| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
18,856 |
1,453 |
$1.27M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,776 |
891 |
$100K |
| J1756 |
Injection, iron sucrose, 1 mg |
4,733 |
919 |
$15K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
9,883 |
788 |
$2K |
| A4657 |
Syringe, with or without needle, each |
49,956 |
1,576 |
$1K |
| 83970 |
|
1,314 |
1,076 |
$799.68 |
| J1644 |
Injection, heparin sodium, per 1000 units |
23,470 |
986 |
$640.54 |
| 82728 |
|
1,303 |
1,061 |
$274.60 |
| 84520 |
|
3,869 |
1,205 |
$215.70 |
| 83550 |
|
1,341 |
1,097 |
$186.88 |
| 85025 |
|
1,345 |
1,058 |
$158.41 |
| 82310 |
|
1,707 |
1,094 |
$141.11 |
| 83540 |
|
1,370 |
1,124 |
$138.38 |
| 84100 |
|
1,558 |
1,080 |
$119.72 |
| 85018 |
|
4,175 |
1,191 |
$119.51 |
| 82565 |
|
1,478 |
1,090 |
$109.50 |
| 82040 |
|
1,369 |
1,090 |
$105.86 |
| 80051 |
|
1,168 |
971 |
$102.33 |
| 82108 |
|
255 |
201 |
$96.29 |
| 84155 |
|
1,353 |
1,083 |
$75.19 |
| 87340 |
|
475 |
388 |
$71.31 |
| 83735 |
|
499 |
394 |
$56.71 |
| 84075 |
|
506 |
398 |
$43.83 |
| G0008 |
Administration of influenza virus vaccine |
61 |
52 |
$37.23 |
| 82746 |
|
125 |
101 |
$17.66 |
| 86706 |
|
125 |
100 |
$12.94 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
1,720 |
154 |
$1.41 |
| J3490 |
Unclassified drugs |
243 |
37 |
$0.32 |
| 86803 |
|
55 |
46 |
$0.00 |