| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
42,034 |
3,593 |
$1.88M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
5,182 |
3,088 |
$1.63M |
| 90937 |
|
2,467 |
457 |
$277K |
| 90935 |
|
928 |
100 |
$103K |
| J1756 |
Injection, iron sucrose, 1 mg |
8,415 |
2,439 |
$81K |
| J3490 |
Unclassified drugs |
8,369 |
1,193 |
$1K |
| A4657 |
Syringe, with or without needle, each |
42,429 |
3,684 |
$726.95 |
| J1644 |
Injection, heparin sodium, per 1000 units |
34,316 |
1,922 |
$678.00 |
| 83540 |
|
4,590 |
4,038 |
$0.00 |
| 84520 |
|
6,281 |
3,725 |
$0.00 |
| 83970 |
|
2,270 |
1,975 |
$0.00 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
930 |
121 |
$0.00 |
| 84100 |
|
787 |
667 |
$0.00 |
| 84460 |
|
617 |
571 |
$0.00 |
| 84155 |
|
3,470 |
3,025 |
$0.00 |
| 82310 |
|
495 |
412 |
$0.00 |
| 84450 |
|
2,874 |
2,476 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
52 |
12 |
$0.00 |
| 82565 |
|
435 |
353 |
$0.00 |
| 80061 |
|
153 |
110 |
$0.00 |
| 90661 |
|
15 |
15 |
$0.00 |
| 85046 |
|
71 |
59 |
$0.00 |
| 90662 |
|
36 |
31 |
$0.00 |
| 90682 |
|
38 |
38 |
$0.00 |
| 80051 |
|
361 |
297 |
$0.00 |
| 83036 |
|
758 |
651 |
$0.00 |
| 82040 |
|
453 |
381 |
$0.00 |
| 80069 |
|
3,742 |
3,303 |
$0.00 |
| 86803 |
|
350 |
310 |
$0.00 |
| 85018 |
|
10,168 |
3,606 |
$0.00 |
| 83735 |
|
1,672 |
1,492 |
$0.00 |
| 82728 |
|
1,866 |
1,644 |
$0.00 |
| 83550 |
|
4,580 |
4,034 |
$0.00 |
| 85025 |
|
4,523 |
3,985 |
$0.00 |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
1,471 |
185 |
$0.00 |
| 87340 |
|
1,380 |
1,181 |
$0.00 |
| 86706 |
|
471 |
400 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
321 |
302 |
$0.00 |
| 84075 |
|
974 |
852 |
$0.00 |
| 90688 |
|
91 |
87 |
$0.00 |
| 90686 |
|
105 |
97 |
$0.00 |
| 82746 |
|
15 |
15 |
$0.00 |