| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
28,589 |
2,256 |
$2.62M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
2,307 |
1,204 |
$72K |
| J1756 |
Injection, iron sucrose, 1 mg |
5,636 |
1,128 |
$8K |
| A4657 |
Syringe, with or without needle, each |
61,811 |
2,253 |
$3K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
11,376 |
967 |
$2K |
| J1644 |
Injection, heparin sodium, per 1000 units |
34,844 |
1,518 |
$837.42 |
| 83970 |
|
1,392 |
1,109 |
$623.34 |
| 82728 |
|
1,241 |
1,042 |
$100.57 |
| 85018 |
|
3,811 |
1,140 |
$90.04 |
| 84520 |
|
2,526 |
1,119 |
$54.33 |
| 84100 |
|
589 |
409 |
$48.14 |
| 83540 |
|
1,284 |
1,087 |
$47.75 |
| 83550 |
|
1,150 |
961 |
$38.28 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$18.47 |
| 83735 |
|
408 |
338 |
$15.94 |
| 85027 |
|
36 |
36 |
$12.94 |
| 90682 |
|
22 |
13 |
$12.38 |
| J3490 |
Unclassified drugs |
247 |
53 |
$4.96 |
| 85025 |
|
942 |
754 |
$2.94 |
| 82310 |
|
601 |
425 |
$1.96 |
| 84075 |
|
397 |
331 |
$1.96 |
| 82565 |
|
550 |
397 |
$1.94 |
| 80051 |
|
494 |
366 |
$1.90 |
| 82040 |
|
543 |
404 |
$1.88 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
788 |
56 |
$0.00 |
| 82108 |
|
183 |
142 |
$0.00 |
| 85046 |
|
154 |
112 |
$0.00 |
| 80069 |
|
31 |
26 |
$0.00 |
| 83036 |
|
52 |
38 |
$0.00 |
| 87340 |
|
294 |
217 |
$0.00 |
| 86706 |
|
88 |
74 |
$0.00 |
| 86803 |
|
52 |
47 |
$0.00 |