| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
113,613 |
11,202 |
$19.37M |
| 0250 |
|
39,292 |
3,474 |
$237K |
| A4657 |
Syringe w/wo needle |
90,822 |
7,568 |
$197K |
| 90945 |
|
961 |
37 |
$156K |
| J0604 |
Cinacalcet, esrd on dialysis |
1,891 |
712 |
$39K |
| J1756 |
Iron sucrose injection |
19,039 |
6,089 |
$35K |
| J0887 |
Epoetin beta esrd use |
9,609 |
6,510 |
$31K |
| 85018 |
|
21,737 |
9,160 |
$19K |
| 80051 |
|
5,556 |
5,290 |
$17K |
| 83970 |
|
8,142 |
7,800 |
$14K |
| 82310 |
|
15,829 |
8,988 |
$13K |
| J3490 |
Drugs unclassified injection |
3,158 |
1,013 |
$9K |
| 80069 |
|
1,501 |
1,466 |
$8K |
| 84100 |
|
14,180 |
8,979 |
$7K |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
144 |
39 |
$7K |
| 84520 |
|
18,213 |
9,186 |
$6K |
| 82565 |
|
8,341 |
7,815 |
$6K |
| 83540 |
|
10,084 |
9,727 |
$5K |
| 82728 |
|
4,755 |
4,592 |
$5K |
| 83550 |
|
9,251 |
8,937 |
$4K |
| 84132 |
|
8,629 |
4,422 |
$4K |
| 82040 |
|
8,566 |
8,063 |
$3K |
| 87340 |
|
3,528 |
3,393 |
$3K |
| 85027 |
|
4,019 |
3,912 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
54,360 |
2,872 |
$2K |
| 85025 |
|
4,090 |
3,904 |
$2K |
| G0307 |
Cbc without platelet |
786 |
734 |
$1K |
| J1270 |
Injection, doxercalciferol |
20,815 |
3,221 |
$1K |
| 82108 |
|
501 |
481 |
$1K |
| 84155 |
|
4,189 |
4,008 |
$1K |
| 84075 |
|
2,277 |
2,171 |
$809.14 |
| J1200 |
Diphenhydramine hcl injectio |
1,783 |
373 |
$805.34 |
| 83735 |
|
182 |
182 |
$757.51 |
| A4913 |
Misc dialysis supplies noc |
26 |
12 |
$655.40 |
| 84466 |
|
638 |
601 |
$497.42 |
| 85045 |
|
271 |
265 |
$490.95 |
| G0008 |
Admin influenza virus vac |
504 |
494 |
$408.28 |
| 86706 |
|
950 |
914 |
$148.34 |
| 90686 |
|
148 |
146 |
$134.63 |
| 90662 |
|
133 |
126 |
$111.50 |
| 90739 |
|
56 |
55 |
$107.97 |
| 82746 |
|
79 |
79 |
$31.49 |
| G0010 |
Admin hepatitis b vaccine |
28 |
27 |
$21.45 |
| 82607 |
|
44 |
44 |
$17.52 |
| 0012A |
|
12 |
12 |
$14.71 |
| 90740 |
|
12 |
12 |
$12.96 |
| 82570 |
|
168 |
117 |
$11.79 |
| 90682 |
|
70 |
70 |
$10.96 |
| A6216 |
Non-sterile gauze<=16 sq in |
3,569 |
447 |
$10.30 |
| 83036 |
|
433 |
422 |
$8.54 |
| 82945 |
|
121 |
103 |
$8.25 |
| 85046 |
|
29 |
29 |
$6.04 |
| 90688 |
|
208 |
201 |
$4.21 |
| 80061 |
|
92 |
90 |
$4.01 |
| 86803 |
|
310 |
304 |
$1.89 |
| 84295 |
|
2,878 |
2,738 |
$0.00 |
| 82374 |
|
2,830 |
2,749 |
$0.00 |
| 90661 |
|
21 |
21 |
$0.00 |
| 82652 |
|
126 |
124 |
$0.00 |
| 82947 |
|
13 |
12 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 86704 |
|
142 |
137 |
$0.00 |
| 86580 |
|
27 |
26 |
$0.00 |
| 90673 |
|
29 |
29 |
$0.00 |
| 0064A |
|
13 |
13 |
$0.00 |