| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
88,017 |
6,942 |
$6.99M |
| J0887 |
Epoetin beta esrd use |
9,634 |
4,587 |
$696K |
| J0882 |
Darbepoetin alfa, esrd use |
4,941 |
912 |
$157K |
| J2916 |
Na ferric gluconate complex |
9,814 |
3,714 |
$54K |
| J2501 |
Paricalcitol |
53,365 |
5,025 |
$49K |
| 90747 |
|
99 |
93 |
$6K |
| A4657 |
Syringe w/wo needle |
67,805 |
6,113 |
$5K |
| J0604 |
Cinacalcet, esrd on dialysis |
355 |
163 |
$4K |
| 90686 |
|
254 |
219 |
$2K |
| 80053 |
|
308 |
263 |
$648.60 |
| J1270 |
Injection, doxercalciferol |
3,568 |
348 |
$618.19 |
| 85027 |
|
361 |
314 |
$439.28 |
| 83970 |
|
2,186 |
1,948 |
$341.05 |
| 84100 |
|
2,216 |
2,074 |
$335.10 |
| 90662 |
|
30 |
30 |
$261.44 |
| 90673 |
|
38 |
37 |
$260.87 |
| 83036 |
|
95 |
79 |
$120.96 |
| J7030 |
Normal saline solution infus |
43,596 |
3,389 |
$103.10 |
| 82728 |
|
1,543 |
1,309 |
$68.78 |
| 84466 |
|
1,477 |
1,253 |
$64.14 |
| 83550 |
|
495 |
393 |
$34.64 |
| 83540 |
|
1,548 |
1,311 |
$32.65 |
| 82108 |
|
326 |
306 |
$28.76 |
| J1644 |
Inj heparin sodium per 1000u |
48,699 |
2,896 |
$26.26 |
| 83735 |
|
954 |
837 |
$20.90 |
| 84132 |
|
2,151 |
1,759 |
$18.96 |
| 82310 |
|
2,647 |
2,141 |
$10.28 |
| 82565 |
|
1,847 |
1,757 |
$10.20 |
| 82040 |
|
2,257 |
2,102 |
$9.86 |
| 82374 |
|
2,094 |
1,942 |
$9.72 |
| 84295 |
|
2,041 |
1,905 |
$9.58 |
| 82435 |
|
2,087 |
1,941 |
$9.16 |
| 86706 |
|
313 |
291 |
$8.56 |
| 87340 |
|
621 |
548 |
$8.21 |
| 85045 |
|
2,221 |
2,088 |
$7.94 |
| 84155 |
|
1,796 |
1,717 |
$0.00 |
| 85014 |
|
135 |
70 |
$0.00 |
| 0124A |
|
12 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
231 |
200 |
$0.00 |
| 84075 |
|
1,812 |
1,735 |
$0.00 |
| 84540 |
|
5,278 |
2,108 |
$0.00 |
| 0134A |
|
36 |
36 |
$0.00 |
| 85018 |
|
196 |
103 |
$0.00 |
| 90480 |
|
40 |
39 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
34 |
30 |
$0.00 |
| 0011A |
|
13 |
12 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
46 |
43 |
$0.00 |
| 0064A |
|
23 |
23 |
$0.00 |
| 86803 |
|
65 |
53 |
$0.00 |
| 90677 |
|
54 |
47 |
$0.00 |
| 0012A |
|
32 |
32 |
$0.00 |