| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
40,892 |
3,963 |
$3.86M |
| J0887 |
Epoetin beta esrd use |
4,713 |
2,532 |
$475K |
| 90935 |
|
339 |
45 |
$49K |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
2,867 |
231 |
$35K |
| J0604 |
Cinacalcet, esrd on dialysis |
4,443 |
538 |
$12K |
| A4657 |
Syringe w/wo needle |
73,781 |
3,482 |
$2K |
| J1756 |
Iron sucrose injection |
8,702 |
1,853 |
$1K |
| J1270 |
Injection, doxercalciferol |
27,367 |
2,361 |
$659.39 |
| 84520 |
|
8,976 |
3,422 |
$615.15 |
| 85018 |
|
12,872 |
3,594 |
$379.50 |
| J1644 |
Inj heparin sodium per 1000u |
33,782 |
1,531 |
$352.23 |
| 83550 |
|
3,769 |
3,221 |
$349.44 |
| 84100 |
|
4,686 |
3,117 |
$335.82 |
| 82040 |
|
3,748 |
3,038 |
$331.32 |
| 83540 |
|
3,917 |
3,338 |
$328.53 |
| 82565 |
|
3,600 |
2,967 |
$305.19 |
| 82374 |
|
2,786 |
2,189 |
$298.96 |
| 85027 |
|
808 |
707 |
$278.98 |
| 84075 |
|
1,177 |
1,005 |
$274.40 |
| 83970 |
|
3,579 |
2,883 |
$200.58 |
| G0010 |
Admin hepatitis b vaccine |
106 |
88 |
$135.58 |
| 90739 |
|
106 |
88 |
$134.15 |
| 82310 |
|
6,444 |
3,131 |
$65.95 |
| 84132 |
|
6,065 |
2,501 |
$53.62 |
| 82728 |
|
1,767 |
1,470 |
$38.73 |
| 84295 |
|
1,335 |
1,189 |
$32.61 |
| 87340 |
|
1,769 |
1,459 |
$28.57 |
| 86706 |
|
406 |
343 |
$20.51 |
| 86803 |
|
93 |
80 |
$1.78 |
| G0008 |
Admin influenza virus vac |
197 |
173 |
$1.24 |
| 83735 |
|
689 |
541 |
$1.16 |
| 82947 |
|
320 |
273 |
$0.70 |
| 85046 |
|
346 |
270 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
5,384 |
469 |
$0.00 |
| 84155 |
|
886 |
721 |
$0.00 |
| 90682 |
|
81 |
73 |
$0.00 |
| 82108 |
|
143 |
121 |
$0.00 |
| 0124A |
|
12 |
12 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
38 |
12 |
$0.00 |
| 85025 |
|
1,083 |
847 |
$0.00 |
| 83036 |
|
129 |
107 |
$0.00 |
| 90686 |
|
32 |
31 |
$0.00 |
| J3490 |
Drugs unclassified injection |
1,232 |
294 |
$0.00 |
| 80069 |
|
314 |
261 |
$0.00 |
| 80051 |
|
950 |
745 |
$0.00 |
| 86704 |
|
40 |
32 |
$0.00 |
| 90688 |
|
35 |
33 |
$0.00 |
| 82746 |
|
20 |
16 |
$0.00 |