| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
42,733 |
3,510 |
$1.51M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
4,793 |
2,384 |
$153K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
1,230 |
164 |
$63K |
| 83970 |
|
3,614 |
2,947 |
$48K |
| J1756 |
Injection, iron sucrose, 1 mg |
7,712 |
1,629 |
$21K |
| 82728 |
|
3,463 |
2,911 |
$15K |
| 83550 |
|
3,505 |
2,937 |
$10K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
10,738 |
981 |
$9K |
| 80069 |
|
3,095 |
2,572 |
$8K |
| 85018 |
|
9,496 |
2,978 |
$8K |
| 83540 |
|
3,508 |
2,941 |
$7K |
| 84520 |
|
4,472 |
2,956 |
$6K |
| 84100 |
|
1,798 |
1,275 |
$5K |
| 82108 |
|
567 |
493 |
$5K |
| 84155 |
|
3,511 |
2,943 |
$4K |
| 83735 |
|
1,147 |
978 |
$2K |
| 87340 |
|
589 |
507 |
$2K |
| 90732 |
|
61 |
40 |
$2K |
| 84075 |
|
1,137 |
972 |
$2K |
| J1644 |
Injection, heparin sodium, per 1000 units |
13,300 |
575 |
$2K |
| 82746 |
|
278 |
239 |
$1K |
| 86706 |
|
324 |
276 |
$1K |
| 80051 |
|
166 |
164 |
$843.97 |
| 82310 |
|
177 |
170 |
$664.10 |
| 82040 |
|
173 |
167 |
$637.37 |
| 82565 |
|
166 |
164 |
$623.16 |
| 82947 |
|
168 |
164 |
$468.50 |
| 86803 |
|
111 |
87 |
$406.08 |
| 90688 |
|
54 |
49 |
$369.30 |
| 90686 |
|
99 |
69 |
$246.44 |
| 0012A |
|
15 |
15 |
$215.22 |
| 0011A |
|
16 |
15 |
$179.35 |
| 0064A |
|
16 |
16 |
$107.61 |
| 84132 |
|
57 |
38 |
$42.80 |
| G0008 |
Administration of influenza virus vaccine |
232 |
171 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
36,694 |
2,629 |
$0.00 |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
3,217 |
2,715 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
59 |
38 |
$0.00 |
| 90682 |
|
23 |
18 |
$0.00 |