| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
19,686 |
1,660 |
$1.03M |
| 83550 |
|
1,036 |
1,018 |
$0.00 |
| 85018 |
|
4,335 |
1,133 |
$0.00 |
| 82040 |
|
1,128 |
1,092 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
42 |
42 |
$0.00 |
| 87340 |
|
1,096 |
1,075 |
$0.00 |
| G0307 |
Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) |
181 |
180 |
$0.00 |
| 82728 |
|
1,148 |
1,104 |
$0.00 |
| 84132 |
|
2,039 |
911 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
6,226 |
799 |
$0.00 |
| 83735 |
|
260 |
250 |
$0.00 |
| 80051 |
|
231 |
219 |
$0.00 |
| 84075 |
|
329 |
327 |
$0.00 |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
142 |
49 |
$0.00 |
| 86706 |
|
202 |
202 |
$0.00 |
| 85025 |
|
87 |
83 |
$0.00 |
| 0012A |
|
16 |
16 |
$0.00 |
| 86803 |
|
15 |
15 |
$0.00 |
| 0011A |
|
15 |
15 |
$0.00 |
| 84520 |
|
2,824 |
1,123 |
$0.00 |
| 82310 |
|
1,495 |
1,119 |
$0.00 |
| 83970 |
|
1,106 |
1,065 |
$0.00 |
| 84460 |
|
1,029 |
1,008 |
$0.00 |
| 83540 |
|
1,130 |
1,104 |
$0.00 |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,403 |
855 |
$0.00 |
| 82565 |
|
1,105 |
1,068 |
$0.00 |
| 84295 |
|
809 |
801 |
$0.00 |
| 84100 |
|
1,185 |
1,123 |
$0.00 |
| 82374 |
|
838 |
816 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
3,949 |
677 |
$0.00 |
| 82108 |
|
88 |
88 |
$0.00 |
| 0013A |
|
12 |
12 |
$0.00 |
| 85046 |
|
56 |
56 |
$0.00 |