| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
34,974 |
2,036 |
$482K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,555 |
954 |
$4K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
10,535 |
915 |
$3K |
| J1756 |
Injection, iron sucrose, 1 mg |
3,146 |
702 |
$3K |
| 84100 |
|
1,547 |
1,352 |
$0.00 |
| 82565 |
|
1,274 |
1,204 |
$0.00 |
| 82108 |
|
172 |
161 |
$0.00 |
| 83540 |
|
1,674 |
1,540 |
$0.00 |
| 82374 |
|
823 |
784 |
$0.00 |
| 83970 |
|
909 |
834 |
$0.00 |
| 82310 |
|
1,739 |
1,335 |
$0.00 |
| 84520 |
|
3,250 |
1,402 |
$0.00 |
| 85049 |
|
321 |
310 |
$0.00 |
| 85046 |
|
256 |
239 |
$0.00 |
| 84295 |
|
795 |
758 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
3,297 |
166 |
$0.00 |
| 84155 |
|
170 |
161 |
$0.00 |
| 82947 |
|
63 |
62 |
$0.00 |
| 90682 |
|
14 |
14 |
$0.00 |
| 83550 |
|
1,602 |
1,471 |
$0.00 |
| 85018 |
|
4,161 |
1,245 |
$0.00 |
| 82728 |
|
855 |
785 |
$0.00 |
| 82040 |
|
1,416 |
1,339 |
$0.00 |
| 84132 |
|
1,051 |
875 |
$0.00 |
| 85027 |
|
325 |
302 |
$0.00 |
| 83735 |
|
504 |
472 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
21,155 |
1,330 |
$0.00 |
| 84075 |
|
429 |
402 |
$0.00 |
| 85025 |
|
294 |
281 |
$0.00 |
| 86706 |
|
77 |
70 |
$0.00 |
| 87340 |
|
56 |
54 |
$0.00 |
| 80051 |
|
190 |
179 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
67 |
65 |
$0.00 |
| 82746 |
|
56 |
52 |
$0.00 |
| 86803 |
|
16 |
15 |
$0.00 |
| 82607 |
|
16 |
14 |
$0.00 |