| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
37,472 |
3,114 |
$1.34M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
3,156 |
1,638 |
$74K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
1,821 |
296 |
$26K |
| 83970 |
|
3,031 |
2,473 |
$23K |
| J1756 |
Injection, iron sucrose, 1 mg |
10,390 |
2,042 |
$20K |
| 82310 |
|
4,380 |
2,372 |
$7K |
| 84520 |
|
6,410 |
2,640 |
$6K |
| 83550 |
|
3,121 |
2,582 |
$6K |
| 84100 |
|
4,253 |
2,425 |
$5K |
| 85018 |
|
8,805 |
2,678 |
$5K |
| 80051 |
|
2,659 |
2,277 |
$4K |
| 83540 |
|
3,129 |
2,593 |
$4K |
| 82728 |
|
1,267 |
1,041 |
$4K |
| 82040 |
|
3,384 |
2,387 |
$4K |
| 82565 |
|
2,727 |
2,297 |
$3K |
| 82108 |
|
513 |
415 |
$3K |
| 85025 |
|
2,465 |
1,990 |
$2K |
| 83735 |
|
1,009 |
830 |
$1K |
| J1644 |
Injection, heparin sodium, per 1000 units |
8,981 |
635 |
$1K |
| 84155 |
|
2,483 |
2,015 |
$1K |
| 84075 |
|
987 |
809 |
$1K |
| 87340 |
|
540 |
439 |
$947.18 |
| 82746 |
|
282 |
223 |
$614.89 |
| 82607 |
|
251 |
195 |
$537.87 |
| 86706 |
|
300 |
226 |
$498.30 |
| 85046 |
|
1,494 |
1,123 |
$485.44 |
| 86704 |
|
222 |
165 |
$362.59 |
| 82947 |
|
450 |
399 |
$165.54 |
| 90688 |
|
33 |
29 |
$158.78 |
| 90686 |
|
96 |
57 |
$152.24 |
| 86803 |
|
106 |
78 |
$142.65 |
| 80069 |
|
264 |
161 |
$70.29 |
| 90682 |
|
26 |
22 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
25,605 |
2,424 |
$0.00 |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
363 |
327 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
192 |
134 |
$0.00 |
| J3490 |
Unclassified drugs |
84 |
25 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
37 |
29 |
$0.00 |