| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
6,325 |
596 |
$611K |
| A4657 |
Syringe, with or without needle, each |
4,281 |
180 |
$3K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
131 |
93 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
113 |
40 |
$391.46 |
| 83970 |
|
292 |
281 |
$166.09 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
433 |
54 |
$114.16 |
| 85018 |
|
310 |
134 |
$76.77 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,274 |
66 |
$71.22 |
| 82728 |
|
191 |
187 |
$51.93 |
| 85027 |
|
192 |
190 |
$36.74 |
| 84520 |
|
597 |
267 |
$34.02 |
| 84100 |
|
442 |
265 |
$33.82 |
| 83540 |
|
275 |
269 |
$25.39 |
| 82108 |
|
24 |
24 |
$18.69 |
| 82310 |
|
300 |
279 |
$17.30 |
| 82565 |
|
260 |
252 |
$17.07 |
| 82040 |
|
271 |
265 |
$16.78 |
| 84460 |
|
90 |
90 |
$11.21 |
| 83550 |
|
204 |
198 |
$9.60 |
| 87340 |
|
45 |
45 |
$9.00 |
| 86706 |
|
33 |
33 |
$7.89 |
| 84295 |
|
26 |
26 |
$3.17 |
| 84132 |
|
32 |
27 |
$3.11 |
| 82374 |
|
26 |
26 |
$1.23 |
| 80051 |
|
53 |
53 |
$0.00 |
| 86803 |
|
14 |
14 |
$0.00 |