| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
58,018 |
6,220 |
$5.59M |
| J0887 |
Epoetin beta esrd use |
8,025 |
4,229 |
$58K |
| J1756 |
Iron sucrose injection |
19,303 |
3,711 |
$6K |
| J0604 |
Cinacalcet, esrd on dialysis |
3,715 |
389 |
$2K |
| A4657 |
Syringe w/wo needle |
112,376 |
5,503 |
$380.38 |
| 90740 |
|
225 |
146 |
$260.48 |
| J1644 |
Inj heparin sodium per 1000u |
51,037 |
2,712 |
$138.51 |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
2,745 |
190 |
$125.84 |
| 83970 |
|
5,007 |
3,954 |
$110.12 |
| 90662 |
|
109 |
78 |
$107.48 |
| J1270 |
Injection, doxercalciferol |
38,245 |
3,223 |
$93.73 |
| G0008 |
Admin influenza virus vac |
500 |
376 |
$66.14 |
| 85018 |
|
21,011 |
5,843 |
$58.56 |
| 83550 |
|
6,300 |
5,194 |
$53.13 |
| 80051 |
|
4,594 |
3,735 |
$42.68 |
| 84100 |
|
8,752 |
4,934 |
$41.87 |
| 0001A |
|
108 |
60 |
$40.00 |
| 83540 |
|
6,844 |
5,630 |
$39.66 |
| 84520 |
|
14,744 |
5,717 |
$39.56 |
| 84132 |
|
3,986 |
1,614 |
$38.14 |
| 82310 |
|
9,613 |
4,920 |
$35.45 |
| 82565 |
|
6,014 |
4,624 |
$31.40 |
| 82040 |
|
5,698 |
4,593 |
$30.40 |
| 82728 |
|
3,566 |
2,876 |
$29.88 |
| 90686 |
|
226 |
161 |
$17.84 |
| G0306 |
Cbc/diffwbc w/o platelet |
1,234 |
972 |
$13.47 |
| 83735 |
|
2,074 |
1,680 |
$12.91 |
| 85046 |
|
656 |
526 |
$9.26 |
| 84075 |
|
2,468 |
2,025 |
$8.02 |
| J3490 |
Drugs unclassified injection |
3,563 |
901 |
$6.68 |
| 87340 |
|
3,592 |
2,846 |
$3.62 |
| 90732 |
|
15 |
13 |
$3.21 |
| 82108 |
|
619 |
504 |
$2.22 |
| 90688 |
|
139 |
120 |
$1.31 |
| 86706 |
|
1,010 |
795 |
$0.60 |
| 84466 |
|
222 |
193 |
$0.53 |
| 84295 |
|
300 |
262 |
$0.27 |
| 82374 |
|
876 |
666 |
$0.27 |
| 84155 |
|
3,207 |
2,651 |
$0.12 |
| 85014 |
|
26 |
25 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
6,913 |
715 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
54 |
13 |
$0.00 |
| 82947 |
|
83 |
74 |
$0.00 |
| 85048 |
|
26 |
25 |
$0.00 |
| 85041 |
|
26 |
25 |
$0.00 |
| 82652 |
|
17 |
14 |
$0.00 |
| 0002A |
|
65 |
54 |
$0.00 |
| 0004A |
|
15 |
13 |
$0.00 |
| 85004 |
|
12 |
12 |
$0.00 |
| 85025 |
|
3,762 |
3,075 |
$0.00 |
| 83036 |
|
90 |
89 |
$0.00 |
| 80069 |
|
1,231 |
1,045 |
$0.00 |
| 86803 |
|
118 |
99 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
303 |
211 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
15 |
13 |
$0.00 |
| 90739 |
|
39 |
37 |
$0.00 |
| 0064A |
|
23 |
23 |
$0.00 |
| 82746 |
|
63 |
53 |
$0.00 |
| 85027 |
|
28 |
26 |
$0.00 |
| 82962 |
|
120 |
12 |
$0.00 |