| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
71,539 |
5,517 |
$2.70M |
| J0887 |
Epoetin beta esrd use |
3,768 |
1,826 |
$62K |
| J0882 |
Darbepoetin alfa, esrd use |
1,888 |
587 |
$29K |
| Q5105 |
Inj retacrit esrd on dialysi |
2,613 |
304 |
$16K |
| J1756 |
Iron sucrose injection |
8,009 |
1,557 |
$15K |
| J2916 |
Na ferric gluconate complex |
3,800 |
1,070 |
$11K |
| J2501 |
Paricalcitol |
14,741 |
1,293 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
22,868 |
2,039 |
$1K |
| 83970 |
|
4,042 |
3,123 |
$815.65 |
| 84466 |
|
4,522 |
3,460 |
$333.33 |
| 84520 |
|
7,000 |
3,538 |
$206.62 |
| 90674 |
|
25 |
19 |
$187.04 |
| 0134A |
|
59 |
21 |
$186.84 |
| 84100 |
|
7,773 |
3,708 |
$185.95 |
| 83540 |
|
4,687 |
3,558 |
$175.90 |
| 80053 |
|
3,455 |
2,777 |
$166.29 |
| 82728 |
|
1,892 |
1,311 |
$151.23 |
| 90756 |
|
52 |
52 |
$145.84 |
| 0012A |
|
22 |
20 |
$141.30 |
| 0011A |
|
21 |
20 |
$141.30 |
| 82310 |
|
5,898 |
3,126 |
$98.93 |
| 85025 |
|
1,114 |
637 |
$82.63 |
| 82108 |
|
709 |
513 |
$72.47 |
| 85045 |
|
3,588 |
2,896 |
$65.13 |
| 83615 |
|
1,027 |
634 |
$64.20 |
| 90686 |
|
23 |
23 |
$60.88 |
| 80051 |
|
712 |
507 |
$56.62 |
| 84450 |
|
1,041 |
638 |
$55.04 |
| 84075 |
|
1,041 |
638 |
$55.04 |
| 82565 |
|
1,044 |
639 |
$54.51 |
| 82040 |
|
1,088 |
640 |
$53.72 |
| G0008 |
Admin influenza virus vac |
225 |
182 |
$50.36 |
| 90694 |
|
22 |
14 |
$48.80 |
| 0013A |
|
27 |
20 |
$47.10 |
| 82306 |
|
178 |
92 |
$44.76 |
| 84155 |
|
1,041 |
638 |
$39.06 |
| 87340 |
|
889 |
726 |
$32.81 |
| A4657 |
Syringe w/wo needle |
8,668 |
4,072 |
$31.50 |
| J7030 |
Normal saline solution infus |
1,871 |
775 |
$30.29 |
| J1200 |
Diphenhydramine hcl injectio |
435 |
55 |
$25.97 |
| 85014 |
|
742 |
485 |
$25.57 |
| 85018 |
|
758 |
489 |
$25.57 |
| 86706 |
|
405 |
278 |
$21.37 |
| 82374 |
|
372 |
163 |
$15.13 |
| 84132 |
|
1,986 |
717 |
$13.98 |
| 84295 |
|
291 |
117 |
$8.84 |
| 86704 |
|
79 |
31 |
$8.76 |
| 82435 |
|
291 |
117 |
$8.44 |
| 90682 |
|
68 |
45 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
15,229 |
1,362 |
$0.00 |
| 86803 |
|
63 |
63 |
$0.00 |