| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
12,633 |
1,575 |
$1.43M |
| J2501 |
Injection, paricalcitol, 1 mcg |
5,597 |
1,419 |
$100K |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
1,934 |
608 |
$87K |
| J1756 |
Injection, iron sucrose, 1 mg |
953 |
431 |
$51K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
1,160 |
493 |
$49K |
| 90937 |
|
165 |
88 |
$4K |
| A4657 |
Syringe, with or without needle, each |
6,424 |
1,676 |
$4K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
35 |
12 |
$3K |
| 83970 |
|
49 |
49 |
$721.28 |
| 90688 |
|
32 |
32 |
$303.27 |
| 82728 |
|
37 |
37 |
$249.78 |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
17 |
12 |
$231.96 |
| J0636 |
Injection, calcitriol, 0.1 mcg |
357 |
68 |
$142.85 |
| 83550 |
|
25 |
25 |
$142.60 |
| 90656 |
|
12 |
12 |
$141.06 |
| 82607 |
|
12 |
12 |
$132.00 |
| 83540 |
|
49 |
49 |
$118.45 |
| 90658 |
|
16 |
16 |
$113.27 |
| 84460 |
|
25 |
25 |
$104.38 |
| 86706 |
|
12 |
12 |
$94.16 |
| 87340 |
|
12 |
12 |
$90.31 |
| 84075 |
|
49 |
49 |
$85.56 |
| 85045 |
|
49 |
49 |
$74.52 |
| 85014 |
|
41 |
37 |
$71.78 |
| 85018 |
|
41 |
37 |
$68.82 |
| 85025 |
|
12 |
12 |
$66.88 |
| 84155 |
|
49 |
49 |
$61.18 |
| 84520 |
|
74 |
37 |
$59.64 |
| G0008 |
Administration of influenza virus vaccine |
48 |
45 |
$3.87 |
| 82040 |
|
24 |
24 |
$0.00 |
| 82310 |
|
24 |
24 |
$0.00 |
| 82565 |
|
24 |
24 |
$0.00 |
| 84100 |
|
47 |
37 |
$0.00 |