| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
41,795 |
3,662 |
$6.48M |
| 0821 |
|
20,951 |
1,608 |
$3.75M |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
22,448 |
2,645 |
$1.48M |
| Z6004 |
|
8,443 |
690 |
$1.07M |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
4,955 |
447 |
$847K |
| J1756 |
Injection, iron sucrose, 1 mg |
10,687 |
3,533 |
$667K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
26,166 |
2,517 |
$198K |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
216 |
14 |
$172K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
694 |
168 |
$49K |
| A4657 |
Syringe, with or without needle, each |
21,519 |
1,462 |
$28K |
| J0636 |
Injection, calcitriol, 0.1 mcg |
8,038 |
760 |
$26K |
| 99070 |
|
9,298 |
728 |
$10K |
| 83970 |
|
723 |
619 |
$8K |
| 0250 |
|
520 |
50 |
$8K |
| 82728 |
|
637 |
618 |
$2K |
| 82306 |
|
249 |
235 |
$2K |
| 84466 |
|
639 |
620 |
$2K |
| 87340 |
|
638 |
618 |
$2K |
| 85025 |
|
627 |
613 |
$1K |
| 90688 |
|
123 |
122 |
$1K |
| 83540 |
|
637 |
618 |
$1K |
| 84520 |
|
949 |
631 |
$1K |
| 85018 |
|
1,406 |
631 |
$1K |
| 90658 |
|
68 |
61 |
$1K |
| 84075 |
|
651 |
631 |
$843.42 |
| 84100 |
|
514 |
265 |
$822.09 |
| 82108 |
|
102 |
101 |
$791.28 |
| 85045 |
|
627 |
613 |
$763.32 |
| 90732 |
|
20 |
19 |
$705.25 |
| 84155 |
|
651 |
632 |
$627.66 |
| 86704 |
|
54 |
53 |
$150.52 |
| 86706 |
|
54 |
53 |
$136.39 |
| 90471 |
|
16 |
15 |
$61.88 |
| G0008 |
Administration of influenza virus vaccine |
42 |
42 |
$38.00 |
| G0010 |
Administration of hepatitis b vaccine |
13 |
13 |
$3.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
14 |
13 |
$0.00 |
| 82310 |
|
13 |
12 |
$0.00 |