| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
28,107 |
2,431 |
$1.40M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
2,177 |
1,236 |
$331K |
| A4657 |
Syringe, with or without needle, each |
29,975 |
1,844 |
$9K |
| J1756 |
Injection, iron sucrose, 1 mg |
5,467 |
1,176 |
$7K |
| 83970 |
|
1,991 |
1,716 |
$2K |
| 82728 |
|
1,935 |
1,681 |
$833.04 |
| 85018 |
|
6,167 |
1,862 |
$531.66 |
| 84466 |
|
616 |
538 |
$477.12 |
| 82310 |
|
3,122 |
1,707 |
$468.48 |
| 84520 |
|
4,439 |
1,750 |
$452.94 |
| J1644 |
Injection, heparin sodium, per 1000 units |
11,015 |
566 |
$425.22 |
| 83540 |
|
2,001 |
1,737 |
$384.92 |
| 84100 |
|
2,759 |
1,700 |
$354.61 |
| 82040 |
|
1,762 |
1,533 |
$258.67 |
| 82565 |
|
1,815 |
1,550 |
$245.88 |
| 80051 |
|
1,733 |
1,516 |
$244.20 |
| 87340 |
|
769 |
646 |
$190.65 |
| 82108 |
|
312 |
275 |
$170.52 |
| 83550 |
|
1,121 |
957 |
$152.24 |
| 83735 |
|
435 |
373 |
$69.48 |
| 82947 |
|
304 |
270 |
$64.40 |
| 86704 |
|
51 |
47 |
$52.56 |
| 84075 |
|
434 |
384 |
$50.82 |
| 86706 |
|
217 |
191 |
$46.80 |
| 84155 |
|
775 |
651 |
$32.09 |
| G0008 |
Administration of influenza virus vaccine |
58 |
52 |
$6.76 |
| 85025 |
|
825 |
694 |
$0.02 |
| G0307 |
Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) |
532 |
463 |
$0.00 |
| 82746 |
|
34 |
32 |
$0.00 |
| 82607 |
|
16 |
15 |
$0.00 |
| 86803 |
|
14 |
12 |
$0.00 |
| 83036 |
|
14 |
12 |
$0.00 |