| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
62,838 |
5,058 |
$3.38M |
| J0604 |
Cinacalcet, esrd on dialysis |
2,610 |
614 |
$247K |
| J0887 |
Epoetin beta esrd use |
5,956 |
2,923 |
$175K |
| 83970 |
|
5,197 |
4,262 |
$70K |
| J1756 |
Iron sucrose injection |
12,103 |
2,386 |
$37K |
| 82310 |
|
8,817 |
4,261 |
$19K |
| 84520 |
|
12,275 |
4,367 |
$17K |
| 84100 |
|
8,184 |
4,259 |
$16K |
| 83550 |
|
4,820 |
3,990 |
$15K |
| J1270 |
Injection, doxercalciferol |
23,528 |
2,015 |
$13K |
| 80051 |
|
3,617 |
3,087 |
$11K |
| 83540 |
|
4,835 |
4,010 |
$11K |
| 85018 |
|
12,126 |
4,359 |
$9K |
| 82565 |
|
4,539 |
3,816 |
$8K |
| 82040 |
|
4,626 |
3,901 |
$8K |
| 82728 |
|
1,746 |
1,395 |
$8K |
| 82108 |
|
639 |
554 |
$6K |
| 87340 |
|
1,315 |
1,163 |
$5K |
| J1644 |
Inj heparin sodium per 1000u |
19,635 |
1,062 |
$4K |
| 83735 |
|
1,220 |
1,015 |
$4K |
| 90732 |
|
102 |
75 |
$3K |
| 84075 |
|
1,491 |
1,240 |
$3K |
| 85045 |
|
2,762 |
2,175 |
$2K |
| 86706 |
|
434 |
371 |
$2K |
| 82746 |
|
212 |
193 |
$1K |
| 82607 |
|
154 |
136 |
$869.83 |
| 90688 |
|
96 |
88 |
$677.03 |
| 85027 |
|
884 |
550 |
$657.36 |
| 80069 |
|
436 |
296 |
$570.13 |
| 82947 |
|
963 |
821 |
$522.30 |
| 86803 |
|
119 |
96 |
$487.25 |
| 85046 |
|
204 |
179 |
$484.00 |
| 90740 |
|
16 |
16 |
$441.31 |
| 90686 |
|
118 |
91 |
$390.01 |
| 90662 |
|
30 |
26 |
$225.43 |
| 86704 |
|
23 |
23 |
$187.46 |
| 85025 |
|
1,038 |
820 |
$172.62 |
| 84295 |
|
802 |
662 |
$142.56 |
| 82435 |
|
794 |
657 |
$142.00 |
| G0008 |
Admin influenza virus vac |
304 |
249 |
$130.00 |
| 82374 |
|
800 |
660 |
$126.06 |
| 84155 |
|
171 |
142 |
$95.13 |
| 0064A |
|
29 |
25 |
$71.74 |
| 90682 |
|
15 |
14 |
$0.00 |
| G0306 |
Cbc/diffwbc w/o platelet |
3,386 |
2,867 |
$0.00 |
| A4657 |
Syringe w/wo needle |
61,593 |
3,995 |
$0.00 |
| G0307 |
Cbc without platelet |
2,257 |
2,081 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
105 |
76 |
$0.00 |
| 0011A |
|
13 |
12 |
$0.00 |
| 84132 |
|
876 |
707 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
16 |
16 |
$0.00 |
| J3490 |
Drugs unclassified injection |
45 |
13 |
$0.00 |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
124 |
12 |
$0.00 |
| 0012A |
|
20 |
20 |
$0.00 |