| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
71,607 |
4,317 |
$4.60M |
| J0887 |
Epoetin beta esrd use |
4,679 |
2,426 |
$60K |
| A4657 |
Syringe w/wo needle |
36,947 |
2,876 |
$8K |
| J0604 |
Cinacalcet, esrd on dialysis |
888 |
98 |
$1K |
| J0882 |
Darbepoetin alfa, esrd use |
635 |
166 |
$1K |
| J1756 |
Iron sucrose injection |
11,466 |
2,204 |
$988.00 |
| 83970 |
|
2,598 |
2,121 |
$170.60 |
| 0064A |
|
27 |
21 |
$76.32 |
| 87340 |
|
2,045 |
1,646 |
$74.69 |
| 83550 |
|
3,785 |
3,145 |
$72.24 |
| J1644 |
Inj heparin sodium per 1000u |
6,993 |
284 |
$54.99 |
| 83540 |
|
3,754 |
3,120 |
$53.30 |
| 82108 |
|
548 |
446 |
$52.66 |
| 80051 |
|
1,258 |
1,075 |
$50.68 |
| 84520 |
|
7,378 |
3,095 |
$44.88 |
| 85025 |
|
3,426 |
2,883 |
$40.15 |
| 82310 |
|
4,016 |
1,711 |
$37.31 |
| 82565 |
|
1,346 |
1,137 |
$37.03 |
| 82040 |
|
1,537 |
1,239 |
$35.77 |
| 84100 |
|
2,263 |
1,854 |
$34.30 |
| 82728 |
|
1,669 |
1,332 |
$28.16 |
| 84155 |
|
2,347 |
1,978 |
$26.53 |
| 84075 |
|
1,239 |
1,004 |
$21.40 |
| 82746 |
|
140 |
119 |
$15.19 |
| 83735 |
|
1,231 |
1,010 |
$13.84 |
| 86706 |
|
386 |
316 |
$11.10 |
| 85018 |
|
9,667 |
2,966 |
$9.72 |
| 80069 |
|
1,807 |
1,452 |
$8.97 |
| 90686 |
|
93 |
83 |
$0.00 |
| 0001A |
|
14 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
198 |
167 |
$0.00 |
| 83036 |
|
74 |
71 |
$0.00 |
| A4913 |
Misc dialysis supplies noc |
215 |
67 |
$0.00 |
| 86803 |
|
23 |
21 |
$0.00 |
| 80053 |
|
621 |
550 |
$0.00 |
| J3490 |
Drugs unclassified injection |
68 |
12 |
$0.00 |
| 85027 |
|
17 |
12 |
$0.00 |
| J2501 |
Paricalcitol |
1,994 |
158 |
$0.00 |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
397 |
26 |
$0.00 |
| 82607 |
|
57 |
46 |
$0.00 |
| 86704 |
|
66 |
53 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |
| 85046 |
|
265 |
221 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
549 |
141 |
$0.00 |
| 90661 |
|
14 |
13 |
$0.00 |
| 90682 |
|
47 |
32 |
$0.00 |
| 84466 |
|
19 |
14 |
$0.00 |