| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
256,417 |
244,484 |
$24.11M |
| 99285 |
|
166,496 |
155,648 |
$21.07M |
| 99214 |
|
228,244 |
217,252 |
$19.59M |
| 99215 |
Prolong outpt/office vis |
150,525 |
137,566 |
$16.61M |
| 99283 |
|
188,158 |
179,595 |
$9.55M |
| 99213 |
|
150,005 |
141,983 |
$8.98M |
| 99233 |
Prolong inpt eval add15 m |
99,025 |
38,242 |
$6.86M |
| 99204 |
|
48,965 |
47,271 |
$6.67M |
| 99472 |
|
14,555 |
4,449 |
$5.69M |
| 99203 |
|
60,347 |
58,317 |
$5.54M |
| 99291 |
|
28,700 |
11,112 |
$5.13M |
| 99232 |
|
84,736 |
38,212 |
$4.00M |
| 93306 |
|
47,837 |
45,359 |
$2.57M |
| 93010 |
|
293,239 |
238,491 |
$2.31M |
| 99391 |
|
25,508 |
24,030 |
$2.21M |
| 99392 |
|
24,586 |
22,788 |
$2.19M |
| 74177 |
|
36,712 |
34,904 |
$2.15M |
| 71045 |
|
208,445 |
154,967 |
$1.99M |
| 99205 |
Prolong outpt/office vis |
10,860 |
10,359 |
$1.81M |
| 93303 |
|
26,335 |
24,011 |
$1.80M |
| 70450 |
|
46,874 |
41,679 |
$1.63M |
| 99469 |
|
4,414 |
1,347 |
$1.56M |
| 70553 |
|
16,905 |
16,199 |
$1.53M |
| 71046 |
|
103,567 |
98,023 |
$1.48M |
| 92014 |
|
18,018 |
17,305 |
$1.48M |
| 99480 |
|
13,519 |
4,584 |
$1.46M |
| 70551 |
|
19,511 |
18,710 |
$1.33M |
| 99220 |
|
11,460 |
10,315 |
$1.15M |
| 99223 |
Prolong inpt eval add15 m |
8,645 |
7,693 |
$1.05M |
| 99479 |
|
9,370 |
2,474 |
$1.02M |
| 92004 |
|
7,492 |
7,255 |
$899K |
| 95720 |
|
4,014 |
2,837 |
$883K |
| 99393 |
|
8,962 |
8,746 |
$844K |
| 93320 |
|
28,952 |
25,771 |
$785K |
| 95810 |
|
7,875 |
5,986 |
$714K |
| 74018 |
|
64,526 |
56,147 |
$674K |
| G0483 |
Drug test def 22+ classes |
3,234 |
1,619 |
$664K |
| 96110 |
|
49,988 |
45,268 |
$651K |
| 00170 |
|
2,186 |
2,093 |
$597K |
| 99238 |
|
11,740 |
10,445 |
$588K |
| 95951 |
|
2,944 |
1,899 |
$573K |
| 99460 |
|
8,870 |
8,505 |
$568K |
| 99202 |
|
8,261 |
7,879 |
$496K |
| 76811 |
|
4,552 |
4,389 |
$484K |
| 99212 |
|
13,649 |
12,031 |
$483K |
| 99239 |
|
5,676 |
5,336 |
$442K |
| 76700 |
|
13,055 |
12,566 |
$438K |
| 01922 |
|
1,301 |
1,219 |
$434K |
| 76816 |
|
11,365 |
10,047 |
$425K |
| 76770 |
|
11,605 |
11,227 |
$395K |
| 76705 |
|
15,267 |
14,455 |
$385K |
| 67028 |
|
3,985 |
3,637 |
$379K |
| 71275 |
|
7,987 |
7,568 |
$372K |
| 59025 |
|
13,055 |
11,021 |
$367K |
| 90960 |
|
4,159 |
3,740 |
$367K |
| 77014 |
|
13,630 |
7,196 |
$366K |
| 93975 |
|
3,032 |
2,865 |
$349K |
| 64615 |
|
4,201 |
4,057 |
$348K |
| 93976 |
|
7,510 |
7,068 |
$307K |
| 70496 |
|
4,319 |
4,016 |
$299K |
| 99417 |
Prolong home eval add 15m |
3,477 |
3,087 |
$289K |
| 93325 |
|
38,674 |
33,252 |
$286K |
| H1005 |
Prenatalcare enhanced srv pk |
702 |
633 |
$283K |
| 71260 |
|
6,144 |
5,861 |
$279K |
| 94375 |
|
19,747 |
18,857 |
$268K |
| 99222 |
|
2,793 |
2,597 |
$254K |
| 95782 |
|
2,276 |
2,222 |
$241K |
| 90935 |
|
6,229 |
2,859 |
$229K |
| 70498 |
|
3,198 |
3,013 |
$220K |
| G8510 |
Scr dep neg, no plan reqd |
18,239 |
16,965 |
$193K |
| 76830 |
|
6,472 |
6,214 |
$189K |
| 69436 |
|
1,041 |
807 |
$187K |
| 90834 |
|
2,756 |
1,302 |
$184K |
| 42820 |
|
899 |
852 |
$183K |
| 92134 |
|
11,027 |
10,604 |
$168K |
| 71250 |
|
4,842 |
4,642 |
$151K |
| 20610 |
|
3,596 |
2,745 |
$149K |
| 00142 |
|
1,378 |
1,221 |
$148K |
| 92012 |
|
2,919 |
2,701 |
$147K |
| 88305 |
|
4,209 |
3,041 |
$145K |
| 77067 |
|
4,322 |
4,281 |
$139K |
| 90837 |
|
1,518 |
902 |
$127K |
| 78815 |
|
1,652 |
1,576 |
$123K |
| 99231 |
|
3,971 |
2,297 |
$120K |
| 95004 |
|
2,800 |
2,700 |
$120K |
| 74176 |
|
2,212 |
2,110 |
$115K |
| 31231 |
|
2,008 |
1,891 |
$112K |
| 76857 |
|
6,781 |
6,502 |
$110K |
| 93970 |
|
1,950 |
1,652 |
$109K |
| 31622 |
|
724 |
563 |
$105K |
| 72125 |
|
2,720 |
2,551 |
$103K |
| 31579 |
|
762 |
730 |
$103K |
| 73721 |
|
1,690 |
1,531 |
$101K |
| 99394 |
|
997 |
962 |
$101K |
| 92060 |
|
2,446 |
2,349 |
$95K |
| 80307 |
|
3,083 |
1,849 |
$89K |
| 95812 |
|
500 |
481 |
$82K |
| 73610 |
|
15,995 |
14,861 |
$80K |
| 43239 |
|
591 |
558 |
$80K |
| 93971 |
|
6,128 |
5,803 |
$79K |
| 62370 |
|
927 |
891 |
$79K |
| 73630 |
|
17,707 |
15,973 |
$79K |
| 94729 |
|
5,614 |
5,434 |
$77K |
| 94726 |
|
4,595 |
4,438 |
$77K |
| 74021 |
|
3,372 |
3,239 |
$77K |
| 99217 |
|
1,545 |
1,363 |
$76K |
| 76642 |
|
3,065 |
2,710 |
$76K |
| 94060 |
|
6,237 |
6,035 |
$74K |
| 49452 |
|
153 |
147 |
$73K |
| 93227 |
|
2,655 |
2,572 |
$70K |
| 99468 |
|
100 |
85 |
$69K |
| 73562 |
|
11,572 |
10,287 |
$67K |
| 76815 |
|
2,388 |
2,230 |
$65K |
| 51741 |
|
3,148 |
3,005 |
$60K |
| 01967 |
|
309 |
260 |
$57K |
| 99152 |
|
3,254 |
2,873 |
$56K |
| 94621 |
|
1,468 |
1,392 |
$56K |
| 99384 |
|
448 |
441 |
$54K |
| 96116 |
|
649 |
589 |
$53K |
| 90832 |
|
1,215 |
929 |
$52K |
| 11042 |
|
1,415 |
995 |
$48K |
| 92133 |
|
2,922 |
2,818 |
$47K |
| 73130 |
|
9,975 |
9,008 |
$46K |
| 88307 |
|
871 |
646 |
$45K |
| 73030 |
|
8,007 |
7,373 |
$45K |
| 92083 |
|
2,792 |
2,697 |
$44K |
| 74230 |
|
1,929 |
1,851 |
$44K |
| 00731 |
|
488 |
454 |
$44K |
| 95718 |
|
306 |
288 |
$43K |
| 73110 |
|
8,112 |
7,397 |
$43K |
| 95806 |
|
691 |
636 |
$42K |
| D0145 |
|
1,402 |
1,341 |
$42K |
| 43762 |
|
350 |
345 |
$42K |
| 90961 |
|
622 |
556 |
$42K |
| 95076 |
|
439 |
401 |
$41K |
| 77427 |
|
346 |
209 |
$40K |
| 64483 |
|
292 |
281 |
$40K |
| 99219 |
|
460 |
451 |
$40K |
| 17311 |
|
172 |
125 |
$39K |
| 76825 |
|
649 |
517 |
$37K |
| 76817 |
|
1,225 |
1,143 |
$37K |
| 31526 |
|
429 |
336 |
$35K |
| 72082 |
|
2,783 |
2,696 |
$34K |
| 78452 |
|
1,277 |
1,111 |
$34K |
| 99381 |
|
376 |
343 |
$33K |
| 73090 |
|
6,045 |
5,649 |
$32K |
| G9002 |
Mccd,maintenance rate |
185 |
154 |
$31K |
| 96040 |
|
4,845 |
4,289 |
$30K |
| 64642 |
|
335 |
318 |
$30K |
| 72148 |
|
425 |
416 |
$30K |
| 99292 |
|
258 |
128 |
$30K |
| 73590 |
|
4,777 |
4,377 |
$30K |
| 95991 |
|
481 |
465 |
$30K |
| 73521 |
|
3,330 |
3,250 |
$29K |
| 77066 |
Tomosynthesis, mammo |
759 |
740 |
$28K |
| 99471 |
|
44 |
39 |
$28K |
| 77073 |
|
2,370 |
2,297 |
$26K |
| 72170 |
|
3,177 |
3,070 |
$25K |
| 95079 |
|
199 |
179 |
$24K |
| 95957 |
|
436 |
212 |
$24K |
| 64400 |
|
193 |
159 |
$24K |
| 95819 |
|
567 |
531 |
$24K |
| 93228 |
|
1,211 |
1,185 |
$23K |
| 90791 |
|
267 |
204 |
$23K |
| 74019 |
|
1,383 |
1,270 |
$23K |
| 11721 |
|
2,143 |
2,113 |
$23K |
| 11900 |
|
1,118 |
1,053 |
$22K |
| 88108 |
|
915 |
657 |
$22K |
| 72100 |
|
2,901 |
2,775 |
$22K |
| 99354 |
|
434 |
394 |
$22K |
| 77072 |
|
2,984 |
2,904 |
$21K |
| 54150 |
|
647 |
366 |
$20K |
| 15004 |
|
82 |
65 |
$20K |
| 93308 |
|
767 |
603 |
$20K |
| 76376 |
|
2,378 |
2,193 |
$20K |
| 93314 |
|
437 |
377 |
$20K |
| 76536 |
|
903 |
875 |
$20K |
| 93321 |
|
2,526 |
2,052 |
$19K |
| 76821 |
|
405 |
302 |
$19K |
| 99221 |
|
274 |
247 |
$18K |
| 73502 |
|
2,663 |
2,570 |
$18K |
| 70360 |
|
3,339 |
3,238 |
$18K |
| 54161 |
|
185 |
175 |
$18K |
| 92015 |
|
12,364 |
11,995 |
$18K |
| 96156 |
|
1,797 |
1,741 |
$18K |
| D1206 |
|
1,075 |
1,058 |
$17K |
| G8431 |
Pos clin depres scrn f/u doc |
601 |
577 |
$17K |
| 76377 |
|
523 |
504 |
$17K |
| 76827 |
|
648 |
517 |
$17K |
| 70486 |
|
414 |
388 |
$17K |
| 99418 |
Prolong nursin fac eval 15m |
277 |
158 |
$16K |
| 69210 |
|
1,032 |
979 |
$16K |
| 95251 |
|
832 |
801 |
$16K |
| 73140 |
|
3,509 |
3,374 |
$16K |
| 99282 |
|
507 |
488 |
$16K |
| 46607 |
|
118 |
93 |
$15K |
| 76942 |
|
662 |
564 |
$14K |
| 99383 |
|
133 |
130 |
$14K |
| 64405 |
|
826 |
644 |
$14K |
| 93356 |
|
425 |
380 |
$14K |
| 95886 |
|
280 |
272 |
$14K |
| 20553 |
|
770 |
723 |
$14K |
| 31575 |
|
426 |
402 |
$14K |
| 95811 |
|
152 |
148 |
$14K |
| 31624 |
|
39 |
36 |
$13K |
| 90833 |
|
300 |
278 |
$13K |
| 73100 |
|
3,215 |
3,030 |
$13K |
| 75561 |
|
110 |
108 |
$13K |
| 00811 |
|
115 |
113 |
$13K |
| 64643 |
|
153 |
150 |
$12K |
| H0025 |
Alcohol and/or drug preventi |
1,270 |
1,012 |
$12K |
| 96133 |
|
79 |
55 |
$12K |
| 99462 |
|
308 |
283 |
$12K |
| 73080 |
|
2,130 |
1,993 |
$11K |
| 84165 |
|
3,408 |
2,569 |
$11K |
| 77065 |
Tomosynthesis, mammo |
474 |
453 |
$11K |
| 76820 |
|
395 |
285 |
$11K |
| 99201 |
|
290 |
282 |
$10K |
| 76819 |
|
237 |
150 |
$10K |
| 76506 |
|
302 |
268 |
$10K |
| 76801 |
|
256 |
241 |
$10K |
| 88342 |
|
582 |
334 |
$9K |
| 77080 |
|
169 |
167 |
$9K |
| 72141 |
|
121 |
117 |
$9K |
| 74240 |
|
326 |
312 |
$8K |
| 99395 |
|
86 |
84 |
$8K |
| 76813 |
|
161 |
161 |
$8K |
| 90792 |
|
87 |
63 |
$8K |
| H0002 |
Alcohol and/or drug screenin |
584 |
430 |
$8K |
| 93018 |
|
747 |
721 |
$8K |
| 99211 |
|
579 |
485 |
$8K |
| 66984 |
|
29 |
24 |
$8K |
| 99475 |
|
12 |
12 |
$8K |
| 86077 |
|
248 |
226 |
$8K |
| 74183 |
|
125 |
120 |
$8K |
| 92504 |
|
534 |
518 |
$8K |
| 93304 |
|
189 |
167 |
$7K |
| 00140 |
|
65 |
52 |
$7K |
| 96167 |
|
1,125 |
994 |
$7K |
| 76805 |
|
134 |
129 |
$7K |
| 96127 |
|
352 |
351 |
$7K |
| 99476 |
|
24 |
13 |
$7K |
| 99382 |
|
69 |
63 |
$7K |
| 90966 |
|
154 |
146 |
$7K |
| 99356 |
|
160 |
85 |
$7K |
| 93294 |
|
257 |
254 |
$7K |
| 93312 |
|
123 |
90 |
$7K |
| 75574 |
|
40 |
40 |
$6K |
| 17110 |
|
251 |
246 |
$6K |
| 88313 |
|
337 |
231 |
$6K |
| 75573 |
|
65 |
63 |
$6K |
| 86334 |
|
1,525 |
1,019 |
$6K |
| 90847 |
|
98 |
77 |
$6K |
| 43760 |
|
153 |
139 |
$5K |
| 92235 |
|
130 |
126 |
$5K |
| 90853 |
|
321 |
175 |
$5K |
| 73564 |
|
730 |
669 |
$5K |
| 72081 |
|
528 |
510 |
$5K |
| 45380 |
|
25 |
24 |
$5K |
| 73070 |
|
1,135 |
1,079 |
$5K |
| 45385 |
|
26 |
26 |
$5K |
| 49083 |
|
19 |
16 |
$5K |
| 70544 |
|
80 |
79 |
$5K |
| 00920 |
|
29 |
25 |
$4K |
| 80323 |
|
241 |
148 |
$4K |
| 96112 |
|
43 |
41 |
$4K |
| 64418 |
|
118 |
108 |
$4K |
| 70491 |
|
73 |
68 |
$4K |
| 00635 |
|
13 |
12 |
$4K |
| 82570 |
|
737 |
455 |
$4K |
| 95913 |
|
15 |
15 |
$4K |
| 73560 |
|
774 |
712 |
$4K |
| 90471 |
|
260 |
196 |
$4K |
| G2211 |
Complex e/m visit add on |
2,885 |
2,774 |
$4K |
| 76775 |
|
156 |
149 |
$4K |
| 94010 |
|
544 |
527 |
$4K |
| 76885 |
|
116 |
113 |
$4K |
| 77334 |
|
46 |
33 |
$4K |
| 73552 |
|
505 |
468 |
$3K |
| 85390 |
|
333 |
324 |
$3K |
| 95813 |
|
17 |
16 |
$3K |
| 74160 |
|
86 |
67 |
$3K |
| 80358 |
|
180 |
152 |
$3K |
| 99218 |
|
57 |
56 |
$3K |
| 93790 |
|
254 |
243 |
$3K |
| 99236 |
Prolong inpt eval add15 m |
23 |
13 |
$3K |
| 15002 |
|
17 |
14 |
$3K |
| 77387 |
|
172 |
106 |
$3K |
| 92250 |
|
151 |
137 |
$3K |
| 72040 |
|
464 |
447 |
$3K |
| 95816 |
|
85 |
80 |
$3K |
| 72146 |
|
36 |
36 |
$3K |
| 78306 |
|
104 |
101 |
$3K |
| 76870 |
|
93 |
92 |
$3K |
| 96132 |
|
28 |
25 |
$3K |
| 90945 |
|
73 |
24 |
$3K |
| 15100 |
|
15 |
13 |
$3K |
| 92020 |
|
185 |
181 |
$2K |
| 64450 |
|
313 |
247 |
$2K |
| 80349 |
|
134 |
100 |
$2K |
| 80329 |
|
135 |
94 |
$2K |
| 91200 |
|
247 |
237 |
$2K |
| 77263 |
|
19 |
18 |
$2K |
| 01810 |
|
12 |
12 |
$2K |
| 75565 |
|
138 |
136 |
$2K |
| 20611 |
|
36 |
36 |
$2K |
| 93000 |
|
93 |
88 |
$2K |
| 88173 |
|
70 |
41 |
$2K |
| 70543 |
|
24 |
24 |
$2K |
| 93295 |
|
72 |
64 |
$2K |
| 76937 |
|
226 |
140 |
$2K |
| 80324 |
|
90 |
73 |
$2K |
| 76856 |
|
41 |
41 |
$2K |
| 95874 |
|
102 |
94 |
$2K |
| 90674 |
|
83 |
77 |
$2K |
| 92511 |
|
14 |
14 |
$2K |
| 88291 |
|
57 |
53 |
$2K |
| 76881 |
|
35 |
25 |
$2K |
| 97802 |
|
25 |
24 |
$1K |
| 95873 |
|
38 |
24 |
$1K |
| 74220 |
|
102 |
94 |
$1K |
| 76826 |
|
63 |
44 |
$1K |
| 92540 |
|
75 |
38 |
$1K |
| 90686 |
|
162 |
128 |
$1K |
| 96111 |
|
13 |
13 |
$1K |
| 96136 |
|
24 |
24 |
$1K |
| D0190 |
|
286 |
282 |
$1K |
| 91299 |
|
61 |
13 |
$1K |
| 88141 |
|
93 |
90 |
$1K |
| 92025 |
|
45 |
41 |
$1K |
| 93272 |
|
52 |
52 |
$1K |
| 93005 |
|
120 |
116 |
$1K |
| 93568 |
|
17 |
12 |
$1K |
| J1030 |
Methylprednisolone 40 mg inj |
204 |
197 |
$1K |
| 99441 |
|
114 |
110 |
$1K |
| 93750 |
|
49 |
40 |
$1K |
| 76828 |
|
47 |
32 |
$1K |
| 92136 |
|
117 |
97 |
$1K |
| 96158 |
|
270 |
154 |
$1K |
| 52000 |
|
35 |
24 |
$969.37 |
| 80353 |
|
54 |
41 |
$968.22 |
| 88304 |
|
90 |
70 |
$968.16 |
| 74022 |
|
125 |
115 |
$964.83 |
| G0268 |
Removal of impacted wax md |
64 |
63 |
$961.98 |
| 88112 |
|
26 |
26 |
$876.76 |
| 16020 |
|
29 |
24 |
$873.58 |
| 73620 |
|
169 |
140 |
$872.11 |
| 11102 |
|
26 |
25 |
$869.69 |
| 92002 |
|
15 |
12 |
$858.10 |
| 42830 |
|
12 |
12 |
$854.72 |
| 99451 |
|
25 |
25 |
$800.48 |
| 50200 |
|
15 |
13 |
$772.72 |
| H0049 |
Alcohol/drug screening |
96 |
81 |
$770.15 |
| 36415 |
|
294 |
277 |
$767.60 |
| J3490 |
Drugs unclassified injection |
137 |
102 |
$757.57 |
| 83036 |
|
90 |
87 |
$754.74 |
| 73700 |
|
16 |
13 |
$693.81 |
| 73000 |
|
116 |
110 |
$652.98 |
| 78315 |
|
28 |
20 |
$622.76 |
| 80361 |
|
34 |
25 |
$609.62 |
| 64430 |
|
13 |
13 |
$586.71 |
| H0023 |
Alcohol and/or drug outreach |
105 |
87 |
$579.70 |
| 93298 |
|
38 |
36 |
$574.71 |
| 51798 |
|
65 |
59 |
$564.28 |
| 72110 |
|
27 |
27 |
$501.74 |
| 93280 |
|
18 |
12 |
$467.04 |
| 77470 |
|
22 |
18 |
$455.67 |
| 52310 |
|
14 |
13 |
$444.85 |
| 88311 |
|
304 |
219 |
$428.98 |
| 88172 |
|
18 |
13 |
$412.85 |
| 01996 |
|
35 |
26 |
$404.13 |
| 91037 |
|
61 |
12 |
$396.66 |
| 99443 |
|
56 |
51 |
$391.43 |
| 97542 |
|
16 |
13 |
$390.66 |
| 85060 |
|
14 |
12 |
$379.61 |
| 62270 |
|
13 |
12 |
$374.30 |
| 76604 |
|
23 |
15 |
$345.14 |
| 73221 |
|
13 |
12 |
$341.70 |
| 80354 |
|
19 |
14 |
$340.67 |
| 77063 |
|
1,242 |
1,228 |
$340.67 |
| 93788 |
|
64 |
59 |
$326.66 |
| J3301 |
Triamcinolone acet inj nos |
42 |
40 |
$316.35 |
| 54450 |
|
15 |
15 |
$305.03 |
| 94618 |
|
12 |
12 |
$271.80 |
| 93922 |
|
14 |
14 |
$255.64 |
| 92537 |
|
43 |
12 |
$253.28 |
| 99367 |
|
35 |
35 |
$244.08 |
| 17250 |
|
12 |
12 |
$227.90 |
| 93297 |
|
15 |
15 |
$205.01 |
| 92519 |
|
15 |
13 |
$192.13 |
| 93244 |
|
54 |
47 |
$165.63 |
| 73060 |
|
25 |
24 |
$163.41 |
| 0298T |
|
38 |
38 |
$150.33 |
| 72050 |
|
12 |
12 |
$135.91 |
| 91065 |
|
14 |
14 |
$134.26 |
| 96168 |
|
150 |
141 |
$132.84 |
| 99053 |
|
98 |
82 |
$124.57 |
| 72190 |
|
13 |
13 |
$121.29 |
| 93248 |
|
102 |
98 |
$121.18 |
| 99422 |
|
351 |
348 |
$92.79 |
| 96151 |
|
12 |
12 |
$88.80 |
| 11100 |
|
12 |
12 |
$83.64 |
| 96159 |
|
90 |
54 |
$79.65 |
| 73600 |
|
16 |
12 |
$63.56 |
| 81003 |
|
96 |
90 |
$30.11 |
| 36416 |
|
90 |
87 |
$19.80 |
| 90899 |
|
70 |
69 |
$17.50 |
| G2012 |
Brief check in by md/qhp |
13 |
12 |
$8.04 |
| 77062 |
|
82 |
81 |
$0.00 |
| 96165 |
|
31 |
26 |
$0.00 |
| 3078F |
|
593 |
551 |
$0.00 |
| 99100 |
|
63 |
48 |
$0.00 |
| 0502F |
|
32 |
12 |
$0.00 |
| 77061 |
|
14 |
14 |
$0.00 |
| 3074F |
|
668 |
630 |
$0.00 |
| 3079F |
|
27 |
26 |
$0.00 |
| 3044F |
|
194 |
174 |
$0.00 |
| 1123F |
|
172 |
164 |
$0.00 |
| 96154 |
|
15 |
14 |
$0.00 |
| 96150 |
|
27 |
26 |
$0.00 |
| 96164 |
|
31 |
26 |
$0.00 |