| Code | Description | Claims | Beneficiaries | Total Paid |
| A4657 |
Syringe, with or without needle, each |
27,258 |
3,225 |
$735K |
| J2501 |
Injection, paricalcitol, 1 mcg |
31,169 |
2,193 |
$192K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
5,866 |
2,599 |
$165K |
| 84075 |
|
3,583 |
2,814 |
$117K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
7,904 |
650 |
$86K |
| 90999 |
|
22,205 |
2,035 |
$79K |
| 87340 |
|
2,876 |
2,174 |
$78K |
| 80053 |
|
497 |
497 |
$55K |
| 85018 |
|
8,445 |
2,986 |
$30K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
4,492 |
357 |
$19K |
| 82040 |
|
4,391 |
2,745 |
$15K |
| J1756 |
Injection, iron sucrose, 1 mg |
12,316 |
2,304 |
$13K |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
2,989 |
225 |
$8K |
| 80051 |
|
2,893 |
2,261 |
$7K |
| 82310 |
|
5,218 |
2,850 |
$4K |
| 84520 |
|
8,519 |
2,607 |
$2K |
| 82565 |
|
3,537 |
2,739 |
$930.23 |
| 90747 |
|
90 |
77 |
$884.40 |
| 90686 |
|
47 |
45 |
$849.42 |
| 84100 |
|
6,326 |
3,305 |
$562.49 |
| 83540 |
|
4,455 |
3,318 |
$411.36 |
| 82374 |
|
547 |
454 |
$240.83 |
| 82728 |
|
2,811 |
2,290 |
$104.82 |
| G0008 |
Administration of influenza virus vaccine |
164 |
131 |
$101.64 |
| 85014 |
|
3,271 |
2,642 |
$25.98 |
| 82435 |
|
547 |
454 |
$0.00 |
| 85025 |
|
4,061 |
3,275 |
$0.00 |
| 84134 |
|
516 |
516 |
$0.00 |
| G0010 |
Administration of hepatitis b vaccine |
87 |
74 |
$0.00 |
| 86706 |
|
327 |
234 |
$0.00 |
| 84132 |
|
633 |
466 |
$0.00 |
| 83735 |
|
217 |
170 |
$0.00 |
| 82306 |
|
284 |
217 |
$0.00 |
| 90732 |
|
24 |
23 |
$0.00 |
| 82746 |
|
185 |
141 |
$0.00 |
| 82607 |
|
185 |
141 |
$0.00 |
| 0001A |
|
18 |
13 |
$0.00 |
| 90674 |
|
78 |
50 |
$0.00 |
| 90688 |
|
21 |
21 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
24 |
23 |
$0.00 |
| 84450 |
|
1,035 |
750 |
$0.00 |
| 83970 |
|
3,518 |
2,495 |
$0.00 |
| 84466 |
|
4,427 |
3,317 |
$0.00 |
| 0002A |
|
21 |
16 |
$0.00 |
| 84155 |
|
3,518 |
2,772 |
$0.00 |
| 85045 |
|
503 |
503 |
$0.00 |
| 84295 |
|
547 |
454 |
$0.00 |
| 82108 |
|
209 |
167 |
$0.00 |