| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
6,684 |
730 |
$1.95M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
137 |
92 |
$3K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
1,755 |
205 |
$2K |
| 83970 |
|
321 |
311 |
$1K |
| 80069 |
|
231 |
230 |
$1K |
| A4657 |
Syringe, with or without needle, each |
3,357 |
212 |
$662.87 |
| 82728 |
|
315 |
313 |
$370.96 |
| 83550 |
|
292 |
291 |
$246.85 |
| 85018 |
|
925 |
360 |
$239.28 |
| J1756 |
Injection, iron sucrose, 1 mg |
135 |
41 |
$233.47 |
| 87340 |
|
191 |
190 |
$216.70 |
| 83540 |
|
313 |
312 |
$176.33 |
| 84100 |
|
400 |
275 |
$140.84 |
| 84460 |
|
264 |
263 |
$123.81 |
| 84520 |
|
405 |
313 |
$122.68 |
| 84075 |
|
251 |
250 |
$115.87 |
| 84450 |
|
252 |
251 |
$110.38 |
| 82310 |
|
326 |
221 |
$104.31 |
| 84155 |
|
300 |
299 |
$99.89 |
| 85025 |
|
70 |
70 |
$28.95 |
| 82108 |
|
16 |
16 |
$23.64 |
| 86706 |
|
28 |
28 |
$21.35 |
| G0307 |
Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) |
54 |
47 |
$12.92 |
| 83735 |
|
47 |
46 |
$12.77 |
| 85045 |
|
33 |
33 |
$3.72 |
| 80061 |
|
32 |
31 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,396 |
54 |
$0.00 |
| 83615 |
|
66 |
65 |
$0.00 |
| 86803 |
|
12 |
12 |
$0.00 |