| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
55,038 |
4,808 |
$7.17M |
| J1756 |
Injection, iron sucrose, 1 mg |
4,284 |
1,154 |
$348K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
2,862 |
514 |
$193K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
2,155 |
1,266 |
$137K |
| J2501 |
Injection, paricalcitol, 1 mcg |
10,437 |
1,082 |
$84K |
| 0821 |
|
430 |
39 |
$76K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
2,197 |
264 |
$23K |
| J1644 |
Injection, heparin sodium, per 1000 units |
4,415 |
286 |
$18K |
| A4657 |
Syringe, with or without needle, each |
2,082 |
364 |
$13K |
| 84520 |
|
2,998 |
1,232 |
$3K |
| 82728 |
|
497 |
470 |
$2K |
| 80051 |
|
1,318 |
1,259 |
$1K |
| 85018 |
|
1,459 |
722 |
$966.50 |
| 84450 |
|
1,031 |
989 |
$916.07 |
| 83970 |
|
556 |
521 |
$740.79 |
| 84466 |
|
1,394 |
1,301 |
$686.01 |
| 84075 |
|
1,369 |
1,309 |
$459.20 |
| 85025 |
|
1,440 |
1,374 |
$418.20 |
| 83540 |
|
1,480 |
1,380 |
$353.32 |
| 84100 |
|
1,643 |
1,365 |
$322.51 |
| 87340 |
|
1,037 |
963 |
$300.57 |
| 90658 |
|
15 |
15 |
$285.53 |
| 90674 |
|
52 |
50 |
$261.90 |
| 82310 |
|
1,487 |
1,380 |
$238.35 |
| 82565 |
|
1,409 |
1,332 |
$199.63 |
| 82040 |
|
1,421 |
1,339 |
$189.87 |
| 90686 |
|
19 |
18 |
$187.53 |
| 84155 |
|
1,427 |
1,358 |
$144.10 |
| 82108 |
|
81 |
76 |
$83.20 |
| 82306 |
|
43 |
38 |
$70.40 |
| 82607 |
|
85 |
80 |
$55.44 |
| 85014 |
|
393 |
259 |
$54.74 |
| 82746 |
|
85 |
80 |
$54.21 |
| 86706 |
|
126 |
118 |
$45.65 |
| 83735 |
|
81 |
80 |
$24.84 |
| G0008 |
Administration of influenza virus vaccine |
45 |
44 |
$17.84 |
| 82435 |
|
78 |
77 |
$11.30 |
| 84132 |
|
112 |
93 |
$8.07 |
| 84295 |
|
78 |
77 |
$7.38 |
| 82374 |
|
78 |
77 |
$5.33 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
103 |
12 |
$0.00 |
| 83550 |
|
90 |
81 |
$0.00 |