| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
54,988 |
4,273 |
$2.86M |
| J0604 |
Cinacalcet, esrd on dialysis |
8,779 |
863 |
$126K |
| J0887 |
Epoetin beta esrd use |
5,147 |
2,674 |
$82K |
| 83970 |
|
3,713 |
3,260 |
$31K |
| J1756 |
Iron sucrose injection |
9,929 |
2,137 |
$18K |
| 84520 |
|
9,289 |
3,893 |
$9K |
| 83550 |
|
3,973 |
3,562 |
$8K |
| 85018 |
|
13,176 |
3,989 |
$8K |
| 82728 |
|
3,056 |
2,651 |
$7K |
| 83540 |
|
4,343 |
3,860 |
$7K |
| 82310 |
|
4,872 |
3,875 |
$7K |
| 80051 |
|
2,376 |
2,193 |
$7K |
| 84100 |
|
5,834 |
3,907 |
$7K |
| 85027 |
|
4,160 |
3,665 |
$6K |
| J1270 |
Injection, doxercalciferol |
19,532 |
1,566 |
$6K |
| 82040 |
|
4,437 |
3,859 |
$6K |
| 82565 |
|
4,363 |
3,839 |
$6K |
| 87340 |
|
1,212 |
1,076 |
$4K |
| 85045 |
|
3,949 |
3,436 |
$3K |
| 82947 |
|
3,060 |
2,714 |
$3K |
| 84155 |
|
3,585 |
3,157 |
$3K |
| 83735 |
|
1,503 |
1,294 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
21,198 |
999 |
$2K |
| 84075 |
|
1,508 |
1,295 |
$2K |
| 82108 |
|
324 |
267 |
$2K |
| 84460 |
|
1,000 |
877 |
$1K |
| 84450 |
|
999 |
876 |
$1K |
| 84466 |
|
275 |
221 |
$1K |
| 86706 |
|
424 |
348 |
$884.61 |
| 90732 |
|
39 |
39 |
$791.16 |
| 82374 |
|
1,923 |
1,604 |
$653.46 |
| 82435 |
|
1,916 |
1,602 |
$608.58 |
| 84132 |
|
1,965 |
1,613 |
$580.93 |
| 82746 |
|
270 |
213 |
$572.03 |
| 84295 |
|
1,892 |
1,597 |
$506.61 |
| 90688 |
|
85 |
83 |
$334.70 |
| 90686 |
|
130 |
95 |
$309.50 |
| 86803 |
|
215 |
159 |
$282.40 |
| 90662 |
|
47 |
39 |
$274.77 |
| 90740 |
|
20 |
15 |
$268.24 |
| 0012A |
|
31 |
31 |
$249.56 |
| 0064A |
|
24 |
23 |
$240.20 |
| 82607 |
|
29 |
29 |
$185.47 |
| 0011A |
|
20 |
20 |
$100.82 |
| 82247 |
|
166 |
125 |
$9.04 |
| J2405 |
Ondansetron hcl injection |
245 |
63 |
$0.00 |
| 80061 |
|
134 |
90 |
$0.00 |
| 82465 |
|
82 |
57 |
$0.00 |
| 90682 |
|
19 |
17 |
$0.00 |
| A4657 |
Syringe w/wo needle |
57,654 |
3,577 |
$0.00 |
| J3490 |
Drugs unclassified injection |
1,400 |
410 |
$0.00 |
| 83036 |
|
243 |
176 |
$0.00 |
| 90739 |
|
81 |
45 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
39 |
39 |
$0.00 |
| G0008 |
Admin influenza virus vac |
319 |
268 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
101 |
60 |
$0.00 |
| A4913 |
Misc dialysis supplies noc |
48 |
13 |
$0.00 |