| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
77,344 |
6,134 |
$2.77M |
| J0887 |
Epoetin beta esrd use |
7,276 |
3,971 |
$234K |
| J0604 |
Cinacalcet, esrd on dialysis |
4,378 |
545 |
$63K |
| J1756 |
Iron sucrose injection |
12,785 |
2,819 |
$42K |
| 83970 |
|
3,944 |
2,837 |
$42K |
| 82310 |
|
9,835 |
4,889 |
$16K |
| 84100 |
|
10,806 |
4,917 |
$15K |
| 82728 |
|
3,928 |
3,493 |
$14K |
| 83550 |
|
5,501 |
4,914 |
$14K |
| 84520 |
|
10,919 |
4,947 |
$13K |
| 85025 |
|
5,468 |
4,887 |
$12K |
| 83540 |
|
5,515 |
4,923 |
$11K |
| 85018 |
|
15,233 |
4,998 |
$10K |
| 80051 |
|
4,042 |
3,606 |
$9K |
| 82040 |
|
5,133 |
3,869 |
$8K |
| 87340 |
|
2,437 |
2,140 |
$8K |
| 82565 |
|
4,096 |
3,627 |
$7K |
| 82108 |
|
884 |
816 |
$6K |
| J1270 |
Injection, doxercalciferol |
11,879 |
1,133 |
$6K |
| 84155 |
|
5,512 |
4,926 |
$6K |
| 83735 |
|
1,768 |
1,564 |
$3K |
| 80069 |
|
1,215 |
1,073 |
$2K |
| 84075 |
|
1,792 |
1,578 |
$2K |
| 90740 |
|
63 |
56 |
$2K |
| 82746 |
|
442 |
404 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
12,088 |
511 |
$2K |
| 90732 |
|
67 |
48 |
$1K |
| 86706 |
|
474 |
428 |
$1K |
| 85046 |
|
531 |
479 |
$1K |
| 82607 |
|
224 |
209 |
$821.83 |
| 90662 |
|
68 |
57 |
$805.30 |
| 90688 |
|
87 |
78 |
$384.94 |
| 90686 |
|
97 |
88 |
$378.30 |
| 0012A |
|
24 |
24 |
$258.36 |
| 0064A |
|
22 |
21 |
$215.22 |
| 0011A |
|
26 |
26 |
$135.52 |
| 84132 |
|
78 |
39 |
$73.60 |
| A4657 |
Syringe w/wo needle |
60,013 |
4,272 |
$0.00 |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
12,169 |
940 |
$0.00 |
| 86803 |
|
128 |
114 |
$0.00 |
| G0008 |
Admin influenza virus vac |
306 |
266 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
69 |
48 |
$0.00 |
| J3490 |
Drugs unclassified injection |
98 |
37 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
64 |
56 |
$0.00 |
| 83036 |
|
15 |
12 |
$0.00 |
| 90682 |
|
25 |
20 |
$0.00 |