| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
74,831 |
5,452 |
$5.13M |
| J0887 |
Epoetin beta esrd use |
8,145 |
3,846 |
$133K |
| J0882 |
Darbepoetin alfa, esrd use |
2,723 |
646 |
$74K |
| J0604 |
Cinacalcet, esrd on dialysis |
4,652 |
496 |
$28K |
| J1756 |
Iron sucrose injection |
14,420 |
3,564 |
$25K |
| J2501 |
Paricalcitol |
58,878 |
4,744 |
$17K |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
1,305 |
115 |
$12K |
| 82040 |
|
3,697 |
2,947 |
$4K |
| J0735 |
Clonidine hydrochloride |
1,919 |
402 |
$3K |
| 90747 |
|
270 |
195 |
$3K |
| J2916 |
Na ferric gluconate complex |
1,037 |
190 |
$2K |
| 83970 |
|
3,444 |
2,753 |
$1K |
| Q5105 |
Inj retacrit esrd on dialysi |
2,504 |
244 |
$1K |
| 90674 |
|
122 |
110 |
$452.02 |
| 82728 |
|
3,474 |
2,775 |
$268.85 |
| 84466 |
|
3,686 |
2,946 |
$252.49 |
| 84520 |
|
9,219 |
2,982 |
$158.90 |
| 87340 |
|
2,892 |
2,217 |
$143.99 |
| 83540 |
|
3,685 |
2,945 |
$133.94 |
| 82306 |
|
395 |
308 |
$126.26 |
| 90471 |
|
271 |
196 |
$116.50 |
| 90732 |
|
15 |
12 |
$105.59 |
| 82310 |
|
3,898 |
2,948 |
$94.43 |
| 84075 |
|
3,686 |
2,947 |
$93.43 |
| 82565 |
|
3,704 |
2,947 |
$92.55 |
| 82374 |
|
3,696 |
2,947 |
$88.27 |
| 84295 |
|
3,042 |
2,338 |
$86.86 |
| 84100 |
|
3,709 |
2,947 |
$86.19 |
| 84132 |
|
3,710 |
2,945 |
$83.64 |
| 82435 |
|
3,696 |
2,947 |
$82.99 |
| 85045 |
|
3,726 |
2,950 |
$82.56 |
| 0013A |
|
24 |
21 |
$75.32 |
| 84155 |
|
3,038 |
2,338 |
$66.03 |
| G0008 |
Admin influenza virus vac |
86 |
78 |
$65.72 |
| 86706 |
|
564 |
451 |
$51.10 |
| 0011A |
|
15 |
12 |
$33.13 |
| G0009 |
Admin pneumococcal vaccine |
15 |
12 |
$19.24 |
| 91301 |
|
43 |
38 |
$0.05 |
| 91306 |
|
46 |
41 |
$0.05 |
| G0010 |
Admin hepatitis b vaccine |
16 |
16 |
$0.00 |