| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
122,554 |
10,733 |
$15.21M |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
13,299 |
1,020 |
$875K |
| Q4081 |
Epoetin alfa, 100 units esrd |
23,482 |
2,802 |
$158K |
| 90945 |
|
3,220 |
115 |
$121K |
| J0882 |
Darbepoetin alfa, esrd use |
22,337 |
5,200 |
$61K |
| A4657 |
Syringe w/wo needle |
5,146 |
4,823 |
$36K |
| 0250 |
|
30,924 |
2,594 |
$25K |
| J1756 |
Iron sucrose injection |
9,749 |
6,118 |
$16K |
| J0636 |
Inj calcitriol per 0.1 mcg |
22,934 |
1,754 |
$15K |
| 90740 |
|
176 |
175 |
$11K |
| J1270 |
Injection, doxercalciferol |
16,982 |
1,675 |
$6K |
| 84075 |
|
4,374 |
4,301 |
$3K |
| 85018 |
|
4,578 |
3,774 |
$2K |
| 82728 |
|
1,534 |
1,467 |
$2K |
| 83970 |
|
3,089 |
3,019 |
$2K |
| 82306 |
|
677 |
667 |
$727.67 |
| 82040 |
|
1,020 |
944 |
$643.46 |
| 84520 |
|
6,092 |
4,107 |
$610.15 |
| 87340 |
|
2,069 |
2,032 |
$553.50 |
| J3370 |
Vancomycin hcl injection |
232 |
52 |
$50.46 |
| 85027 |
|
3,712 |
3,650 |
$38.00 |
| 84450 |
|
3,798 |
3,731 |
$28.60 |
| J0604 |
Cinacalcet, esrd on dialysis |
6,031 |
717 |
$24.30 |
| 84100 |
|
1,801 |
1,585 |
$21.59 |
| 84155 |
|
4,382 |
4,305 |
$19.71 |
| 90658 |
|
57 |
56 |
$11.37 |
| 82310 |
|
815 |
722 |
$4.10 |
| 84132 |
|
241 |
171 |
$3.44 |
| 83550 |
|
1,462 |
1,444 |
$0.61 |
| 83540 |
|
1,461 |
1,444 |
$0.60 |
| 85045 |
|
1,446 |
1,429 |
$0.59 |
| 86704 |
|
688 |
680 |
$0.58 |
| 86706 |
|
633 |
631 |
$0.58 |
| G0307 |
Cbc without platelet |
128 |
127 |
$0.00 |
| G0008 |
Admin influenza virus vac |
97 |
95 |
$0.00 |
| 90674 |
|
20 |
19 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
15 |
15 |
$0.00 |