| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
11,352 |
796 |
$506K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,149 |
551 |
$56K |
| A4657 |
Syringe, with or without needle, each |
14,684 |
738 |
$8K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
6,753 |
475 |
$564.62 |
| J1756 |
Injection, iron sucrose, 1 mg |
557 |
115 |
$485.67 |
| 83970 |
|
419 |
311 |
$166.77 |
| 83550 |
|
1,022 |
775 |
$81.40 |
| 85018 |
|
3,105 |
796 |
$72.46 |
| 82728 |
|
355 |
271 |
$67.54 |
| 84520 |
|
1,928 |
775 |
$60.53 |
| 83540 |
|
993 |
754 |
$58.37 |
| 84155 |
|
972 |
751 |
$33.71 |
| 84100 |
|
396 |
255 |
$16.10 |
| 85025 |
|
309 |
235 |
$14.78 |
| 82310 |
|
465 |
252 |
$12.56 |
| 84075 |
|
332 |
256 |
$11.79 |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
414 |
308 |
$5.64 |
| 82040 |
|
247 |
174 |
$4.95 |
| 82565 |
|
241 |
160 |
$4.65 |
| 80051 |
|
113 |
77 |
$3.15 |
| 86706 |
|
72 |
57 |
$0.97 |
| 80069 |
|
33 |
25 |
$0.63 |
| 87340 |
|
31 |
27 |
$0.43 |
| G0008 |
Administration of influenza virus vaccine |
37 |
25 |
$0.00 |