| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 83970 |
|
1,517 |
1,501 |
$261K |
| 82728 |
|
1,710 |
1,689 |
$82K |
| 82565 |
|
1,729 |
1,691 |
$51K |
| 82310 |
|
1,806 |
1,595 |
$50K |
| 82040 |
|
1,639 |
1,461 |
$48K |
| 83540 |
|
1,709 |
1,690 |
$37K |
| 83735 |
|
1,509 |
1,496 |
$33K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,492 |
914 |
$32K |
| 82374 |
|
1,711 |
1,688 |
$31K |
| 82435 |
|
1,715 |
1,692 |
$30K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,896 |
658 |
$19K |
| 84466 |
|
1,709 |
1,689 |
$15K |
| 84520 |
|
3,436 |
1,691 |
$14K |
| 82607 |
|
228 |
225 |
$12K |
| 84132 |
|
1,801 |
1,692 |
$12K |
| 82746 |
|
228 |
225 |
$10K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
228 |
225 |
$9K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
20,287 |
1,497 |
$9K |
| A4657 |
Syringe, with or without needle, each |
14,983 |
1,600 |
$8K |
| 87340 |
|
1,702 |
1,685 |
$8K |
| 84075 |
|
1,494 |
1,481 |
$8K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
1,062 |
417 |
$7K |
| 82108 |
|
107 |
104 |
$7K |
| 84100 |
|
1,626 |
1,593 |
$5K |
| 84295 |
|
1,714 |
1,691 |
$5K |
| J1644 |
Injection, heparin sodium, per 1000 units |
4,068 |
508 |
$720.56 |
| 84155 |
|
249 |
245 |
$349.63 |
| 86706 |
|
107 |
104 |
$208.11 |
| 85045 |
|
61 |
60 |
$43.64 |
| J1756 |
Injection, iron sucrose, 1 mg |
35 |
13 |
$30.01 |
| 85044 |
|
42 |
40 |
$19.48 |
| G0008 |
Administration of influenza virus vaccine |
41 |
39 |
$0.00 |