| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
39,785 |
3,585 |
$3.61M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
51 |
36 |
$14K |
| A4657 |
Syringe, with or without needle, each |
1,253 |
511 |
$5K |
| 0250 |
|
2,052 |
163 |
$4K |
| J1644 |
Injection, heparin sodium, per 1000 units |
4,049 |
692 |
$4K |
| J1756 |
Injection, iron sucrose, 1 mg |
2,809 |
814 |
$3K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
355 |
198 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,206 |
1,184 |
$160.69 |
| 90686 |
|
74 |
72 |
$137.59 |
| 90677 |
|
28 |
28 |
$97.61 |
| 90656 |
|
23 |
23 |
$52.25 |
| G0008 |
Administration of influenza virus vaccine |
116 |
113 |
$15.52 |
| 83540 |
|
215 |
202 |
$0.00 |
| 84450 |
|
190 |
190 |
$0.00 |
| 82565 |
|
178 |
178 |
$0.00 |
| 84520 |
|
455 |
239 |
$0.00 |
| 84295 |
|
64 |
64 |
$0.00 |
| 85048 |
|
37 |
37 |
$0.00 |
| 82374 |
|
64 |
64 |
$0.00 |
| 84155 |
|
178 |
178 |
$0.00 |
| 84100 |
|
289 |
202 |
$0.00 |
| 82310 |
|
191 |
178 |
$0.00 |
| 84466 |
|
188 |
178 |
$0.00 |
| 83970 |
|
83 |
70 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
53 |
13 |
$0.00 |
| A4218 |
Sterile saline or water, metered dose dispenser, 10 ml |
183 |
14 |
$0.00 |
| 83615 |
|
191 |
191 |
$0.00 |
| 84132 |
|
66 |
64 |
$0.00 |
| 85025 |
|
167 |
166 |
$0.00 |
| 82728 |
|
148 |
148 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
23 |
23 |
$0.00 |
| 84075 |
|
178 |
178 |
$0.00 |
| 80051 |
|
114 |
114 |
$0.00 |
| 82040 |
|
214 |
178 |
$0.00 |
| 82435 |
|
64 |
64 |
$0.00 |
| 85018 |
|
107 |
77 |
$0.00 |
| 82306 |
|
21 |
21 |
$0.00 |
| 90674 |
|
20 |
18 |
$0.00 |
| 86706 |
|
23 |
21 |
$0.00 |
| 83550 |
|
12 |
12 |
$0.00 |