| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
42,471 |
3,338 |
$2.81M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
3,884 |
2,311 |
$413K |
| A4657 |
Syringe, with or without needle, each |
25,910 |
2,476 |
$140K |
| J1756 |
Injection, iron sucrose, 1 mg |
8,066 |
1,928 |
$36K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
321 |
168 |
$31K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
102 |
96 |
$11K |
| 99283 |
|
66 |
66 |
$9K |
| 85018 |
|
5,655 |
2,109 |
$5K |
| 99284 |
|
43 |
43 |
$5K |
| 99285 |
|
17 |
17 |
$4K |
| 83970 |
|
1,235 |
1,107 |
$2K |
| 85025 |
|
2,751 |
2,340 |
$2K |
| 80053 |
|
70 |
68 |
$1K |
| 82728 |
|
1,173 |
1,050 |
$854.18 |
| 83550 |
|
1,963 |
1,723 |
$851.95 |
| 84520 |
|
5,307 |
2,267 |
$709.95 |
| 83540 |
|
2,535 |
2,269 |
$696.50 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
565 |
138 |
$696.42 |
| 90686 |
|
88 |
78 |
$610.65 |
| 93005 |
|
30 |
29 |
$542.52 |
| 82310 |
|
2,384 |
2,021 |
$491.49 |
| 82565 |
|
2,077 |
1,864 |
$406.51 |
| 36415 |
|
91 |
86 |
$397.39 |
| 82040 |
|
2,246 |
2,025 |
$387.50 |
| 84100 |
|
2,337 |
2,035 |
$376.46 |
| 84155 |
|
2,497 |
2,252 |
$367.18 |
| 82108 |
|
381 |
349 |
$362.33 |
| 83735 |
|
839 |
768 |
$274.80 |
| 81001 |
|
28 |
28 |
$187.85 |
| 84075 |
|
839 |
758 |
$176.51 |
| 84132 |
|
782 |
289 |
$154.80 |
| 82746 |
|
210 |
183 |
$97.38 |
| 82947 |
|
437 |
384 |
$95.17 |
| J1644 |
Injection, heparin sodium, per 1000 units |
4,998 |
229 |
$94.62 |
| 83036 |
|
43 |
38 |
$55.00 |
| 86704 |
|
131 |
118 |
$54.85 |
| 80051 |
|
2,133 |
1,951 |
$37.33 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
14 |
14 |
$25.71 |
| 87340 |
|
1,201 |
1,068 |
$21.22 |
| 86706 |
|
207 |
184 |
$11.24 |
| 85027 |
|
15 |
14 |
$6.28 |
| G0008 |
Administration of influenza virus vaccine |
157 |
143 |
$0.00 |
| 82607 |
|
34 |
34 |
$0.00 |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
31 |
24 |
$0.00 |
| J3490 |
Unclassified drugs |
467 |
92 |
$0.00 |
| 86803 |
|
16 |
16 |
$0.00 |
| 0011A |
|
19 |
17 |
$0.00 |
| 0012A |
|
15 |
13 |
$0.00 |
| 0064A |
|
18 |
17 |
$0.00 |
| 90688 |
|
24 |
22 |
$0.00 |
| 84466 |
|
433 |
411 |
$0.00 |
| 90682 |
|
18 |
17 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
25 |
12 |
$0.00 |