| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
12,032 |
714 |
$883K |
| A4657 |
Syringe, with or without needle, each |
1,525 |
623 |
$7K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
862 |
275 |
$985.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
4,112 |
496 |
$210.00 |
| G0008 |
Administration of influenza virus vaccine |
64 |
28 |
$6.63 |
| 82728 |
|
143 |
51 |
$0.00 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
2,267 |
114 |
$0.00 |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
7,665 |
253 |
$0.00 |
| 83550 |
|
18 |
12 |
$0.00 |
| 90674 |
|
30 |
12 |
$0.00 |
| G0499 |
Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result |
73 |
27 |
$0.00 |
| 83540 |
|
166 |
51 |
$0.00 |
| OP250 |
|
390 |
15 |
$0.00 |
| 85048 |
|
698 |
262 |
$0.00 |
| 85041 |
|
695 |
262 |
$0.00 |
| 83970 |
|
579 |
228 |
$0.00 |
| 82108 |
|
20 |
12 |
$0.00 |