| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
16,196 |
1,150 |
$1.45M |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
6,912 |
400 |
$42K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
741 |
290 |
$4K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
4,072 |
288 |
$3K |
| J1756 |
Injection, iron sucrose, 1 mg |
2,810 |
559 |
$2K |
| A4657 |
Syringe, with or without needle, each |
3,534 |
609 |
$986.45 |
| 83970 |
|
17 |
13 |
$3.68 |
| 82728 |
|
14 |
12 |
$1.21 |
| 83550 |
|
14 |
12 |
$0.78 |
| 83540 |
|
14 |
12 |
$0.58 |
| 85041 |
|
46 |
36 |
$0.27 |
| 85048 |
|
46 |
36 |
$0.23 |