| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
79,314 |
6,920 |
$4.31M |
| A4657 |
Syringe w/wo needle |
49,472 |
4,423 |
$5K |
| J3490 |
Drugs unclassified injection |
3,717 |
355 |
$2K |
| 85018 |
|
16,934 |
5,405 |
$680.76 |
| J0887 |
Epoetin beta esrd use |
6,549 |
4,139 |
$642.59 |
| 84132 |
|
17,102 |
5,438 |
$538.78 |
| J1756 |
Iron sucrose injection |
13,739 |
3,069 |
$427.49 |
| 83970 |
|
4,446 |
4,238 |
$290.08 |
| 85025 |
|
5,343 |
5,134 |
$221.65 |
| 83540 |
|
5,386 |
5,237 |
$203.96 |
| 84075 |
|
1,839 |
1,799 |
$170.54 |
| 84520 |
|
10,428 |
5,317 |
$159.45 |
| 83735 |
|
1,870 |
1,832 |
$120.04 |
| 83550 |
|
3,668 |
3,589 |
$94.18 |
| 82728 |
|
2,436 |
2,346 |
$61.67 |
| 86706 |
|
763 |
750 |
$60.24 |
| 82310 |
|
6,819 |
3,019 |
$59.36 |
| 84466 |
|
1,108 |
1,078 |
$56.66 |
| J1644 |
Inj heparin sodium per 1000u |
9,843 |
560 |
$39.61 |
| G0008 |
Admin influenza virus vac |
259 |
258 |
$22.40 |
| 87340 |
|
1,325 |
1,274 |
$15.00 |
| 84155 |
|
1,455 |
1,426 |
$0.00 |
| 84100 |
|
3,264 |
2,455 |
$0.00 |
| 82108 |
|
766 |
758 |
$0.00 |
| 84460 |
|
1,490 |
1,462 |
$0.00 |
| 82565 |
|
2,304 |
1,892 |
$0.00 |
| 85046 |
|
60 |
58 |
$0.00 |
| 90662 |
|
71 |
70 |
$0.00 |
| 90682 |
|
15 |
15 |
$0.00 |
| 90740 |
|
30 |
30 |
$0.00 |
| J1270 |
Injection, doxercalciferol |
4,132 |
372 |
$0.00 |
| J0604 |
Cinacalcet, esrd on dialysis |
1,139 |
178 |
$0.00 |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
3,496 |
314 |
$0.00 |
| 82040 |
|
2,308 |
1,870 |
$0.00 |
| 80051 |
|
1,561 |
1,524 |
$0.00 |
| 80069 |
|
2,451 |
2,413 |
$0.00 |
| 83036 |
|
109 |
104 |
$0.00 |
| 86803 |
|
125 |
125 |
$0.00 |
| 90686 |
|
41 |
41 |
$0.00 |
| 90688 |
|
39 |
39 |
$0.00 |
| 82607 |
|
122 |
121 |
$0.00 |
| 0064A |
|
34 |
34 |
$0.00 |
| 0012A |
|
33 |
33 |
$0.00 |
| 82746 |
|
12 |
12 |
$0.00 |
| 0011A |
|
33 |
33 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
12 |
12 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
30 |
30 |
$0.00 |
| Q4081 |
Epoetin alfa, 100 units esrd |
192 |
26 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |