| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
108,132 |
8,393 |
$4.49M |
| J0604 |
Cinacalcet, esrd on dialysis |
8,567 |
1,382 |
$294K |
| J0887 |
Epoetin beta esrd use |
9,674 |
5,188 |
$211K |
| 83970 |
|
8,215 |
6,890 |
$68K |
| J1756 |
Iron sucrose injection |
28,358 |
5,812 |
$43K |
| 84520 |
|
19,516 |
7,097 |
$15K |
| 82310 |
|
10,587 |
6,782 |
$14K |
| 83550 |
|
7,549 |
6,449 |
$14K |
| 84100 |
|
11,522 |
6,828 |
$13K |
| 83540 |
|
8,169 |
6,986 |
$11K |
| 80051 |
|
7,164 |
6,127 |
$10K |
| 85018 |
|
20,700 |
6,649 |
$10K |
| 82728 |
|
3,205 |
2,731 |
$9K |
| J1270 |
Injection, doxercalciferol |
16,340 |
1,363 |
$9K |
| 82040 |
|
8,566 |
6,647 |
$9K |
| 82108 |
|
1,423 |
1,234 |
$8K |
| 82565 |
|
7,586 |
6,443 |
$8K |
| 85025 |
|
2,599 |
2,329 |
$8K |
| 87340 |
|
2,691 |
2,286 |
$5K |
| 84155 |
|
4,454 |
3,827 |
$5K |
| J1644 |
Inj heparin sodium per 1000u |
32,552 |
1,628 |
$4K |
| 90740 |
|
137 |
111 |
$4K |
| 83735 |
|
2,534 |
2,151 |
$3K |
| 84075 |
|
2,503 |
2,125 |
$2K |
| 86706 |
|
928 |
746 |
$2K |
| 85027 |
|
711 |
622 |
$2K |
| 82746 |
|
512 |
466 |
$1K |
| 80069 |
|
267 |
243 |
$1K |
| 84132 |
|
669 |
504 |
$847.45 |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
3,549 |
253 |
$708.00 |
| 84466 |
|
139 |
126 |
$649.32 |
| 90688 |
|
143 |
138 |
$368.41 |
| 85045 |
|
708 |
599 |
$324.17 |
| 86803 |
|
220 |
182 |
$172.80 |
| 90686 |
|
163 |
126 |
$167.47 |
| 82374 |
|
62 |
55 |
$74.17 |
| 90739 |
|
107 |
83 |
$68.22 |
| 86704 |
|
115 |
95 |
$66.30 |
| 82607 |
|
15 |
15 |
$60.32 |
| A4657 |
Syringe w/wo needle |
85,881 |
6,674 |
$42.96 |
| 90732 |
|
46 |
43 |
$39.51 |
| 85046 |
|
426 |
354 |
$30.06 |
| 82435 |
|
42 |
35 |
$28.98 |
| 84295 |
|
40 |
33 |
$25.98 |
| 85014 |
|
29 |
23 |
$4.26 |
| 85041 |
|
17 |
16 |
$2.72 |
| 85048 |
|
22 |
18 |
$2.29 |
| G0307 |
Cbc without platelet |
3,796 |
3,219 |
$0.00 |
| G0008 |
Admin influenza virus vac |
429 |
371 |
$0.00 |
| J3490 |
Drugs unclassified injection |
746 |
247 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
243 |
193 |
$0.00 |
| 0064A |
|
27 |
25 |
$0.00 |
| 0011A |
|
37 |
34 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
47 |
43 |
$0.00 |
| 0012A |
|
36 |
35 |
$0.00 |
| G0306 |
Cbc/diffwbc w/o platelet |
29 |
29 |
$0.00 |
| 90662 |
|
29 |
18 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
1,245 |
103 |
$0.00 |
| 90682 |
|
42 |
38 |
$0.00 |
| 90661 |
|
15 |
15 |
$0.00 |