| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
29,449 |
1,740 |
$1.31M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
2,271 |
977 |
$111K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
768 |
140 |
$21K |
| J1756 |
Injection, iron sucrose, 1 mg |
4,922 |
909 |
$17K |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
4,897 |
270 |
$10K |
| J2501 |
Injection, paricalcitol, 1 mcg |
20,329 |
1,219 |
$6K |
| A4657 |
Syringe, with or without needle, each |
15,967 |
1,446 |
$3K |
| 83970 |
|
2,240 |
1,354 |
$961.38 |
| 85014 |
|
2,468 |
519 |
$958.60 |
| 85025 |
|
2,446 |
1,593 |
$693.59 |
| 80051 |
|
1,278 |
908 |
$429.05 |
| 84466 |
|
2,504 |
1,599 |
$393.58 |
| 85018 |
|
5,761 |
1,543 |
$358.90 |
| 82310 |
|
4,573 |
1,589 |
$238.91 |
| 82728 |
|
2,094 |
1,194 |
$221.94 |
| 84100 |
|
3,420 |
1,517 |
$218.59 |
| 83540 |
|
2,518 |
1,599 |
$154.08 |
| 84520 |
|
4,423 |
1,163 |
$125.41 |
| 82040 |
|
2,671 |
1,208 |
$115.06 |
| 80053 |
|
444 |
252 |
$100.02 |
| 84075 |
|
1,997 |
1,347 |
$78.75 |
| 82565 |
|
1,850 |
1,193 |
$77.55 |
| 84155 |
|
1,970 |
1,324 |
$55.16 |
| 85045 |
|
447 |
253 |
$53.54 |
| 82306 |
|
161 |
108 |
$45.51 |
| 82108 |
|
290 |
185 |
$37.75 |
| 84450 |
|
483 |
329 |
$35.12 |
| 87340 |
|
635 |
394 |
$34.29 |
| 82374 |
|
492 |
246 |
$21.16 |
| 84132 |
|
404 |
231 |
$18.98 |
| 84295 |
|
389 |
231 |
$17.69 |
| 82435 |
|
389 |
231 |
$16.91 |
| 82607 |
|
204 |
127 |
$9.32 |
| 82746 |
|
204 |
127 |
$9.08 |
| 83735 |
|
295 |
187 |
$7.83 |
| 86706 |
|
207 |
134 |
$7.57 |
| 86704 |
|
43 |
25 |
$2.13 |
| 83615 |
|
34 |
23 |
$1.85 |
| G0008 |
Administration of influenza virus vaccine |
28 |
16 |
$0.60 |
| 90686 |
|
30 |
18 |
$0.33 |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
772 |
54 |
$0.00 |