| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
7,106 |
533 |
$340K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,702 |
452 |
$87K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
4,595 |
332 |
$530.99 |
| A4657 |
Syringe, with or without needle, each |
4,258 |
422 |
$234.25 |
| 82310 |
|
682 |
474 |
$76.72 |
| 85027 |
|
525 |
473 |
$70.39 |
| 82374 |
|
516 |
472 |
$47.64 |
| 84295 |
|
557 |
472 |
$46.95 |
| 83970 |
|
185 |
167 |
$46.60 |
| 84520 |
|
1,096 |
473 |
$43.01 |
| 84132 |
|
907 |
459 |
$35.72 |
| 84100 |
|
715 |
465 |
$31.47 |
| J1756 |
Injection, iron sucrose, 1 mg |
663 |
170 |
$29.88 |
| 86704 |
|
44 |
38 |
$13.60 |
| 82728 |
|
169 |
157 |
$13.56 |
| 84075 |
|
173 |
158 |
$10.99 |
| 82565 |
|
504 |
455 |
$5.79 |
| 82040 |
|
545 |
453 |
$5.59 |
| 87340 |
|
524 |
470 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
39 |
38 |
$0.00 |
| 82306 |
|
85 |
76 |
$0.00 |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
120 |
12 |
$0.00 |
| 86706 |
|
42 |
37 |
$0.00 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
39 |
38 |
$0.00 |
| 86580 |
|
40 |
37 |
$0.00 |
| 83540 |
|
162 |
152 |
$0.00 |
| 84466 |
|
160 |
150 |
$0.00 |