| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
38,564 |
3,021 |
$1.18M |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
2,491 |
1,012 |
$406K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
6,359 |
1,674 |
$147K |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
2,863 |
210 |
$44K |
| J2501 |
Injection, paricalcitol, 1 mcg |
21,754 |
2,136 |
$20K |
| 90677 |
|
14 |
12 |
$6K |
| 82607 |
|
372 |
310 |
$5K |
| 87340 |
|
2,171 |
2,003 |
$759.60 |
| A4657 |
Syringe, with or without needle, each |
49,221 |
2,245 |
$583.92 |
| 83970 |
|
1,846 |
1,711 |
$451.15 |
| J1644 |
Injection, heparin sodium, per 1000 units |
21,503 |
1,741 |
$425.03 |
| 82728 |
|
2,162 |
1,997 |
$239.91 |
| 84466 |
|
2,162 |
1,996 |
$221.53 |
| 83540 |
|
2,174 |
2,008 |
$123.15 |
| 90674 |
|
57 |
57 |
$82.51 |
| 85045 |
|
2,166 |
1,994 |
$76.03 |
| 90686 |
|
88 |
74 |
$72.17 |
| 82108 |
|
243 |
186 |
$49.12 |
| 82746 |
|
372 |
310 |
$42.64 |
| 86706 |
|
398 |
335 |
$39.09 |
| 82040 |
|
3,096 |
1,662 |
$0.00 |
| 80053 |
|
261 |
258 |
$0.00 |
| 82435 |
|
1,770 |
1,535 |
$0.00 |
| 84132 |
|
4,779 |
1,983 |
$0.00 |
| 85025 |
|
465 |
460 |
$0.00 |
| 85018 |
|
578 |
460 |
$0.00 |
| 84075 |
|
1,694 |
1,535 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
112 |
107 |
$0.00 |
| 86580 |
|
57 |
51 |
$0.00 |
| 85014 |
|
577 |
460 |
$0.00 |
| 84520 |
|
4,372 |
2,055 |
$0.00 |
| 84295 |
|
1,770 |
1,535 |
$0.00 |
| 82310 |
|
3,317 |
1,686 |
$0.00 |
| 84100 |
|
3,676 |
1,745 |
$0.00 |
| 84155 |
|
1,694 |
1,535 |
$0.00 |
| 82565 |
|
1,769 |
1,535 |
$0.00 |
| 82374 |
|
1,771 |
1,535 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
33 |
31 |
$0.00 |