| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
79,913 |
4,933 |
$4.63M |
| A4657 |
Syringe w/wo needle |
5,551 |
3,749 |
$655K |
| J0882 |
Darbepoetin alfa, esrd use |
12,419 |
3,043 |
$443K |
| J1756 |
Iron sucrose injection |
11,830 |
3,111 |
$64K |
| 90935 |
|
171 |
12 |
$51K |
| J0887 |
Epoetin beta esrd use |
1,319 |
684 |
$32K |
| 90674 |
|
176 |
135 |
$11K |
| 90747 |
|
71 |
64 |
$8K |
| J0604 |
Cinacalcet, esrd on dialysis |
1,792 |
478 |
$4K |
| J1270 |
Injection, doxercalciferol |
27,533 |
1,928 |
$2K |
| G0010 |
Admin hepatitis b vaccine |
31 |
28 |
$53.12 |
| G0008 |
Admin influenza virus vac |
185 |
152 |
$26.56 |
| 0011A |
|
23 |
20 |
$16.94 |
| J1200 |
Diphenhydramine hcl injectio |
413 |
50 |
$14.30 |
| G0499 |
Hepb screen high risk indiv |
2,680 |
1,743 |
$0.00 |
| 82306 |
|
684 |
523 |
$0.00 |
| 83550 |
|
2,682 |
2,146 |
$0.00 |
| 82728 |
|
3,508 |
2,660 |
$0.00 |
| 0012A |
|
24 |
19 |
$0.00 |
| 0064A |
|
15 |
14 |
$0.00 |
| 85048 |
|
3,734 |
2,879 |
$0.00 |
| 82108 |
|
292 |
219 |
$0.00 |
| 83970 |
|
3,281 |
2,461 |
$0.00 |
| 85041 |
|
3,739 |
2,881 |
$0.00 |
| 83540 |
|
3,462 |
2,611 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
897 |
146 |
$0.00 |
| 90662 |
|
45 |
40 |
$0.00 |