| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
18,433 |
1,761 |
$1.08M |
| A4657 |
Syringe, with or without needle, each |
5,243 |
657 |
$7K |
| 83970 |
|
549 |
532 |
$1K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
722 |
482 |
$992.94 |
| J1644 |
Injection, heparin sodium, per 1000 units |
5,983 |
572 |
$45.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
1,895 |
565 |
$15.31 |
| 84520 |
|
1,339 |
640 |
$9.33 |
| 82310 |
|
609 |
598 |
$4.03 |
| 82040 |
|
618 |
592 |
$3.86 |
| 84100 |
|
748 |
620 |
$3.73 |
| 85018 |
|
1,402 |
644 |
$1.86 |
| 80051 |
|
341 |
333 |
$0.00 |
| 84075 |
|
167 |
167 |
$0.00 |
| 87340 |
|
24 |
24 |
$0.00 |
| 84132 |
|
331 |
226 |
$0.00 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
1,416 |
243 |
$0.00 |
| 0250 |
|
269 |
50 |
$0.00 |
| 83550 |
|
547 |
544 |
$0.00 |
| 85025 |
|
503 |
503 |
$0.00 |
| 83735 |
|
151 |
151 |
$0.00 |
| 82728 |
|
167 |
167 |
$0.00 |
| 82435 |
|
116 |
116 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$0.00 |
| 82565 |
|
542 |
519 |
$0.00 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
360 |
49 |
$0.00 |
| 84155 |
|
535 |
532 |
$0.00 |
| 83540 |
|
538 |
535 |
$0.00 |
| 82947 |
|
146 |
146 |
$0.00 |
| 82374 |
|
116 |
116 |
$0.00 |
| 90682 |
|
29 |
29 |
$0.00 |
| 84295 |
|
116 |
116 |
$0.00 |
| 82108 |
|
50 |
50 |
$0.00 |