| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
60,307 |
5,727 |
$6.38M |
| 0821 |
|
14,383 |
1,512 |
$1.98M |
| Z6004 |
|
10,104 |
1,112 |
$1.69M |
| J0882 |
Darbepoetin alfa, esrd use |
5,363 |
2,231 |
$801K |
| J1756 |
Iron sucrose injection |
11,892 |
3,959 |
$565K |
| J0887 |
Epoetin beta esrd use |
3,528 |
2,741 |
$407K |
| Q5105 |
Inj retacrit esrd on dialysi |
6,441 |
917 |
$284K |
| 0250 |
|
8,086 |
947 |
$69K |
| J0604 |
Cinacalcet, esrd on dialysis |
514 |
297 |
$31K |
| A4657 |
Syringe w/wo needle |
6,451 |
4,653 |
$29K |
| A4913 |
Misc dialysis supplies noc |
4,037 |
2,566 |
$15K |
| 83970 |
|
1,535 |
1,351 |
$11K |
| 90747 |
|
174 |
163 |
$8K |
| G0491 |
Dialysis acu kidney no esrd |
1,174 |
102 |
$6K |
| 84100 |
|
1,761 |
1,393 |
$5K |
| 82310 |
|
1,538 |
1,352 |
$4K |
| 83540 |
|
1,472 |
1,355 |
$4K |
| J2501 |
Paricalcitol |
506 |
78 |
$4K |
| 82040 |
|
1,514 |
1,393 |
$4K |
| 86580 |
|
85 |
82 |
$3K |
| 87340 |
|
170 |
164 |
$3K |
| 90732 |
|
55 |
54 |
$2K |
| 84466 |
|
1,475 |
1,356 |
$2K |
| 84520 |
|
2,369 |
1,498 |
$2K |
| 82746 |
|
500 |
480 |
$1K |
| 90658 |
|
100 |
98 |
$1K |
| 82607 |
|
332 |
312 |
$1K |
| 90686 |
|
63 |
62 |
$1K |
| 90653 |
|
52 |
52 |
$1K |
| 0013A |
|
70 |
68 |
$1K |
| 90656 |
|
69 |
69 |
$1K |
| 82565 |
|
1,506 |
1,459 |
$908.85 |
| 84075 |
|
1,390 |
1,347 |
$859.86 |
| 84155 |
|
1,494 |
1,450 |
$809.61 |
| 83735 |
|
923 |
886 |
$752.90 |
| 0011A |
|
16 |
16 |
$640.00 |
| G0008 |
Admin influenza virus vac |
186 |
183 |
$607.33 |
| 0012A |
|
15 |
15 |
$560.00 |
| 82728 |
|
278 |
275 |
$549.20 |
| 86706 |
|
129 |
127 |
$509.63 |
| 82306 |
|
165 |
165 |
$431.41 |
| 90662 |
|
22 |
22 |
$362.32 |
| 80051 |
|
947 |
935 |
$354.52 |
| 82108 |
|
119 |
119 |
$152.14 |
| 84295 |
|
178 |
156 |
$52.24 |
| 84132 |
|
224 |
136 |
$19.89 |
| 82435 |
|
71 |
70 |
$4.47 |
| 82374 |
|
90 |
86 |
$2.06 |
| 86704 |
|
17 |
15 |
$0.65 |
| 91301 |
|
39 |
37 |
$0.01 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
20 |
20 |
$0.00 |
| 0771 |
|
17 |
16 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
14 |
13 |
$0.00 |