| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
10,620 |
1,152 |
$851K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
159 |
87 |
$2K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
516 |
153 |
$1K |
| A4657 |
Syringe, with or without needle, each |
4,723 |
479 |
$23.40 |
| 83970 |
|
247 |
245 |
$0.00 |
| 83540 |
|
423 |
419 |
$0.00 |
| 84466 |
|
423 |
419 |
$0.00 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
33 |
12 |
$0.00 |
| 90662 |
|
16 |
14 |
$0.00 |
| 82728 |
|
423 |
419 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
280 |
25 |
$0.00 |
| 86580 |
|
14 |
14 |
$0.00 |