| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
30,415 |
2,933 |
$4.40M |
| 0821 |
|
119 |
65 |
$211K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
9,396 |
1,150 |
$100K |
| Z6004 |
|
25 |
25 |
$32K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
3,527 |
546 |
$31K |
| J1756 |
Injection, iron sucrose, 1 mg |
3,785 |
1,251 |
$13K |
| A4657 |
Syringe, with or without needle, each |
3,222 |
1,144 |
$7K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
520 |
302 |
$2K |
| 90674 |
|
54 |
54 |
$617.07 |
| 85048 |
|
349 |
341 |
$467.13 |
| 85041 |
|
352 |
344 |
$216.45 |
| 83970 |
|
367 |
361 |
$106.53 |
| 90662 |
|
14 |
14 |
$52.97 |
| 83550 |
|
123 |
115 |
$27.44 |
| 82728 |
|
103 |
102 |
$16.57 |
| 83540 |
|
124 |
116 |
$14.07 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$5.64 |