| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
17,231 |
1,299 |
$1.45M |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
5,364 |
253 |
$74K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
350 |
24 |
$17K |
| A4657 |
Syringe, with or without needle, each |
2,041 |
716 |
$17K |
| 85048 |
|
323 |
295 |
$12K |
| 85041 |
|
323 |
295 |
$12K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,263 |
195 |
$7K |
| 83550 |
|
127 |
113 |
$5K |
| 83540 |
|
130 |
115 |
$5K |
| 82728 |
|
126 |
113 |
$3K |
| 83970 |
|
133 |
123 |
$3K |
| 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 |
17 |
14 |
$4.88 |
| G0008 |
Administration of influenza virus vaccine |
51 |
29 |
$0.00 |
| 82108 |
|
27 |
24 |
$0.00 |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
29 |
12 |
$0.00 |