| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
12,718 |
954 |
$369K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
5,883 |
594 |
$26K |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
2,732 |
268 |
$7K |
| J2501 |
Injection, paricalcitol, 1 mcg |
8,573 |
692 |
$2K |
| 83036 |
|
147 |
133 |
$2K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
737 |
200 |
$225.16 |
| 86803 |
|
94 |
82 |
$20.08 |
| 90662 |
|
52 |
45 |
$14.63 |
| G0008 |
Administration of influenza virus vaccine |
39 |
33 |
$1.37 |