| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0887 |
Epoetin beta esrd use |
7,154 |
4,141 |
$9.66M |
| 90999 |
|
91,980 |
6,317 |
$9.38M |
| J1756 |
Iron sucrose injection |
11,636 |
2,682 |
$348K |
| Q4081 |
Epoetin alfa, 100 units esrd |
438 |
58 |
$19K |
| J0604 |
Cinacalcet, esrd on dialysis |
7,344 |
1,140 |
$6K |
| J3490 |
Drugs unclassified injection |
2,398 |
470 |
$1K |
| 0064A |
|
17 |
14 |
$131.04 |
| 83970 |
|
3,896 |
3,245 |
$33.02 |
| 82728 |
|
2,719 |
2,294 |
$10.90 |
| 83550 |
|
5,350 |
4,531 |
$6.89 |
| 84520 |
|
11,525 |
5,381 |
$6.30 |
| 85025 |
|
6,632 |
5,670 |
$6.21 |
| 85018 |
|
17,769 |
5,078 |
$5.67 |
| 80051 |
|
4,077 |
3,474 |
$5.60 |
| 83540 |
|
6,761 |
5,770 |
$5.17 |
| 82310 |
|
5,419 |
3,791 |
$4.10 |
| 82565 |
|
4,123 |
3,464 |
$4.09 |
| 82040 |
|
4,178 |
3,548 |
$3.96 |
| 84100 |
|
5,102 |
3,766 |
$3.79 |
| 84155 |
|
6,634 |
5,666 |
$2.93 |
| 84466 |
|
1,366 |
1,222 |
$0.00 |
| 82108 |
|
1,011 |
895 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
91,208 |
3,299 |
$0.00 |
| 85046 |
|
541 |
439 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
4,340 |
372 |
$0.00 |
| 90662 |
|
53 |
50 |
$0.00 |
| 80061 |
|
19 |
18 |
$0.00 |
| 90661 |
|
28 |
28 |
$0.00 |
| 90682 |
|
59 |
51 |
$0.00 |
| 82374 |
|
31 |
25 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
140 |
25 |
$0.00 |
| J1270 |
Injection, doxercalciferol |
9,632 |
825 |
$0.00 |
| A4657 |
Syringe w/wo needle |
124,937 |
5,042 |
$0.00 |
| 82607 |
|
74 |
66 |
$0.00 |
| 83036 |
|
554 |
494 |
$0.00 |
| 87340 |
|
2,315 |
1,988 |
$0.00 |
| 80069 |
|
2,586 |
2,242 |
$0.00 |
| 84075 |
|
2,117 |
1,822 |
$0.00 |
| 83735 |
|
2,151 |
1,856 |
$0.00 |
| G0008 |
Admin influenza virus vac |
448 |
381 |
$0.00 |
| 86803 |
|
127 |
120 |
$0.00 |
| 86706 |
|
408 |
347 |
$0.00 |
| 90688 |
|
74 |
70 |
$0.00 |
| 86580 |
|
250 |
221 |
$0.00 |
| 86704 |
|
61 |
43 |
$0.00 |
| 90686 |
|
161 |
117 |
$0.00 |
| 82746 |
|
523 |
446 |
$0.00 |
| A4913 |
Misc dialysis supplies noc |
160 |
25 |
$0.00 |
| 90673 |
|
17 |
17 |
$0.00 |
| 84132 |
|
48 |
24 |
$0.00 |
| 82945 |
|
20 |
12 |
$0.00 |