| Code | Description | Claims | Beneficiaries | Total Paid |
| A4657 |
Syringe, with or without needle, each |
18,074 |
2,086 |
$357K |
| 82728 |
|
1,485 |
1,409 |
$154K |
| 83970 |
|
857 |
819 |
$89K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
3,075 |
1,507 |
$63K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
13,771 |
1,325 |
$53K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
15,293 |
1,338 |
$42K |
| 83540 |
|
1,486 |
1,410 |
$41K |
| 84466 |
|
1,481 |
1,405 |
$36K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
297 |
99 |
$21K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
993 |
101 |
$11K |
| J1756 |
Injection, iron sucrose, 1 mg |
4,933 |
1,236 |
$4K |
| 0004A |
|
26 |
18 |
$1K |
| 90662 |
|
87 |
80 |
$405.80 |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
234 |
42 |
$309.22 |
| 84100 |
|
27 |
25 |
$293.05 |
| 90688 |
|
22 |
21 |
$195.95 |
| 99070 |
|
25 |
12 |
$146.32 |
| G0008 |
Administration of influenza virus vaccine |
126 |
116 |
$15.45 |