| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
40,225 |
3,288 |
$2.32M |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
25,688 |
1,482 |
$133K |
| J1756 |
Injection, iron sucrose, 1 mg |
3,905 |
987 |
$23K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
513 |
253 |
$20K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
8,144 |
731 |
$16K |
| A4657 |
Syringe, with or without needle, each |
749 |
544 |
$0.00 |
| 82728 |
|
295 |
279 |
$0.00 |
| 83550 |
|
304 |
286 |
$0.00 |
| G0499 |
Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result |
29 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$0.00 |
| 83970 |
|
196 |
184 |
$0.00 |
| 85048 |
|
296 |
285 |
$0.00 |
| 83540 |
|
310 |
288 |
$0.00 |
| 85041 |
|
283 |
273 |
$0.00 |
| 82108 |
|
25 |
25 |
$0.00 |