| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
30,247 |
2,481 |
$9.41M |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
16,596 |
1,573 |
$4K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
8,674 |
793 |
$2K |
| A4657 |
Syringe, with or without needle, each |
14,723 |
1,393 |
$957.75 |
| J1756 |
Injection, iron sucrose, 1 mg |
5,042 |
1,314 |
$805.92 |
| 0124A |
|
18 |
18 |
$761.50 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$33.42 |
| 0250 |
|
3,564 |
220 |
$8.40 |
| A4913 |
Miscellaneous dialysis supplies, not otherwise specified |
46 |
12 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
2,911 |
231 |
$0.00 |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
475 |
281 |
$0.00 |