| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
40,108 |
3,187 |
$817K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
3,778 |
1,776 |
$49K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
433 |
144 |
$30K |
| 83970 |
|
2,616 |
2,101 |
$15K |
| J1756 |
Injection, iron sucrose, 1 mg |
7,738 |
1,400 |
$11K |
| 82310 |
|
6,407 |
2,709 |
$7K |
| 84100 |
|
6,913 |
2,744 |
$6K |
| 83550 |
|
3,322 |
2,675 |
$5K |
| 84520 |
|
6,395 |
2,712 |
$5K |
| 85018 |
|
9,703 |
2,771 |
$4K |
| 80051 |
|
2,743 |
2,251 |
$4K |
| 83540 |
|
3,364 |
2,710 |
$4K |
| 82728 |
|
1,662 |
1,251 |
$4K |
| 82040 |
|
3,398 |
2,376 |
$3K |
| 82565 |
|
2,759 |
2,254 |
$3K |
| 82108 |
|
437 |
384 |
$2K |
| 87340 |
|
1,031 |
849 |
$2K |
| 90732 |
|
71 |
53 |
$2K |
| 85025 |
|
1,453 |
1,198 |
$2K |
| 83735 |
|
1,043 |
861 |
$1K |
| 84155 |
|
1,084 |
982 |
$804.83 |
| J1644 |
Injection, heparin sodium, per 1000 units |
11,492 |
361 |
$798.55 |
| 86706 |
|
288 |
239 |
$511.87 |
| 90662 |
|
51 |
36 |
$469.95 |
| 84075 |
|
449 |
372 |
$374.76 |
| 85046 |
|
215 |
166 |
$279.41 |
| 82652 |
|
34 |
26 |
$262.18 |
| 82746 |
|
91 |
76 |
$223.70 |
| 86803 |
|
93 |
71 |
$206.05 |
| 90686 |
|
74 |
48 |
$152.24 |
| 90688 |
|
44 |
43 |
$141.83 |
| 0064A |
|
12 |
12 |
$107.61 |
| A4657 |
Syringe, with or without needle, each |
26,061 |
2,057 |
$77.28 |
| 0011A |
|
12 |
12 |
$16.94 |
| 86704 |
|
29 |
18 |
$10.85 |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
1,407 |
1,152 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
209 |
145 |
$0.00 |
| J3490 |
Unclassified drugs |
53 |
13 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
71 |
53 |
$0.00 |