| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0887 |
Epoetin beta esrd use |
4,154 |
1,854 |
$2.79M |
| 90999 |
|
47,338 |
3,109 |
$1.31M |
| J0882 |
Darbepoetin alfa, esrd use |
2,305 |
567 |
$688K |
| J1756 |
Iron sucrose injection |
5,664 |
1,178 |
$97K |
| J0604 |
Cinacalcet, esrd on dialysis |
4,928 |
400 |
$3K |
| J2501 |
Paricalcitol |
10,861 |
888 |
$29.10 |
| A4657 |
Syringe w/wo needle |
48,013 |
2,946 |
$0.90 |
| 82040 |
|
3,427 |
1,711 |
$0.00 |
| 83036 |
|
503 |
413 |
$0.00 |
| 82435 |
|
710 |
577 |
$0.00 |
| 85025 |
|
3,379 |
2,624 |
$0.00 |
| 90688 |
|
28 |
26 |
$0.00 |
| 80051 |
|
1,188 |
972 |
$0.00 |
| 84075 |
|
3,285 |
2,538 |
$0.00 |
| 85018 |
|
5,934 |
2,549 |
$0.00 |
| 87340 |
|
369 |
293 |
$0.00 |
| 86706 |
|
337 |
267 |
$0.00 |
| 80069 |
|
1,236 |
891 |
$0.00 |
| 82728 |
|
1,370 |
1,075 |
$0.00 |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
2,542 |
202 |
$0.00 |
| 80048 |
|
25 |
19 |
$0.00 |
| 82746 |
|
342 |
270 |
$0.00 |
| 83550 |
|
676 |
493 |
$0.00 |
| 84132 |
|
943 |
639 |
$0.00 |
| G0008 |
Admin influenza virus vac |
172 |
134 |
$0.00 |
| 82607 |
|
342 |
270 |
$0.00 |
| Q4081 |
Epoetin alfa, 100 units esrd |
493 |
57 |
$0.00 |
| 82306 |
|
339 |
268 |
$0.00 |
| 83735 |
|
343 |
270 |
$0.00 |
| J3490 |
Drugs unclassified injection |
123 |
106 |
$0.00 |
| 90686 |
|
32 |
31 |
$0.00 |
| 86704 |
|
37 |
31 |
$0.00 |
| 0001A |
|
29 |
18 |
$0.00 |
| 90674 |
|
74 |
46 |
$0.00 |
| 82310 |
|
5,631 |
2,495 |
$0.00 |
| 84450 |
|
2,563 |
1,914 |
$0.00 |
| 84155 |
|
3,140 |
2,427 |
$0.00 |
| 83540 |
|
3,952 |
2,624 |
$0.00 |
| 84100 |
|
2,364 |
1,754 |
$0.00 |
| 82565 |
|
1,968 |
1,602 |
$0.00 |
| 83970 |
|
1,799 |
1,400 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
18,026 |
1,305 |
$0.00 |
| 84520 |
|
4,824 |
1,975 |
$0.00 |
| 85014 |
|
3,575 |
2,409 |
$0.00 |
| 84295 |
|
712 |
578 |
$0.00 |
| 0002A |
|
27 |
16 |
$0.00 |
| 82374 |
|
1,087 |
773 |
$0.00 |
| 84466 |
|
3,045 |
2,122 |
$0.00 |
| 84460 |
|
353 |
257 |
$0.00 |
| 82947 |
|
382 |
293 |
$0.00 |
| 82108 |
|
297 |
231 |
$0.00 |
| 90756 |
|
18 |
18 |
$0.00 |