| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
88,514 |
10,373 |
$16.47M |
| A4657 |
Syringe w/wo needle |
135,233 |
8,430 |
$96K |
| 0250 |
|
35,183 |
3,981 |
$61K |
| J0604 |
Cinacalcet, esrd on dialysis |
1,566 |
541 |
$57K |
| 85018 |
|
21,493 |
9,231 |
$16K |
| J3490 |
Drugs unclassified injection |
2,870 |
812 |
$11K |
| 80051 |
|
4,987 |
4,846 |
$9K |
| J1270 |
Injection, doxercalciferol |
26,082 |
3,444 |
$9K |
| J0887 |
Epoetin beta esrd use |
10,011 |
6,697 |
$8K |
| J1644 |
Inj heparin sodium per 1000u |
90,515 |
3,821 |
$8K |
| 84520 |
|
19,791 |
9,540 |
$8K |
| J1756 |
Iron sucrose injection |
19,423 |
5,907 |
$7K |
| 83970 |
|
7,184 |
6,918 |
$5K |
| 84100 |
|
11,844 |
9,001 |
$5K |
| 82565 |
|
8,561 |
8,222 |
$4K |
| 84132 |
|
12,253 |
6,314 |
$4K |
| 80069 |
|
766 |
753 |
$3K |
| 82310 |
|
10,103 |
8,778 |
$2K |
| 85027 |
|
2,562 |
2,501 |
$2K |
| 82040 |
|
8,751 |
8,503 |
$1K |
| 82374 |
|
3,727 |
3,623 |
$1K |
| A6216 |
Non-sterile gauze<=16 sq in |
9,963 |
1,050 |
$948.83 |
| 90739 |
|
80 |
78 |
$835.12 |
| 87340 |
|
3,695 |
3,594 |
$831.65 |
| 83550 |
|
8,305 |
8,092 |
$784.17 |
| 83540 |
|
9,715 |
9,458 |
$736.39 |
| G0008 |
Admin influenza virus vac |
428 |
424 |
$728.82 |
| 82728 |
|
4,884 |
4,767 |
$560.02 |
| 85025 |
|
6,757 |
6,584 |
$218.09 |
| 84466 |
|
1,352 |
1,299 |
$178.35 |
| 83735 |
|
2,348 |
2,287 |
$173.93 |
| 84075 |
|
2,909 |
2,840 |
$142.38 |
| 90682 |
|
87 |
86 |
$88.53 |
| 90673 |
|
12 |
12 |
$83.49 |
| 84155 |
|
6,119 |
5,954 |
$78.22 |
| 90686 |
|
164 |
163 |
$54.03 |
| 84460 |
|
1,545 |
1,513 |
$41.22 |
| 86706 |
|
1,237 |
1,210 |
$39.55 |
| 82108 |
|
875 |
868 |
$39.44 |
| 84295 |
|
3,623 |
3,507 |
$28.08 |
| 86803 |
|
329 |
316 |
$20.06 |
| 90688 |
|
59 |
56 |
$17.84 |
| 86704 |
|
163 |
159 |
$11.19 |
| 90732 |
|
37 |
35 |
$2.38 |
| 90662 |
|
90 |
90 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
1,401 |
215 |
$0.00 |
| 90740 |
|
55 |
54 |
$0.00 |
| 84450 |
|
29 |
28 |
$0.00 |
| 82947 |
|
965 |
933 |
$0.00 |
| 85045 |
|
527 |
516 |
$0.00 |
| 82652 |
|
31 |
26 |
$0.00 |
| 90661 |
|
21 |
21 |
$0.00 |
| 0013A |
|
14 |
14 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
33 |
12 |
$0.00 |
| 82247 |
|
27 |
26 |
$0.00 |
| 82435 |
|
3,084 |
2,993 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
90 |
88 |
$0.00 |
| Q4081 |
Epoetin alfa, 100 units esrd |
860 |
100 |
$0.00 |
| 83036 |
|
150 |
147 |
$0.00 |
| 82746 |
|
288 |
286 |
$0.00 |
| G0307 |
Cbc without platelet |
38 |
38 |
$0.00 |