| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
100,091 |
7,631 |
$3.96M |
| J0604 |
Cinacalcet, esrd on dialysis |
12,026 |
1,431 |
$318K |
| J0887 |
Epoetin beta esrd use |
10,408 |
5,466 |
$238K |
| 83970 |
|
7,409 |
6,243 |
$71K |
| J1756 |
Iron sucrose injection |
24,517 |
4,767 |
$44K |
| 84520 |
|
17,180 |
6,687 |
$17K |
| 83550 |
|
7,547 |
6,456 |
$17K |
| J1270 |
Injection, doxercalciferol |
23,819 |
2,133 |
$16K |
| 82728 |
|
3,898 |
3,280 |
$15K |
| 85018 |
|
21,184 |
6,506 |
$13K |
| 82310 |
|
8,724 |
6,636 |
$13K |
| 83540 |
|
7,694 |
6,569 |
$12K |
| 87340 |
|
5,749 |
4,891 |
$11K |
| 82040 |
|
7,893 |
6,635 |
$10K |
| 82565 |
|
7,775 |
6,548 |
$10K |
| 84100 |
|
8,318 |
6,644 |
$10K |
| 82108 |
|
1,064 |
920 |
$7K |
| 80051 |
|
4,813 |
4,124 |
$6K |
| 84132 |
|
3,106 |
2,497 |
$5K |
| 82374 |
|
2,627 |
2,282 |
$5K |
| 82435 |
|
2,554 |
2,216 |
$5K |
| 85025 |
|
3,722 |
3,174 |
$3K |
| 84075 |
|
3,650 |
2,147 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
46,044 |
1,895 |
$3K |
| 90670 |
|
25 |
19 |
$2K |
| 86706 |
|
694 |
574 |
$2K |
| 85046 |
|
992 |
826 |
$951.64 |
| 86803 |
|
281 |
216 |
$746.08 |
| 90740 |
|
53 |
45 |
$740.20 |
| 84155 |
|
2,402 |
2,016 |
$628.39 |
| 90662 |
|
84 |
68 |
$552.18 |
| 90688 |
|
121 |
118 |
$404.98 |
| 83735 |
|
807 |
667 |
$403.80 |
| 90686 |
|
184 |
129 |
$403.21 |
| 0012A |
|
36 |
36 |
$182.23 |
| 0011A |
|
38 |
37 |
$143.48 |
| 82746 |
|
161 |
133 |
$138.22 |
| 85027 |
|
34 |
29 |
$123.48 |
| 0064A |
|
33 |
31 |
$71.74 |
| 84295 |
|
20 |
20 |
$12.99 |
| G0307 |
Cbc without platelet |
2,760 |
2,398 |
$0.00 |
| A4657 |
Syringe w/wo needle |
102,093 |
6,186 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
152 |
105 |
$0.00 |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
2,194 |
175 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
60 |
47 |
$0.00 |
| 90677 |
|
28 |
22 |
$0.00 |
| J3490 |
Drugs unclassified injection |
475 |
126 |
$0.00 |
| G0008 |
Admin influenza virus vac |
505 |
406 |
$0.00 |
| 90739 |
|
100 |
60 |
$0.00 |
| 90682 |
|
62 |
46 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
118 |
12 |
$0.00 |
| 90661 |
|
16 |
16 |
$0.00 |