| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
54,060 |
4,812 |
$8.82M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
3,579 |
2,244 |
$263K |
| J1756 |
Injection, iron sucrose, 1 mg |
7,071 |
1,712 |
$118K |
| 0250 |
|
21,974 |
1,842 |
$49K |
| J1644 |
Injection, heparin sodium, per 1000 units |
35,852 |
1,612 |
$27K |
| A4657 |
Syringe, with or without needle, each |
21,458 |
1,566 |
$20K |
| 85018 |
|
4,705 |
1,763 |
$20K |
| 85025 |
|
1,602 |
1,527 |
$15K |
| 84520 |
|
3,438 |
1,623 |
$11K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
37 |
14 |
$9K |
| 83550 |
|
1,621 |
1,524 |
$8K |
| 84155 |
|
1,662 |
1,525 |
$8K |
| 87340 |
|
334 |
317 |
$7K |
| 83540 |
|
1,663 |
1,569 |
$7K |
| 82310 |
|
2,009 |
1,289 |
$7K |
| 84100 |
|
2,009 |
1,287 |
$7K |
| 86706 |
|
129 |
122 |
$7K |
| 83970 |
|
762 |
680 |
$4K |
| 82746 |
|
64 |
59 |
$4K |
| 82565 |
|
1,257 |
1,118 |
$4K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
122 |
16 |
$4K |
| 80051 |
|
1,168 |
1,095 |
$3K |
| 82040 |
|
1,243 |
1,152 |
$2K |
| 80069 |
|
133 |
122 |
$2K |
| 82728 |
|
503 |
468 |
$2K |
| 82108 |
|
170 |
161 |
$1K |
| 84075 |
|
470 |
431 |
$822.53 |
| J3490 |
Unclassified drugs |
466 |
128 |
$577.04 |
| 83735 |
|
439 |
413 |
$573.63 |
| 90688 |
|
48 |
44 |
$287.70 |
| 90662 |
|
30 |
29 |
$120.34 |
| 90682 |
|
30 |
28 |
$92.21 |
| 84132 |
|
153 |
62 |
$40.07 |
| 86580 |
|
13 |
12 |
$31.57 |
| 90686 |
|
30 |
30 |
$24.74 |
| G0008 |
Administration of influenza virus vaccine |
101 |
91 |
$23.47 |
| 90661 |
|
14 |
14 |
$0.00 |