| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
22,276 |
1,574 |
$1.10M |
| A4657 |
Syringe, with or without needle, each |
2,329 |
723 |
$612K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
9,273 |
603 |
$24K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
2,571 |
207 |
$5K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,249 |
290 |
$810.50 |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
36 |
13 |
$173.88 |
| G0008 |
Administration of influenza virus vaccine |
64 |
50 |
$41.03 |
| 82728 |
|
129 |
106 |
$0.00 |
| 83550 |
|
127 |
103 |
$0.00 |
| G0499 |
Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result |
230 |
98 |
$0.00 |
| 83540 |
|
142 |
118 |
$0.00 |
| 85048 |
|
309 |
240 |
$0.00 |
| 85041 |
|
337 |
264 |
$0.00 |
| 83970 |
|
128 |
106 |
$0.00 |
| 82108 |
|
32 |
26 |
$0.00 |