| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
30,325 |
2,743 |
$4.33M |
| 0250 |
|
5,070 |
327 |
$26K |
| A4657 |
Syringe, with or without needle, each |
848 |
565 |
$19K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
2,280 |
161 |
$9K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,430 |
465 |
$1K |
| 83970 |
|
398 |
380 |
$596.05 |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
507 |
322 |
$446.70 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
73 |
12 |
$62.92 |
| G0008 |
Administration of influenza virus vaccine |
103 |
100 |
$33.93 |
| 90662 |
|
27 |
27 |
$21.39 |
| 90674 |
|
13 |
13 |
$10.40 |
| 85041 |
|
383 |
362 |
$0.00 |
| 85048 |
|
383 |
362 |
$0.00 |
| 82108 |
|
14 |
14 |
$0.00 |
| 83540 |
|
148 |
134 |
$0.00 |
| 85045 |
|
136 |
119 |
$0.00 |
| 83550 |
|
115 |
103 |
$0.00 |
| 82306 |
|
19 |
15 |
$0.00 |
| 82728 |
|
138 |
134 |
$0.00 |
| 82607 |
|
18 |
14 |
$0.00 |
| 82746 |
|
20 |
16 |
$0.00 |