| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
77,860 |
5,557 |
$1.81M |
| J0887 |
Epoetin beta esrd use |
5,400 |
3,184 |
$49K |
| J1270 |
Injection, doxercalciferol |
50,808 |
4,351 |
$37K |
| J1756 |
Iron sucrose injection |
11,996 |
2,482 |
$27K |
| 83970 |
|
3,981 |
3,717 |
$321.54 |
| A4657 |
Syringe w/wo needle |
79,951 |
4,595 |
$295.61 |
| 0002A |
|
21 |
21 |
$195.00 |
| 82108 |
|
673 |
643 |
$99.68 |
| 0001A |
|
24 |
24 |
$84.70 |
| 83550 |
|
3,998 |
3,773 |
$68.08 |
| 82728 |
|
1,554 |
1,420 |
$53.28 |
| 83540 |
|
4,064 |
3,834 |
$50.51 |
| 87340 |
|
3,487 |
3,274 |
$36.53 |
| 83036 |
|
230 |
205 |
$25.38 |
| J1644 |
Inj heparin sodium per 1000u |
21,535 |
1,020 |
$17.12 |
| 85018 |
|
12,880 |
3,939 |
$0.00 |
| J0604 |
Cinacalcet, esrd on dialysis |
512 |
386 |
$0.00 |
| 82040 |
|
2,612 |
2,483 |
$0.00 |
| 84075 |
|
1,158 |
1,112 |
$0.00 |
| 84132 |
|
3,224 |
1,587 |
$0.00 |
| 85025 |
|
3,988 |
3,773 |
$0.00 |
| 80051 |
|
2,527 |
2,365 |
$0.00 |
| J3490 |
Drugs unclassified injection |
1,080 |
181 |
$0.00 |
| 83735 |
|
1,173 |
1,124 |
$0.00 |
| 80069 |
|
1,372 |
1,282 |
$0.00 |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
1,558 |
140 |
$0.00 |
| 90686 |
|
75 |
68 |
$0.00 |
| G0008 |
Admin influenza virus vac |
199 |
181 |
$0.00 |
| 86706 |
|
318 |
298 |
$0.00 |
| 90732 |
|
43 |
41 |
$0.00 |
| 90688 |
|
63 |
60 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
43 |
41 |
$0.00 |
| 86803 |
|
96 |
87 |
$0.00 |
| 84155 |
|
3,531 |
3,331 |
$0.00 |
| 84100 |
|
6,630 |
3,858 |
$0.00 |
| 82310 |
|
6,749 |
3,810 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
1,111 |
103 |
$0.00 |
| 84520 |
|
8,261 |
3,914 |
$0.00 |
| 82565 |
|
2,667 |
2,491 |
$0.00 |
| 82947 |
|
954 |
933 |
$0.00 |
| 90662 |
|
47 |
39 |
$0.00 |
| 85046 |
|
176 |
159 |
$0.00 |
| 90682 |
|
17 |
16 |
$0.00 |