| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
81,695 |
6,578 |
$6.77M |
| J0887 |
Epoetin beta esrd use |
9,830 |
4,704 |
$755K |
| J0882 |
Darbepoetin alfa, esrd use |
2,774 |
520 |
$114K |
| J2916 |
Na ferric gluconate complex |
8,969 |
3,534 |
$55K |
| J2501 |
Paricalcitol |
44,038 |
4,197 |
$40K |
| A4657 |
Syringe w/wo needle |
58,934 |
5,503 |
$4K |
| 90686 |
|
196 |
178 |
$2K |
| 90747 |
|
32 |
32 |
$1K |
| J0604 |
Cinacalcet, esrd on dialysis |
45 |
24 |
$732.72 |
| 80053 |
|
311 |
285 |
$404.20 |
| J1270 |
Injection, doxercalciferol |
3,021 |
299 |
$354.59 |
| 85027 |
|
379 |
348 |
$323.04 |
| 84100 |
|
2,637 |
2,499 |
$278.06 |
| 90662 |
|
63 |
46 |
$177.97 |
| J1644 |
Inj heparin sodium per 1000u |
37,007 |
2,386 |
$164.63 |
| 90480 |
|
47 |
46 |
$120.00 |
| J7030 |
Normal saline solution infus |
42,653 |
3,483 |
$110.01 |
| 83970 |
|
2,039 |
1,873 |
$86.61 |
| 83036 |
|
84 |
77 |
$60.48 |
| 82310 |
|
2,929 |
2,459 |
$50.49 |
| 82040 |
|
2,575 |
2,424 |
$48.47 |
| 84132 |
|
2,463 |
2,144 |
$46.20 |
| 84075 |
|
2,237 |
2,144 |
$45.27 |
| 82565 |
|
2,254 |
2,144 |
$44.73 |
| 82374 |
|
2,443 |
2,297 |
$42.66 |
| 82435 |
|
2,442 |
2,297 |
$40.23 |
| 84155 |
|
2,204 |
2,111 |
$32.04 |
| 84295 |
|
2,412 |
2,271 |
$9.34 |
| 85045 |
|
2,568 |
2,428 |
$7.74 |
| 86706 |
|
288 |
273 |
$0.00 |
| 83550 |
|
302 |
248 |
$0.00 |
| 82728 |
|
1,344 |
1,203 |
$0.00 |
| 83735 |
|
699 |
643 |
$0.00 |
| 84540 |
|
5,944 |
2,432 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
25 |
25 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
27 |
26 |
$0.00 |
| 85018 |
|
254 |
132 |
$0.00 |
| 87340 |
|
475 |
445 |
$0.00 |
| 90694 |
|
32 |
31 |
$0.00 |
| G0008 |
Admin influenza virus vac |
204 |
173 |
$0.00 |
| 90677 |
|
41 |
39 |
$0.00 |
| 0064A |
|
17 |
17 |
$0.00 |
| 0012A |
|
27 |
26 |
$0.00 |
| 0134A |
|
31 |
29 |
$0.00 |
| 90673 |
|
41 |
41 |
$0.00 |
| 86803 |
|
79 |
64 |
$0.00 |
| 82108 |
|
295 |
282 |
$0.00 |
| 84466 |
|
1,267 |
1,133 |
$0.00 |
| 83540 |
|
1,346 |
1,204 |
$0.00 |
| 85014 |
|
245 |
127 |
$0.00 |