| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
35,460 |
3,940 |
$7.76M |
| 0821 |
|
3,394 |
885 |
$3.10M |
| Z6004 |
|
84 |
84 |
$126K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
10,308 |
1,738 |
$107K |
| J1756 |
Injection, iron sucrose, 1 mg |
4,192 |
1,612 |
$34K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
434 |
282 |
$7K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
5,181 |
910 |
$7K |
| 90677 |
|
30 |
29 |
$6K |
| A4657 |
Syringe, with or without needle, each |
3,228 |
1,176 |
$4K |
| 83970 |
|
666 |
649 |
$2K |
| 90674 |
|
112 |
112 |
$2K |
| 90662 |
|
43 |
43 |
$1K |
| 82728 |
|
234 |
223 |
$233.29 |
| 85041 |
|
615 |
597 |
$228.29 |
| 85048 |
|
626 |
608 |
$218.46 |
| 83550 |
|
295 |
280 |
$161.55 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
12 |
$130.06 |
| 83540 |
|
309 |
294 |
$120.72 |
| 90661 |
|
12 |
12 |
$77.12 |
| 0302 |
|
114 |
59 |
$9.88 |
| 0250 |
|
158 |
13 |
$0.00 |