| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
37,526 |
1,794 |
$1.89M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,507 |
512 |
$23K |
| J1756 |
Injection, iron sucrose, 1 mg |
5,456 |
623 |
$2K |
| A4657 |
Syringe, with or without needle, each |
20,611 |
1,194 |
$1K |
| 83970 |
|
1,228 |
544 |
$85.16 |
| 83550 |
|
2,855 |
1,381 |
$24.01 |
| 85025 |
|
2,130 |
992 |
$21.24 |
| 83540 |
|
2,860 |
1,382 |
$19.55 |
| 84520 |
|
5,323 |
1,379 |
$18.90 |
| 82728 |
|
960 |
464 |
$18.60 |
| 80069 |
|
938 |
489 |
$17.79 |
| 82108 |
|
305 |
178 |
$17.38 |
| 85018 |
|
8,264 |
1,382 |
$14.58 |
| 90688 |
|
32 |
19 |
$13.74 |
| 83735 |
|
911 |
441 |
$9.14 |
| 84155 |
|
1,629 |
707 |
$7.50 |
| J1644 |
Injection, heparin sodium, per 1000 units |
258 |
12 |
$6.45 |
| 84075 |
|
830 |
378 |
$3.53 |
| 84460 |
|
1,191 |
587 |
$0.00 |
| 84100 |
|
1,044 |
370 |
$0.00 |
| 82310 |
|
518 |
144 |
$0.00 |
| 90682 |
|
28 |
13 |
$0.00 |
| 82565 |
|
56 |
26 |
$0.00 |
| 0013A |
|
31 |
17 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
197 |
88 |
$0.00 |
| 86706 |
|
183 |
95 |
$0.00 |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
274 |
153 |
$0.00 |
| 90686 |
|
64 |
31 |
$0.00 |
| 82040 |
|
173 |
64 |
$0.00 |
| 87340 |
|
383 |
207 |
$0.00 |
| 82746 |
|
115 |
56 |
$0.00 |
| 80051 |
|
33 |
12 |
$0.00 |
| 0011A |
|
69 |
17 |
$0.00 |
| 0012A |
|
24 |
14 |
$0.00 |