| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
17,118 |
1,587 |
$721K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
947 |
547 |
$105K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
169 |
54 |
$4K |
| 0013A |
|
19 |
16 |
$80.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$3.38 |
| 82728 |
|
754 |
720 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
7,019 |
1,037 |
$0.00 |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
359 |
39 |
$0.00 |
| 82040 |
|
85 |
66 |
$0.00 |
| 86580 |
|
14 |
14 |
$0.00 |
| 83540 |
|
753 |
720 |
$0.00 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
613 |
221 |
$0.00 |
| 84466 |
|
753 |
720 |
$0.00 |
| 83970 |
|
392 |
364 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
527 |
159 |
$0.00 |
| 84100 |
|
85 |
66 |
$0.00 |
| 82310 |
|
85 |
66 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |