| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
9,279 |
710 |
$654K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
580 |
359 |
$10K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,637 |
339 |
$894.12 |
| 82728 |
|
783 |
709 |
$115.09 |
| 83970 |
|
297 |
264 |
$84.87 |
| 83550 |
|
856 |
771 |
$64.93 |
| 84520 |
|
1,795 |
717 |
$58.90 |
| A4657 |
Syringe, with or without needle, each |
13,187 |
635 |
$58.53 |
| 83540 |
|
888 |
798 |
$54.54 |
| 85018 |
|
2,243 |
682 |
$52.67 |
| 85025 |
|
744 |
667 |
$49.96 |
| 84100 |
|
821 |
600 |
$41.46 |
| 80051 |
|
656 |
587 |
$36.92 |
| 84155 |
|
867 |
777 |
$30.94 |
| 82310 |
|
718 |
594 |
$27.72 |
| 82565 |
|
656 |
584 |
$27.51 |
| 82040 |
|
659 |
591 |
$26.60 |
| G0008 |
Administration of influenza virus vaccine |
35 |
33 |
$21.71 |
| 87340 |
|
285 |
257 |
$10.91 |
| 83735 |
|
168 |
151 |
$0.37 |
| 84075 |
|
196 |
179 |
$0.29 |
| 86706 |
|
65 |
53 |
$0.00 |
| 82746 |
|
51 |
39 |
$0.00 |
| 86803 |
|
51 |
41 |
$0.00 |
| J3490 |
Unclassified drugs |
54 |
12 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
7,359 |
347 |
$0.00 |
| 82108 |
|
66 |
55 |
$0.00 |