| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90935 |
|
13,830 |
1,256 |
$3.08M |
| A4657 |
Syringe, with or without needle, each |
70,305 |
2,536 |
$394K |
| 90999 |
|
3,109 |
242 |
$12K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
277 |
25 |
$7K |
| 85014 |
|
628 |
164 |
$1K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,656 |
1,061 |
$799.84 |
| J1644 |
Injection, heparin sodium, per 1000 units |
12,086 |
1,150 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
3,513 |
800 |
$0.00 |
| 84466 |
|
12 |
12 |
$0.00 |
| 83540 |
|
303 |
300 |
$0.00 |
| 84520 |
|
505 |
302 |
$0.00 |
| 83970 |
|
240 |
233 |
$0.00 |
| 82108 |
|
28 |
28 |
$0.00 |
| 84155 |
|
65 |
64 |
$0.00 |
| 87340 |
|
291 |
288 |
$0.00 |
| 82728 |
|
62 |
59 |
$0.00 |
| 83550 |
|
289 |
286 |
$0.00 |
| 80069 |
|
165 |
163 |
$0.00 |
| 84075 |
|
42 |
42 |
$0.00 |
| 85018 |
|
1,203 |
407 |
$0.00 |
| 86580 |
|
43 |
43 |
$0.00 |
| 83735 |
|
56 |
56 |
$0.00 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
589 |
62 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
56 |
56 |
$0.00 |
| 86706 |
|
15 |
15 |
$0.00 |
| J3490 |
Unclassified drugs |
90 |
13 |
$0.00 |
| 85025 |
|
38 |
37 |
$0.00 |