| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90935 |
|
38,915 |
2,865 |
$4.25M |
| J0882 |
Darbepoetin alfa, esrd use |
22,813 |
5,831 |
$1.13M |
| 90999 |
|
44,574 |
3,570 |
$961K |
| 90945 |
|
38,220 |
1,125 |
$907K |
| 90947 |
|
17,968 |
560 |
$620K |
| J0604 |
Cinacalcet, esrd on dialysis |
1,647 |
856 |
$483K |
| 83970 |
|
3,460 |
2,636 |
$64K |
| 82728 |
|
4,572 |
3,650 |
$37K |
| J2916 |
Na ferric gluconate complex |
4,056 |
1,129 |
$24K |
| 84520 |
|
9,274 |
4,759 |
$22K |
| 84466 |
|
4,664 |
3,664 |
$21K |
| 82310 |
|
6,652 |
4,712 |
$17K |
| J1270 |
Injection, doxercalciferol |
26,051 |
1,898 |
$16K |
| 84075 |
|
5,960 |
4,708 |
$16K |
| J0881 |
Darbepoetin alfa, non-esrd |
350 |
98 |
$15K |
| 84295 |
|
5,984 |
4,704 |
$15K |
| 85027 |
|
2,453 |
2,259 |
$14K |
| 82435 |
|
5,864 |
4,697 |
$14K |
| 84132 |
|
5,999 |
4,700 |
$14K |
| 82565 |
|
6,009 |
4,639 |
$13K |
| 83540 |
|
4,739 |
3,668 |
$12K |
| 84100 |
|
4,824 |
3,701 |
$10K |
| 82040 |
|
4,752 |
3,663 |
$9K |
| 82374 |
|
4,788 |
3,688 |
$9K |
| J1756 |
Iron sucrose injection |
5,408 |
1,028 |
$9K |
| 90747 |
|
95 |
87 |
$8K |
| 84155 |
|
4,232 |
3,188 |
$7K |
| 82108 |
|
525 |
450 |
$7K |
| J2501 |
Paricalcitol |
12,594 |
495 |
$7K |
| 85045 |
|
3,990 |
3,212 |
$7K |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
11,002 |
950 |
$6K |
| 87340 |
|
1,888 |
1,494 |
$6K |
| 86706 |
|
911 |
779 |
$5K |
| 84450 |
|
1,174 |
1,010 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
19,960 |
823 |
$4K |
| 84156 |
|
1,174 |
1,010 |
$3K |
| 90686 |
|
269 |
236 |
$2K |
| A4657 |
Syringe w/wo needle |
20,940 |
1,557 |
$2K |
| 82570 |
|
390 |
187 |
$801.52 |
| 86803 |
|
59 |
57 |
$784.85 |
| 90746 |
|
37 |
27 |
$627.50 |
| 85025 |
|
37 |
36 |
$326.06 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
63 |
59 |
$313.04 |
| 84540 |
|
99 |
79 |
$270.00 |
| 85044 |
|
39 |
37 |
$191.52 |
| 82947 |
|
58 |
52 |
$184.71 |
| 90471 |
|
167 |
121 |
$43.36 |
| 85018 |
|
13 |
13 |
$31.68 |
| G0010 |
Admin hepatitis b vaccine |
15 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
149 |
146 |
$0.00 |
| 90677 |
|
56 |
34 |
$0.00 |