| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
66,084 |
5,215 |
$3.75M |
| Q4081 |
Epoetin alfa, 100 units esrd |
50,134 |
3,042 |
$350K |
| J1756 |
Iron sucrose injection |
14,330 |
3,284 |
$50K |
| J0887 |
Epoetin beta esrd use |
1,178 |
475 |
$29K |
| J1270 |
Injection, doxercalciferol |
35,322 |
3,055 |
$16K |
| J0604 |
Cinacalcet, esrd on dialysis |
663 |
202 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
1,679 |
229 |
$2K |
| 83970 |
|
2,653 |
2,068 |
$1K |
| 90732 |
|
33 |
29 |
$853.61 |
| 90674 |
|
86 |
76 |
$739.29 |
| G0499 |
Hepb screen high risk indiv |
850 |
489 |
$388.52 |
| 84466 |
|
2,425 |
1,975 |
$384.35 |
| 82728 |
|
1,631 |
1,337 |
$214.55 |
| 0124A |
|
38 |
18 |
$200.28 |
| 82108 |
|
692 |
593 |
$193.92 |
| G0008 |
Admin influenza virus vac |
131 |
111 |
$121.56 |
| 85041 |
|
3,102 |
2,351 |
$113.41 |
| 83540 |
|
1,783 |
1,445 |
$112.87 |
| A4657 |
Syringe w/wo needle |
9,633 |
3,487 |
$109.87 |
| 85048 |
|
3,053 |
2,310 |
$91.95 |
| 82306 |
|
130 |
96 |
$56.08 |
| J1200 |
Diphenhydramine hcl injectio |
824 |
95 |
$8.74 |
| 82947 |
|
69 |
59 |
$4.36 |
| G0009 |
Admin pneumococcal vaccine |
15 |
13 |
$0.00 |
| 83550 |
|
18 |
14 |
$0.00 |
| 90662 |
|
56 |
44 |
$0.00 |