| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4657 |
Syringe w/wo needle |
43,915 |
2,140 |
$761K |
| 90999 |
|
44,841 |
3,616 |
$473K |
| Q4081 |
Epoetin alfa, 100 units esrd |
7,854 |
951 |
$93K |
| J0882 |
Darbepoetin alfa, esrd use |
250 |
168 |
$72K |
| 83970 |
|
2,354 |
2,238 |
$68K |
| 80069 |
|
2,328 |
2,195 |
$35K |
| 82306 |
|
1,426 |
1,353 |
$34K |
| 82728 |
|
2,330 |
2,236 |
$30K |
| J2916 |
Na ferric gluconate complex |
7,709 |
1,767 |
$28K |
| 83550 |
|
2,328 |
2,236 |
$17K |
| J2501 |
Paricalcitol |
17,811 |
1,582 |
$15K |
| 82108 |
|
736 |
712 |
$15K |
| 83540 |
|
2,328 |
2,236 |
$14K |
| 85025 |
|
2,280 |
2,200 |
$8K |
| 82330 |
|
734 |
711 |
$8K |
| 87340 |
|
2,112 |
2,027 |
$8K |
| Q5105 |
Inj retacrit esrd on dialysi |
10,276 |
950 |
$8K |
| 84075 |
|
2,319 |
2,233 |
$7K |
| 84155 |
|
2,329 |
2,235 |
$7K |
| 83735 |
|
735 |
712 |
$4K |
| 82570 |
|
97 |
94 |
$2K |
| 82607 |
|
149 |
144 |
$2K |
| 82746 |
|
148 |
143 |
$2K |
| 84520 |
|
2,414 |
1,540 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
15,224 |
1,402 |
$2K |
| J0604 |
Cinacalcet, esrd on dialysis |
156 |
105 |
$1K |
| 85046 |
|
733 |
711 |
$677.71 |
| 90740 |
|
13 |
12 |
$459.42 |
| 85018 |
|
2,442 |
1,491 |
$441.31 |
| J1756 |
Iron sucrose injection |
207 |
63 |
$392.00 |
| 84132 |
|
1,417 |
1,204 |
$392.00 |
| 85014 |
|
2,124 |
1,456 |
$371.36 |
| 86706 |
|
143 |
138 |
$226.48 |
| 84540 |
|
28 |
26 |
$212.28 |
| 86704 |
|
36 |
36 |
$180.00 |
| J2405 |
Ondansetron hcl injection |
1,765 |
425 |
$96.40 |
| G0008 |
Admin influenza virus vac |
138 |
134 |
$0.00 |
| 90686 |
|
174 |
164 |
$0.00 |