| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
5,141 |
391 |
$573K |
| A4657 |
Syringe, with or without needle, each |
925 |
509 |
$139K |
| 84100 |
|
1,113 |
595 |
$109K |
| 83540 |
|
821 |
597 |
$90K |
| 80053 |
|
726 |
585 |
$87K |
| 83970 |
|
677 |
501 |
$83K |
| 83550 |
|
691 |
511 |
$78K |
| 84520 |
|
454 |
329 |
$64K |
| 82330 |
|
368 |
313 |
$46K |
| J1756 |
Injection, iron sucrose, 1 mg |
562 |
126 |
$44K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
338 |
161 |
$32K |
| 82728 |
|
259 |
189 |
$28K |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
125 |
13 |
$18K |
| 82306 |
|
129 |
97 |
$11K |
| 87340 |
|
126 |
87 |
$10K |
| 82040 |
|
62 |
39 |
$7K |
| 86706 |
|
66 |
50 |
$6K |
| 86803 |
|
15 |
14 |
$3K |
| J1644 |
Injection, heparin sodium, per 1000 units |
391 |
38 |
$530.79 |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
28 |
14 |
$0.00 |