150 |
|
102,568 |
94,348 |
$2.02M |
| 86038 |
|
226,133 |
204,020 |
$1.98M |
| 86780 |
|
196,837 |
180,242 |
$1.97M |
| 80048 |
|
379,432 |
334,988 |
$1.95M |
| 82670 |
|
115,774 |
104,721 |
$1.93M |
| 87636 |
|
16,559 |
14,630 |
$1.77M |
| 83970 |
|
78,444 |
71,581 |
$1.73M |
| 86787 |
|
158,190 |
141,751 |
$1.72M |
| 86696 |
|
113,981 |
101,088 |
$1.70M |
| 81001 |
|
740,318 |
660,283 |
$1.66M |
| 87801 |
|
36,202 |
32,825 |
$1.59M |
| 84481 |
|
155,978 |
140,881 |
$1.58M |
| 84436 |
|
344,815 |
311,304 |
$1.51M |
| 87070 |
|
263,921 |
243,615 |
$1.49M |
| 86704 |
|
171,764 |
154,685 |
$1.49M |
| 83002 |
|
131,406 |
118,622 |
$1.47M |
| 87077 |
|
296,319 |
271,857 |
$1.41M |
| 83735 |
|
345,099 |
301,450 |
$1.41M |
| 86769 |
|
36,200 |
31,089 |
$1.40M |
| 86360 |
|
42,956 |
38,942 |
$1.21M |
| 83880 |
|
70,164 |
62,480 |
$1.21M |
| 82274 |
|
118,394 |
109,143 |
$1.16M |
| G0481 |
Drug test def 8-14 classes |
17,467 |
15,865 |
$1.15M |
| 84144 |
|
85,675 |
72,173 |
$1.06M |
| 86695 |
|
107,321 |
95,136 |
$1.04M |
| 86140 |
|
295,860 |
263,720 |
$1.02M |
| 86762 |
|
116,111 |
104,844 |
$1.02M |
| 84479 |
|
241,712 |
218,161 |
$1.00M |
| 86376 |
|
110,619 |
99,700 |
$987K |
| 86708 |
|
114,765 |
103,264 |
$934K |
| 82950 |
|
254,442 |
232,630 |
$917K |
| 81329 |
|
20,602 |
18,588 |
$916K |
| 82784 |
|
94,135 |
83,667 |
$834K |
| 83525 |
|
107,492 |
97,396 |
$814K |
| 86850 |
|
135,513 |
123,025 |
$784K |
| 86677 |
|
38,945 |
34,603 |
$728K |
| 84480 |
|
80,795 |
72,744 |
$726K |
| 83516 |
|
54,401 |
48,002 |
$721K |
| 86665 |
|
32,660 |
29,311 |
$699K |
| 87901 |
|
4,042 |
3,722 |
$698K |
| 86705 |
|
78,690 |
70,221 |
$671K |
| 84550 |
|
228,163 |
204,248 |
$669K |
| 87480 |
|
41,899 |
38,533 |
$666K |
| 86431 |
|
152,898 |
138,944 |
$663K |
| 80076 |
|
123,841 |
110,534 |
$647K |
| 82627 |
|
48,170 |
43,516 |
$640K |
| 87510 |
|
41,715 |
38,354 |
$640K |
| 86800 |
|
64,301 |
58,123 |
$634K |
| 85652 |
|
309,279 |
276,745 |
$617K |
| 87660 |
|
41,937 |
38,522 |
$611K |
| 83690 |
|
129,611 |
117,109 |
$604K |
| 86225 |
|
63,313 |
57,482 |
$578K |
| 82951 |
|
59,742 |
55,090 |
$567K |
| 87651 |
|
21,352 |
19,355 |
$551K |
| 83021 |
|
42,860 |
38,352 |
$529K |
| 86200 |
|
61,288 |
56,437 |
$523K |
| 80055 |
|
15,251 |
14,029 |
$515K |
| 86735 |
|
50,511 |
45,461 |
$499K |
| 82248 |
|
162,778 |
144,630 |
$497K |
| 83020 |
|
57,223 |
51,386 |
$495K |
| 86361 |
|
34,581 |
31,100 |
$491K |
| 82652 |
|
29,223 |
25,827 |
$485K |
| 86618 |
|
32,984 |
29,717 |
$466K |
| 82565 |
|
170,194 |
149,777 |
$461K |
| 85610 |
|
168,743 |
134,423 |
$453K |
| 87900 |
|
5,019 |
4,596 |
$448K |
| 82150 |
|
102,661 |
92,187 |
$448K |
| 86765 |
|
54,169 |
48,813 |
$443K |
| 84450 |
|
156,943 |
139,389 |
$435K |
| 84460 |
|
146,762 |
130,144 |
$433K |
| 86147 |
|
12,249 |
10,909 |
$422K |
| 84681 |
|
33,645 |
30,635 |
$417K |
| 82105 |
|
37,543 |
33,710 |
$417K |
| 87209 |
|
33,960 |
30,356 |
$413K |
| 85018 |
|
203,943 |
186,530 |
$395K |
| 87535 |
|
15,113 |
13,753 |
$392K |
| 86160 |
|
28,964 |
25,707 |
$389K |
| 80164 |
|
55,929 |
49,073 |
$386K |
| 82550 |
|
93,540 |
82,453 |
$374K |
| 82977 |
|
83,840 |
73,885 |
$366K |
| 82533 |
|
34,637 |
30,948 |
$363K |
| 87563 |
|
20,425 |
18,786 |
$352K |
| 87906 |
|
3,828 |
3,519 |
$347K |
| 87521 |
Neg quan hep c or qual rna |
14,547 |
13,791 |
$346K |
| 87075 |
|
50,978 |
46,889 |
$345K |
| 84520 |
|
146,817 |
129,507 |
$333K |
| 85660 |
|
77,957 |
69,641 |
$327K |
| 86317 |
|
39,882 |
35,548 |
$326K |
| 82947 |
|
129,198 |
115,573 |
$322K |
| 87255 |
|
13,851 |
12,728 |
$322K |
| 86364 |
|
32,316 |
29,066 |
$315K |
| 84075 |
|
122,036 |
108,889 |
$312K |
| 84154 |
|
29,057 |
26,343 |
$307K |
| 86709 |
|
43,974 |
39,190 |
$307K |
| 86901 |
|
108,924 |
98,618 |
$302K |
| 85014 |
|
154,746 |
141,516 |
$302K |
| 82040 |
|
115,820 |
103,280 |
$299K |
| 81596 |
|
13,751 |
12,492 |
$298K |
| 82247 |
|
116,516 |
103,400 |
$295K |
| 81003 |
|
165,098 |
147,874 |
$294K |
| 85730 |
|
73,642 |
64,377 |
$292K |
| 82310 |
|
115,875 |
103,590 |
$290K |
| 83615 |
|
77,736 |
66,918 |
$284K |
| 83721 |
|
52,286 |
47,230 |
$280K |
| 82785 |
|
28,918 |
26,099 |
$276K |
| 86900 |
|
108,906 |
98,613 |
$275K |
| 86664 |
|
26,638 |
23,953 |
$274K |
| 86334 |
|
20,337 |
18,334 |
$274K |
| 82672 |
|
18,843 |
17,202 |
$270K |
| 84156 |
|
119,806 |
105,062 |
$267K |
| 84445 |
|
8,033 |
7,482 |
$259K |
| 84155 |
|
124,141 |
111,155 |
$257K |
| 87517 |
|
7,740 |
7,225 |
$256K |
| 84703 |
|
46,867 |
41,726 |
$253K |
| 85045 |
|
95,451 |
86,173 |
$252K |
| 84425 |
|
18,663 |
17,156 |
$249K |
| 86146 |
|
6,113 |
5,468 |
$246K |
| 84100 |
|
90,359 |
77,185 |
$245K |
| 83498 |
|
15,230 |
13,995 |
$244K |
| 87427 |
|
28,426 |
26,167 |
$243K |
| 82024 |
|
10,409 |
9,519 |
$241K |
| 84295 |
|
101,727 |
90,830 |
$235K |
| 84165 |
|
35,951 |
32,567 |
$234K |
| 82435 |
|
101,161 |
90,470 |
$227K |
| 82140 |
|
27,976 |
24,487 |
$223K |
| 86870 |
|
11,993 |
10,570 |
$221K |
| 87635 |
|
4,527 |
4,153 |
$218K |
| 80069 |
|
43,831 |
38,676 |
$216K |
| 86141 |
|
23,883 |
21,002 |
$215K |
| 82378 |
|
20,297 |
17,614 |
$212K |
| 87177 |
|
34,178 |
30,535 |
$209K |
| 87045 |
|
28,371 |
26,163 |
$208K |
| 81374 |
|
7,000 |
6,586 |
$207K |
| 87650 |
|
12,140 |
11,466 |
$202K |
| 86304 |
|
15,276 |
13,433 |
$201K |
| 83921 |
|
16,814 |
15,564 |
$195K |
| 80362 |
|
15,632 |
6,532 |
$192K |
| 86008 |
|
6,903 |
6,387 |
$186K |
| 84207 |
|
10,531 |
9,582 |
$177K |
| 82330 |
|
20,183 |
17,889 |
$173K |
| 86702 |
|
21,186 |
18,551 |
$169K |
| 80348 |
|
25,071 |
14,610 |
$166K |
| G0482 |
Drug test def 15-21 classes |
2,505 |
2,268 |
$166K |
| 86255 |
|
19,445 |
17,616 |
$164K |
| 80178 |
|
37,740 |
32,629 |
$157K |
| 88185 |
|
625 |
592 |
$157K |
| 87804 |
|
6,203 |
5,507 |
$157K |
| 84270 |
|
12,317 |
11,100 |
$157K |
| 81243 |
|
10,412 |
9,461 |
$154K |
| 83090 |
|
16,459 |
14,394 |
$153K |
| 86258 |
|
11,871 |
10,795 |
$152K |
| 87529 |
|
5,119 |
4,636 |
$150K |
| 82952 |
|
47,962 |
44,503 |
$150K |
| 84132 |
|
58,773 |
52,334 |
$150K |
| 84466 |
|
19,473 |
17,557 |
$149K |
| 86231 |
|
19,794 |
17,861 |
$149K |
| 87046 |
|
28,704 |
26,301 |
$148K |
| 83521 |
|
7,182 |
6,386 |
$146K |
| 86300 |
|
10,501 |
9,284 |
$146K |
| 82465 |
|
47,029 |
42,690 |
$145K |
| 85379 |
|
22,913 |
20,252 |
$145K |
| 83520 |
|
16,274 |
14,965 |
$144K |
| 80051 |
|
35,061 |
31,064 |
$143K |
| 86593 |
|
45,859 |
40,980 |
$143K |
| 86757 |
|
5,989 |
5,648 |
$138K |
| 81257 |
|
2,533 |
2,367 |
$134K |
| 87350 |
|
14,178 |
12,961 |
$130K |
| 87324 |
|
16,244 |
14,869 |
$128K |
| 86701 |
|
18,044 |
15,653 |
$128K |
| 82374 |
|
56,262 |
50,413 |
$125K |
| 83718 |
|
24,436 |
20,891 |
$124K |
| 86663 |
|
10,853 |
9,783 |
$119K |
| 82626 |
|
6,727 |
6,203 |
$114K |
| 84305 |
|
7,610 |
7,130 |
$110K |
| 82088 |
|
4,005 |
3,756 |
$110K |
| G0307 |
Cbc without platelet |
24,414 |
22,105 |
$109K |
| 86359 |
|
5,534 |
5,031 |
$107K |
| 86707 |
|
12,262 |
11,189 |
$105K |
| 81361 |
|
2,737 |
2,560 |
$105K |
| 86341 |
|
5,516 |
4,995 |
$103K |
| 82239 |
|
8,012 |
6,811 |
$102K |
| 87338 |
|
8,585 |
8,111 |
$99K |
| 82103 |
|
11,795 |
10,647 |
$98K |
| 86060 |
|
19,186 |
17,618 |
$96K |
| 84134 |
|
11,753 |
10,542 |
$95K |
| 80185 |
|
12,963 |
11,373 |
$91K |
| 83883 |
|
11,724 |
10,454 |
$90K |
| 87493 |
|
3,897 |
3,593 |
$89K |
| 80177 |
|
12,677 |
11,711 |
$88K |
| 82172 |
|
7,843 |
7,129 |
$87K |
| 87538 |
|
3,307 |
2,966 |
$86K |
| 86617 |
|
4,324 |
3,891 |
$85K |
| 86381 |
|
5,756 |
5,258 |
$84K |
| 86301 |
|
6,824 |
5,851 |
$84K |
| 82397 |
|
9,399 |
8,452 |
$81K |
| 84432 |
|
7,273 |
6,775 |
$81K |
| 82390 |
|
11,576 |
10,246 |
$80K |
| 86645 |
|
7,111 |
6,394 |
$79K |
| 81381 |
|
1,888 |
1,766 |
$78K |
| 84630 |
|
10,647 |
9,763 |
$77K |
| 84482 |
|
9,772 |
8,809 |
$77K |
| 86644 |
|
8,116 |
7,220 |
$77K |
| 86256 |
|
5,120 |
4,497 |
$74K |
| 86336 |
|
5,218 |
4,653 |
$73K |
| 83010 |
|
9,298 |
8,352 |
$72K |
| 86694 |
|
7,197 |
6,447 |
$72K |
| 82677 |
|
5,186 |
4,616 |
$71K |
| 81255 |
|
2,914 |
2,730 |
$71K |
| 80156 |
|
9,343 |
8,430 |
$67K |
| 81251 |
|
2,897 |
2,712 |
$66K |
| 86671 |
|
5,009 |
4,636 |
$65K |
| 81200 |
|
2,922 |
2,730 |
$65K |
| 81241 |
|
3,356 |
3,060 |
$64K |
| 82164 |
|
6,802 |
6,261 |
$64K |
| 85246 |
|
4,740 |
4,304 |
$64K |
| 87184 |
|
11,448 |
10,544 |
$64K |
| 80361 |
|
7,317 |
6,955 |
$64K |
| 85245 |
|
4,699 |
4,274 |
$64K |
| 87329 |
|
7,623 |
7,026 |
$63K |
| 81330 |
|
2,896 |
2,712 |
$63K |
| 84484 |
|
9,735 |
8,514 |
$63K |
| 80197 |
|
10,172 |
6,915 |
$62K |
| 86037 |
|
4,056 |
3,751 |
$62K |
| 80349 |
|
8,628 |
4,643 |
$62K |
| 86335 |
|
3,492 |
3,196 |
$62K |
| 84410 |
|
1,903 |
1,744 |
$61K |
| 84166 |
|
5,901 |
5,369 |
$61K |
| 87502 |
|
1,052 |
925 |
$60K |
| 86015 |
|
6,971 |
6,398 |
$58K |
| G0103 |
Psa screening |
24,807 |
23,582 |
$58K |
| 86747 |
|
2,953 |
2,703 |
$55K |
| 86308 |
|
14,549 |
13,192 |
$55K |
| 81260 |
|
2,916 |
2,730 |
$54K |
| 81290 |
|
2,891 |
2,707 |
$54K |
| 82525 |
|
6,672 |
6,147 |
$54K |
| 87101 |
|
9,887 |
9,114 |
$54K |
| 86777 |
|
5,571 |
4,913 |
$53K |
| 88175 |
|
3,470 |
3,386 |
$52K |
| 84080 |
|
6,319 |
5,822 |
$52K |
| 81242 |
|
2,892 |
2,707 |
$52K |
| 82787 |
|
3,146 |
2,830 |
$51K |
| 82668 |
|
5,187 |
4,708 |
$50K |
| 83704 |
|
2,744 |
2,488 |
$50K |
| 81401 |
|
1,464 |
1,288 |
$49K |
| 82747 |
|
5,071 |
4,518 |
$48K |
| 85240 |
|
4,717 |
4,278 |
$47K |
| 86162 |
|
3,599 |
3,298 |
$47K |
| 82731 |
|
997 |
885 |
$47K |
| 84244 |
|
3,102 |
2,910 |
$46K |
| 81490 |
|
1,210 |
1,149 |
$46K |
| 82552 |
|
6,171 |
5,572 |
$46K |
| 87624 |
|
2,502 |
2,445 |
$45K |
| 82553 |
|
6,828 |
6,135 |
$45K |
| 80353 |
|
8,485 |
7,783 |
$44K |
| 80171 |
|
3,731 |
3,504 |
$43K |
| 84590 |
|
6,100 |
5,595 |
$43K |
| 87205 |
|
15,151 |
13,720 |
$43K |
| 80165 |
|
6,236 |
5,591 |
$43K |
| 86778 |
|
3,849 |
3,503 |
$43K |
| 81209 |
|
2,917 |
2,724 |
$42K |
| 80324 |
|
6,770 |
5,886 |
$42K |
| 80299 |
|
2,730 |
2,492 |
$42K |
| 86666 |
|
2,222 |
2,088 |
$42K |
| 83014 |
|
6,655 |
5,934 |
$41K |
| 82679 |
|
2,748 |
2,470 |
$41K |
| 82157 |
|
2,065 |
1,921 |
$41K |
| 81025 |
|
9,503 |
8,051 |
$40K |
| 80354 |
|
8,091 |
7,449 |
$39K |
| 84446 |
|
4,297 |
3,964 |
$39K |
| 80359 |
|
7,456 |
7,053 |
$38K |
| 80175 |
|
4,604 |
4,234 |
$37K |
| 83527 |
|
4,119 |
3,839 |
$36K |
| 83993 |
|
3,057 |
2,883 |
$36K |
| 85007 |
|
14,073 |
12,868 |
$36K |
| 80365 |
|
7,051 |
6,751 |
$36K |
| 82104 |
|
4,094 |
3,726 |
$36K |
| 82085 |
|
5,612 |
5,160 |
$36K |
| 87880 |
|
2,766 |
2,501 |
$35K |
| 85598 |
|
2,944 |
2,631 |
$35K |
| 85060 |
|
3,823 |
3,550 |
$34K |
| 80346 |
|
2,703 |
2,613 |
$34K |
| 80159 |
|
4,318 |
3,333 |
$34K |
| 81256 |
|
1,853 |
1,706 |
$34K |
| 81500 |
|
454 |
427 |
$33K |
| 87040 |
|
4,110 |
3,603 |
$33K |
| 85613 |
|
4,430 |
3,974 |
$33K |
| G0306 |
Cbc/diffwbc w/o platelet |
7,489 |
6,789 |
$33K |
| 86738 |
|
2,363 |
2,119 |
$32K |
| 80358 |
|
6,666 |
6,396 |
$31K |
| 87076 |
|
6,210 |
5,733 |
$31K |
| 80373 |
|
6,561 |
6,302 |
$31K |
| 80347 |
|
4,090 |
3,914 |
$30K |
| 82985 |
|
3,563 |
3,159 |
$30K |
| 86355 |
|
1,232 |
1,141 |
$30K |
| 80372 |
|
6,400 |
6,161 |
$29K |
| 84238 |
|
1,830 |
1,623 |
$29K |
| 87799 |
|
1,981 |
1,615 |
$29K |
| 84478 |
|
9,213 |
7,449 |
$29K |
| 88262 |
|
364 |
324 |
$29K |
| 83789 |
|
2,696 |
2,409 |
$29K |
| 82166 |
|
1,995 |
1,866 |
$28K |
| 86005 |
|
3,890 |
3,593 |
$28K |
| 88230 |
|
466 |
412 |
$28K |
| 83695 |
|
3,741 |
3,394 |
$28K |
| 86337 |
|
2,139 |
1,995 |
$28K |
| 81291 |
|
2,266 |
2,009 |
$27K |
| 85048 |
|
15,134 |
13,216 |
$27K |
| 82232 |
|
3,165 |
2,911 |
$26K |
| 85041 |
|
12,580 |
11,069 |
$26K |
| 80184 |
|
4,530 |
4,126 |
$26K |
| 82575 |
|
3,781 |
3,445 |
$26K |
| 82542 |
|
2,249 |
1,971 |
$26K |
| 87481 |
|
777 |
666 |
$26K |
| 87497 |
|
1,300 |
885 |
$25K |
| 85306 |
|
1,926 |
1,724 |
$24K |
| 85384 |
|
4,513 |
4,007 |
$24K |
| 81240 |
|
1,506 |
1,347 |
$24K |
| 87328 |
|
2,258 |
2,084 |
$23K |
| 88189 |
|
487 |
463 |
$23K |
| 80162 |
|
4,212 |
3,754 |
$23K |
| 80202 |
|
3,166 |
1,455 |
$23K |
| 89055 |
|
6,600 |
6,141 |
$22K |
| 86357 |
|
973 |
870 |
$19K |
| 87641 |
|
707 |
646 |
$19K |
| 84202 |
|
2,094 |
1,890 |
$19K |
| G0472 |
Hep c screen high risk/other |
7,806 |
7,216 |
$19K |
| 85004 |
|
5,255 |
4,332 |
$19K |
| 84152 |
|
1,505 |
1,345 |
$18K |
| 87206 |
|
5,003 |
3,783 |
$18K |
| 80183 |
|
2,576 |
2,408 |
$17K |
| 83835 |
|
1,371 |
1,263 |
$17K |
| 82610 |
|
2,206 |
2,074 |
$17K |
| 88184 |
|
638 |
591 |
$16K |
| 86682 |
|
2,351 |
2,101 |
$16K |
| 88305 |
|
488 |
473 |
$16K |
| 87631 |
|
194 |
164 |
$16K |
| 82955 |
|
2,537 |
2,273 |
$15K |
| 83874 |
|
1,807 |
1,639 |
$15K |
| 85670 |
|
3,068 |
2,758 |
$14K |
| 83605 |
|
2,529 |
2,246 |
$14K |
| 86340 |
|
1,546 |
1,360 |
$14K |
| 82681 |
|
881 |
799 |
$14K |
| 84255 |
|
891 |
816 |
$14K |
| 87254 |
|
665 |
601 |
$14K |
| 85597 |
|
1,337 |
1,194 |
$13K |
| 82653 |
|
823 |
745 |
$13K |
| 85303 |
|
1,323 |
1,170 |
$13K |
| 87116 |
|
1,889 |
1,038 |
$12K |
| 85300 |
|
1,467 |
1,289 |
$12K |
| 83992 |
|
2,542 |
2,379 |
$12K |
| 82340 |
|
3,002 |
2,729 |
$11K |
| 83003 |
|
969 |
887 |
$11K |
| 36416 |
|
5,870 |
5,443 |
$10K |
| G0475 |
Hiv combination assay |
4,717 |
4,389 |
$10K |
| 81479 |
|
317 |
274 |
$10K |
| 85732 |
|
1,547 |
1,410 |
$10K |
| 84300 |
|
3,709 |
3,377 |
$10K |
| 84145 |
|
690 |
634 |
$10K |
| 84597 |
|
1,129 |
1,042 |
$9K |
| 82705 |
|
2,647 |
2,443 |
$9K |
| 87633 |
|
39 |
36 |
$9K |
| 80305 |
|
933 |
755 |
$9K |
| 86036 |
|
1,484 |
1,378 |
$9K |
| 86804 |
|
805 |
710 |
$9K |
| 83935 |
|
2,172 |
2,010 |
$9K |
| 87015 |
|
2,093 |
1,193 |
$9K |
| 85049 |
|
3,303 |
2,987 |
$8K |
| 83625 |
|
1,070 |
950 |
$8K |
| 83930 |
|
1,962 |
1,797 |
$8K |
| 80356 |
|
970 |
754 |
$8K |
| 86880 |
|
2,133 |
1,931 |
$8K |
| 80364 |
|
2,068 |
1,940 |
$8K |
| 81270 |
|
289 |
253 |
$7K |
| 87109 |
|
804 |
700 |
$7K |
| 84140 |
|
587 |
514 |
$7K |
| 80201 |
|
979 |
916 |
$7K |
| 83088 |
|
417 |
354 |
$7K |
| 87106 |
|
1,157 |
1,077 |
$7K |
| 80158 |
|
726 |
564 |
$7K |
| 80198 |
|
1,013 |
957 |
$6K |
| 80366 |
|
2,524 |
2,366 |
$6K |
| 85305 |
|
716 |
646 |
$6K |
| G0328 |
Fecal blood scrn immunoassay |
4,462 |
4,345 |
$6K |
| 83519 |
|
595 |
513 |
$6K |
| 86615 |
|
336 |
313 |
$6K |
| 80360 |
|
2,265 |
2,127 |
$6K |
| 80355 |
|
2,450 |
2,302 |
$6K |
| 82180 |
|
929 |
849 |
$6K |
| 80368 |
|
2,187 |
2,066 |
$5K |
| 80326 |
|
2,172 |
2,045 |
$5K |
| 87807 |
|
673 |
576 |
$5K |
| 85302 |
|
598 |
536 |
$5K |
| 80370 |
|
2,186 |
2,065 |
$5K |
| 87230 |
|
439 |
400 |
$5K |
| 82595 |
|
1,047 |
946 |
$5K |
| 87420 |
|
600 |
550 |
$5K |
| 80367 |
|
2,301 |
2,157 |
$5K |
| 81206 |
|
89 |
78 |
$5K |
| 86148 |
|
654 |
500 |
$5K |
| 81015 |
|
2,220 |
2,017 |
$5K |
| 87476 |
|
255 |
234 |
$5K |
| 81207 |
|
90 |
79 |
$5K |
| 80357 |
|
2,117 |
1,988 |
$5K |
| 80337 |
|
2,083 |
1,956 |
$4K |
| 86753 |
|
447 |
433 |
$4K |
| 80371 |
|
2,070 |
1,943 |
$4K |
| 80377 |
|
2,074 |
1,947 |
$4K |
| 80341 |
|
2,057 |
1,932 |
$4K |
| 80338 |
|
2,079 |
1,951 |
$4K |
| 80331 |
|
2,057 |
1,932 |
$4K |
| 80344 |
|
2,058 |
1,933 |
$4K |
| 80334 |
|
2,059 |
1,934 |
$4K |
| P9603 |
One-way allow prorated miles |
3,774 |
3,416 |
$4K |
| 0202U |
|
33 |
33 |
$3K |
| 81377 |
|
55 |
50 |
$3K |
| 80186 |
|
358 |
338 |
$3K |
| 84133 |
|
1,296 |
1,187 |
$3K |
| 85705 |
|
340 |
305 |
$3K |
| 87425 |
|
284 |
260 |
$3K |
| 84206 |
|
234 |
210 |
$3K |
| 80325 |
|
354 |
246 |
$3K |
| 84260 |
|
156 |
148 |
$3K |
| 82384 |
|
161 |
150 |
$3K |
| 89060 |
|
542 |
499 |
$3K |
| 86658 |
|
102 |
89 |
$3K |
| 84591 |
|
472 |
427 |
$2K |
| 87634 |
|
71 |
59 |
$2K |
| 83825 |
|
268 |
259 |
$2K |
| 80321 |
|
278 |
236 |
$2K |
| 80414 |
|
66 |
64 |
$2K |
| 82656 |
|
287 |
265 |
$2K |
| 87210 |
|
282 |
238 |
$2K |
| 80320 |
|
207 |
202 |
$2K |
| 82642 |
|
166 |
158 |
$2K |
| 89051 |
|
560 |
518 |
$2K |
| 83785 |
|
134 |
114 |
$2K |
| 87593 |
|
49 |
48 |
$2K |
| 86356 |
|
100 |
87 |
$2K |
| 81422 |
|
12 |
12 |
$2K |
| 99001 |
|
243 |
214 |
$2K |
| 86689 |
|
126 |
106 |
$2K |
| 84378 |
|
249 |
234 |
$2K |
| 82175 |
|
150 |
144 |
$1K |
| 99199 |
|
203 |
161 |
$1K |
| 85549 |
|
122 |
115 |
$1K |
| 82523 |
|
271 |
229 |
$1K |
| 81002 |
|
645 |
581 |
$1K |
| 84442 |
|
137 |
130 |
$1K |
| 83631 |
|
131 |
125 |
$1K |
| 81402 |
|
33 |
25 |
$1K |
| 86215 |
|
138 |
126 |
$1K |
| 82507 |
|
128 |
121 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
22 |
18 |
$1K |
| 84252 |
|
89 |
80 |
$1K |
| 87496 |
|
45 |
37 |
$1K |
| 84999 |
|
143 |
127 |
$992.24 |
| 87102 |
|
172 |
165 |
$970.50 |
| 87511 |
|
35 |
32 |
$954.55 |
| 85301 |
|
116 |
104 |
$939.25 |
| 86316 |
|
79 |
75 |
$857.26 |
| 81400 |
|
47 |
20 |
$843.72 |
| 82436 |
|
457 |
425 |
$801.90 |
| 83945 |
|
299 |
283 |
$792.22 |
| P9604 |
One-way allow prorated trip |
1,863 |
1,724 |
$786.26 |
| 84163 |
|
78 |
73 |
$747.84 |
| 87484 |
|
13 |
13 |
$688.81 |
| 87252 |
|
36 |
36 |
$670.05 |
| 82308 |
|
43 |
38 |
$637.21 |
| 80195 |
|
120 |
102 |
$626.41 |
| 84433 |
|
70 |
68 |
$621.48 |
| 80235 |
|
72 |
70 |
$607.49 |
| 88141 |
|
183 |
181 |
$571.01 |
| 81332 |
|
51 |
48 |
$565.99 |
| 82657 |
|
43 |
40 |
$524.40 |
| 86710 |
|
41 |
35 |
$501.16 |
| G2023 |
Specimen collect covid-19 |
35 |
30 |
$494.00 |
| 84560 |
|
376 |
355 |
$491.61 |
| 87625 |
|
12 |
12 |
$486.60 |
| 83915 |
|
79 |
76 |
$480.81 |
| 81383 |
|
14 |
13 |
$462.65 |
| 80157 |
|
56 |
50 |
$451.56 |
| 82107 |
|
12 |
12 |
$409.86 |
| 84105 |
|
318 |
301 |
$350.72 |
| 82010 |
|
74 |
65 |
$326.58 |
| 81338 |
|
14 |
14 |
$316.26 |
| 87486 |
|
16 |
14 |
$314.43 |
| 87581 |
|
16 |
14 |
$314.43 |
| 82540 |
|
105 |
101 |
$311.08 |
| 86606 |
|
14 |
14 |
$273.38 |
| 84540 |
|
134 |
126 |
$263.27 |
| 83986 |
|
316 |
298 |
$231.71 |
| 84392 |
|
119 |
112 |
$226.18 |
| 80145 |
|
13 |
13 |
$211.35 |
| 81219 |
|
13 |
13 |
$197.05 |
| 80203 |
|
26 |
25 |
$196.14 |
| 83529 |
|
26 |
25 |
$187.56 |
| 80345 |
|
22 |
17 |
$177.94 |
| 87468 |
|
15 |
12 |
$166.38 |
| 86022 |
|
16 |
12 |
$155.09 |
| 81050 |
|
119 |
112 |
$149.96 |
| 82615 |
|
90 |
88 |
$148.51 |
| 82608 |
|
12 |
12 |
$132.27 |
| 85220 |
|
15 |
14 |
$129.73 |
| 87207 |
|
38 |
28 |
$122.63 |
| 87899 |
|
15 |
12 |
$77.02 |
| 80323 |
|
12 |
12 |
$73.72 |
| 86041 |
|
14 |
13 |
$57.80 |
| 86161 |
|
15 |
13 |
$52.73 |
| 86309 |
|
13 |
12 |
$48.05 |
| Z9999 |
|
30 |
12 |
$0.00 |
| 80375 |
|
25 |
12 |
$0.00 |
| 81327 |
|
60 |
50 |
$0.00 |