| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
27,904 |
2,429 |
$1.20M |
| A4657 |
Syringe, with or without needle, each |
36,106 |
2,051 |
$578K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
2,979 |
1,732 |
$184K |
| J1756 |
Injection, iron sucrose, 1 mg |
7,888 |
1,614 |
$5K |
| 90686 |
|
69 |
63 |
$80.11 |
| 83970 |
|
2,076 |
1,862 |
$40.07 |
| 82108 |
|
360 |
328 |
$24.74 |
| 83550 |
|
2,545 |
2,293 |
$16.43 |
| 84520 |
|
5,311 |
2,306 |
$14.84 |
| 85025 |
|
2,520 |
2,275 |
$14.61 |
| 82746 |
|
216 |
198 |
$14.27 |
| 82728 |
|
864 |
773 |
$13.23 |
| 83540 |
|
2,546 |
2,294 |
$12.17 |
| 82310 |
|
2,737 |
2,301 |
$9.71 |
| 82565 |
|
2,553 |
2,288 |
$9.63 |
| 82040 |
|
2,546 |
2,295 |
$9.31 |
| 84100 |
|
2,588 |
2,297 |
$8.91 |
| 84155 |
|
2,538 |
2,286 |
$6.90 |
| 83735 |
|
823 |
735 |
$6.50 |
| 84075 |
|
822 |
735 |
$5.03 |
| 90661 |
|
13 |
12 |
$0.00 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
355 |
50 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
15,396 |
503 |
$0.00 |
| 84450 |
|
31 |
29 |
$0.00 |
| 84460 |
|
31 |
29 |
$0.00 |
| 90682 |
|
26 |
22 |
$0.00 |
| 85018 |
|
7,361 |
2,346 |
$0.00 |
| 80051 |
|
2,551 |
2,285 |
$0.00 |
| 82607 |
|
80 |
78 |
$0.00 |
| 86803 |
|
66 |
56 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
162 |
147 |
$0.00 |
| 86706 |
|
179 |
164 |
$0.00 |
| 0012A |
|
19 |
12 |
$0.00 |
| 87340 |
|
322 |
288 |
$0.00 |
| 90688 |
|
36 |
33 |
$0.00 |