| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
20,506 |
1,384 |
$2.02M |
| A4657 |
Syringe, with or without needle, each |
5,176 |
1,040 |
$7K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
8,453 |
414 |
$95.52 |
| J1756 |
Injection, iron sucrose, 1 mg |
4,804 |
704 |
$23.00 |
| G0008 |
Administration of influenza virus vaccine |
86 |
49 |
$7.25 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
4,728 |
319 |
$3.92 |
| 85041 |
|
266 |
108 |
$0.00 |
| 83970 |
|
377 |
145 |
$0.00 |
| OP250 |
|
2,935 |
78 |
$0.00 |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
967 |
367 |
$0.00 |
| 85048 |
|
266 |
108 |
$0.00 |
| 83540 |
|
62 |
27 |
$0.00 |
| 82728 |
|
62 |
28 |
$0.00 |