| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
42,709 |
1,770 |
$1.78M |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
35,216 |
1,044 |
$9K |
| A4657 |
Syringe, with or without needle, each |
2,215 |
999 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
7,414 |
888 |
$819.14 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
19,863 |
942 |
$738.43 |
| 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 |
297 |
71 |
$60.83 |
| 82728 |
|
2,247 |
950 |
$0.00 |
| 83550 |
|
1,934 |
865 |
$0.00 |
| 82306 |
|
168 |
55 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
24 |
13 |
$0.00 |
| 85041 |
|
2,357 |
937 |
$0.00 |
| 83540 |
|
2,269 |
945 |
$0.00 |
| 83970 |
|
3,171 |
1,101 |
$0.00 |
| 85048 |
|
2,351 |
932 |
$0.00 |
| 82108 |
|
145 |
51 |
$0.00 |