| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
79,981 |
5,219 |
$4.39M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
5,487 |
3,115 |
$126K |
| A4657 |
Syringe, with or without needle, each |
68,394 |
3,686 |
$14K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
2,143 |
351 |
$7K |
| J1756 |
Injection, iron sucrose, 1 mg |
13,227 |
2,628 |
$6K |
| 80069 |
|
1,406 |
1,097 |
$3K |
| J3490 |
Unclassified drugs |
1,184 |
148 |
$1K |
| 83970 |
|
3,549 |
2,888 |
$536.64 |
| J1644 |
Injection, heparin sodium, per 1000 units |
30,110 |
1,177 |
$192.33 |
| 82310 |
|
6,004 |
3,354 |
$180.60 |
| 82728 |
|
2,840 |
2,289 |
$177.19 |
| 83550 |
|
5,100 |
4,219 |
$166.06 |
| 84520 |
|
11,312 |
4,344 |
$158.00 |
| 85018 |
|
14,402 |
4,432 |
$135.09 |
| 87340 |
|
2,929 |
2,455 |
$123.96 |
| 83540 |
|
5,571 |
4,573 |
$122.93 |
| 80051 |
|
3,478 |
2,922 |
$105.15 |
| 84100 |
|
4,463 |
3,356 |
$99.54 |
| 82565 |
|
3,934 |
3,283 |
$76.80 |
| 82040 |
|
3,903 |
3,273 |
$74.25 |
| 85025 |
|
885 |
693 |
$62.16 |
| 83735 |
|
1,377 |
1,134 |
$53.60 |
| 82108 |
|
680 |
552 |
$50.96 |
| 85027 |
|
2,659 |
2,118 |
$45.29 |
| 84075 |
|
1,502 |
1,240 |
$41.44 |
| 82746 |
|
92 |
73 |
$29.40 |
| 85046 |
|
1,556 |
1,227 |
$22.28 |
| 86706 |
|
456 |
368 |
$21.48 |
| 84132 |
|
2,221 |
753 |
$14.28 |
| 86704 |
|
49 |
36 |
$0.00 |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
234 |
218 |
$0.00 |
| G0307 |
Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) |
1,080 |
966 |
$0.00 |
| 90686 |
|
56 |
48 |
$0.00 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
930 |
61 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
202 |
171 |
$0.00 |
| 86803 |
|
43 |
34 |
$0.00 |
| G0010 |
Administration of hepatitis b vaccine |
14 |
12 |
$0.00 |
| 90688 |
|
56 |
50 |
$0.00 |
| 83036 |
|
55 |
42 |
$0.00 |
| 84155 |
|
2,350 |
2,008 |
$0.00 |
| 84466 |
|
300 |
228 |
$0.00 |
| 90682 |
|
40 |
30 |
$0.00 |
| 84295 |
|
152 |
137 |
$0.00 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
845 |
64 |
$0.00 |
| 82374 |
|
155 |
138 |
$0.00 |
| 85014 |
|
39 |
36 |
$0.00 |
| 90661 |
|
23 |
18 |
$0.00 |