| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
47,295 |
3,958 |
$3.30M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
5,604 |
2,672 |
$286K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
2,319 |
467 |
$59K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
5,617 |
2,252 |
$25K |
| J2501 |
Injection, paricalcitol, 1 mcg |
27,972 |
2,658 |
$14K |
| A4657 |
Syringe, with or without needle, each |
35,989 |
3,325 |
$2K |
| 80053 |
|
141 |
125 |
$338.40 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
1,621 |
168 |
$262.51 |
| 85027 |
|
162 |
152 |
$238.76 |
| 90686 |
|
76 |
68 |
$202.59 |
| 84100 |
|
1,473 |
1,399 |
$174.92 |
| J1644 |
Injection, heparin sodium, per 1000 units |
39,568 |
2,022 |
$95.42 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
26,187 |
2,179 |
$70.85 |
| 83036 |
|
31 |
27 |
$34.56 |
| 87340 |
|
196 |
188 |
$0.00 |
| 82040 |
|
1,507 |
1,429 |
$0.00 |
| 84132 |
|
1,517 |
1,234 |
$0.00 |
| 82435 |
|
1,414 |
1,338 |
$0.00 |
| 82728 |
|
791 |
720 |
$0.00 |
| 84540 |
|
3,421 |
1,453 |
$0.00 |
| 84075 |
|
1,280 |
1,238 |
$0.00 |
| 83735 |
|
576 |
517 |
$0.00 |
| 83550 |
|
190 |
162 |
$0.00 |
| 86706 |
|
185 |
176 |
$0.00 |
| 0064A |
|
16 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
97 |
88 |
$0.00 |
| 85018 |
|
29 |
12 |
$0.00 |
| 0012A |
|
21 |
21 |
$0.00 |
| 0134A |
|
12 |
12 |
$0.00 |
| 86803 |
|
30 |
25 |
$0.00 |
| 83970 |
|
1,008 |
922 |
$0.00 |
| 82108 |
|
192 |
183 |
$0.00 |
| 82374 |
|
1,415 |
1,338 |
$0.00 |
| 83540 |
|
792 |
720 |
$0.00 |
| 82310 |
|
1,835 |
1,457 |
$0.00 |
| 84155 |
|
1,250 |
1,208 |
$0.00 |
| 84295 |
|
1,408 |
1,328 |
$0.00 |
| 82565 |
|
1,278 |
1,235 |
$0.00 |
| 85045 |
|
1,522 |
1,449 |
$0.00 |
| 84466 |
|
754 |
689 |
$0.00 |