| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
58,382 |
4,531 |
$2.76M |
| J0887 |
Epoetin beta esrd use |
7,536 |
3,545 |
$195K |
| 90935 |
|
3,021 |
284 |
$187K |
| A4657 |
Syringe w/wo needle |
69,810 |
4,008 |
$39K |
| J0604 |
Cinacalcet, esrd on dialysis |
5,508 |
709 |
$21K |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
748 |
48 |
$10K |
| J1756 |
Iron sucrose injection |
17,057 |
3,105 |
$9K |
| J3490 |
Drugs unclassified injection |
558 |
178 |
$3K |
| 83970 |
|
5,929 |
4,497 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
30,012 |
1,417 |
$2K |
| J1270 |
Injection, doxercalciferol |
20,541 |
1,697 |
$1K |
| 84100 |
|
9,347 |
4,243 |
$571.01 |
| 85018 |
|
15,149 |
4,435 |
$516.63 |
| 84520 |
|
12,121 |
4,441 |
$455.81 |
| 83550 |
|
5,937 |
4,493 |
$436.19 |
| 85025 |
|
5,007 |
3,805 |
$432.02 |
| 90740 |
|
59 |
41 |
$418.20 |
| 82728 |
|
3,858 |
2,928 |
$412.64 |
| 80051 |
|
4,697 |
3,501 |
$334.70 |
| 83540 |
|
6,020 |
4,534 |
$324.20 |
| 87340 |
|
2,284 |
1,706 |
$298.62 |
| 90732 |
|
89 |
64 |
$291.99 |
| 84460 |
|
4,535 |
3,427 |
$279.16 |
| 84075 |
|
5,133 |
3,886 |
$273.35 |
| 82310 |
|
5,640 |
3,803 |
$266.11 |
| 82040 |
|
5,302 |
3,822 |
$255.28 |
| 82565 |
|
5,006 |
3,755 |
$253.44 |
| 84155 |
|
5,233 |
3,980 |
$238.83 |
| 82247 |
|
3,549 |
2,628 |
$206.27 |
| G0009 |
Admin pneumococcal vaccine |
90 |
65 |
$122.05 |
| 82108 |
|
1,013 |
742 |
$87.13 |
| 83735 |
|
1,272 |
1,028 |
$64.06 |
| 82746 |
|
234 |
184 |
$49.29 |
| 86706 |
|
555 |
388 |
$34.61 |
| 86803 |
|
299 |
215 |
$32.12 |
| 82607 |
|
112 |
91 |
$31.78 |
| 82947 |
|
233 |
194 |
$24.70 |
| 85046 |
|
786 |
642 |
$22.47 |
| 80069 |
|
582 |
451 |
$22.46 |
| 90686 |
|
82 |
65 |
$20.86 |
| G0008 |
Admin influenza virus vac |
248 |
196 |
$16.61 |
| 90662 |
|
56 |
43 |
$14.11 |
| 83036 |
|
157 |
134 |
$10.53 |
| 90688 |
|
89 |
69 |
$6.93 |
| G0010 |
Admin hepatitis b vaccine |
59 |
41 |
$1.96 |
| 84132 |
|
124 |
79 |
$1.48 |
| 85027 |
|
166 |
99 |
$1.27 |
| 80048 |
|
88 |
74 |
$1.09 |
| A6216 |
Non-sterile gauze<=16 sq in |
133 |
14 |
$0.05 |
| 0064A |
|
12 |
12 |
$0.00 |
| 0002A |
|
13 |
12 |
$0.00 |