| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
38,619 |
3,461 |
$2.62M |
| A4657 |
Syringe, with or without needle, each |
41,692 |
2,533 |
$344K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
3,449 |
2,059 |
$247K |
| J1756 |
Injection, iron sucrose, 1 mg |
8,452 |
1,892 |
$10K |
| 90686 |
|
64 |
55 |
$246.56 |
| 83970 |
|
1,434 |
1,283 |
$197.02 |
| 83550 |
|
3,032 |
2,726 |
$91.52 |
| 0012A |
|
30 |
24 |
$80.00 |
| 0011A |
|
28 |
26 |
$80.00 |
| 84520 |
|
5,073 |
2,796 |
$75.02 |
| 85025 |
|
3,038 |
2,696 |
$74.31 |
| 83540 |
|
3,069 |
2,765 |
$67.78 |
| 82728 |
|
1,104 |
983 |
$65.05 |
| 84100 |
|
3,710 |
2,510 |
$53.66 |
| 82310 |
|
3,024 |
2,079 |
$53.45 |
| 82108 |
|
338 |
313 |
$47.42 |
| 84155 |
|
3,052 |
2,748 |
$34.87 |
| 82565 |
|
780 |
665 |
$29.41 |
| 82040 |
|
738 |
666 |
$28.46 |
| 80069 |
|
1,923 |
1,743 |
$16.86 |
| 82746 |
|
174 |
153 |
$13.08 |
| 83735 |
|
773 |
692 |
$12.46 |
| 84075 |
|
1,029 |
928 |
$9.64 |
| 83036 |
|
90 |
86 |
$8.64 |
| 82947 |
|
66 |
63 |
$3.50 |
| 87340 |
|
1,048 |
932 |
$0.00 |
| 80051 |
|
734 |
638 |
$0.00 |
| 85018 |
|
8,555 |
2,832 |
$0.00 |
| 86706 |
|
350 |
308 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
154 |
138 |
$0.00 |
| 84132 |
|
139 |
84 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |
| J3490 |
Unclassified drugs |
278 |
50 |
$0.00 |
| 86803 |
|
28 |
26 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
20,247 |
713 |
$0.00 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
862 |
81 |
$0.00 |
| 84450 |
|
31 |
24 |
$0.00 |
| 90662 |
|
33 |
27 |
$0.00 |