| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90935 |
|
4,123 |
2,421 |
$326K |
| J3490 |
Unclassified drugs |
3,039 |
1,271 |
$174K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,737 |
1,316 |
$33K |
| J1756 |
Injection, iron sucrose, 1 mg |
2,867 |
1,658 |
$16K |
| A4657 |
Syringe, with or without needle, each |
3,526 |
1,972 |
$5K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
39 |
39 |
$4K |
| 83970 |
|
2,055 |
1,882 |
$3K |
| 84466 |
|
1,100 |
1,075 |
$1K |
| 87340 |
|
2,316 |
2,142 |
$878.02 |
| 85018 |
|
2,554 |
2,150 |
$844.86 |
| 82728 |
|
1,962 |
1,805 |
$725.65 |
| 83540 |
|
2,315 |
2,142 |
$698.18 |
| 80069 |
|
1,472 |
1,374 |
$643.08 |
| 85025 |
|
2,290 |
2,117 |
$626.55 |
| 84520 |
|
3,162 |
2,101 |
$493.22 |
| 84155 |
|
2,317 |
2,144 |
$403.90 |
| 90670 |
|
18 |
17 |
$284.50 |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
15 |
12 |
$245.69 |
| 82108 |
|
392 |
347 |
$230.59 |
| 83735 |
|
741 |
703 |
$196.19 |
| 84075 |
|
745 |
707 |
$172.48 |
| 84100 |
|
949 |
862 |
$159.54 |
| 86706 |
|
393 |
346 |
$132.57 |
| 82746 |
|
195 |
188 |
$121.02 |
| 90688 |
|
29 |
26 |
$96.35 |
| 82040 |
|
339 |
332 |
$84.06 |
| 85046 |
|
16 |
16 |
$80.57 |
| 82310 |
|
282 |
275 |
$76.48 |
| 90686 |
|
50 |
46 |
$52.85 |
| 83550 |
|
1,146 |
1,000 |
$40.66 |
| 80051 |
|
104 |
102 |
$21.71 |
| 82565 |
|
104 |
102 |
$10.80 |
| 82947 |
|
30 |
30 |
$0.89 |
| 90682 |
|
18 |
18 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
88 |
37 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
16 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
151 |
144 |
$0.00 |