| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
51,882 |
4,090 |
$3.27M |
| J0887 |
Epoetin beta esrd use |
5,238 |
2,900 |
$134K |
| J1644 |
Inj heparin sodium per 1000u |
37,822 |
1,488 |
$28K |
| A4657 |
Syringe w/wo needle |
63,725 |
3,343 |
$27K |
| J1756 |
Iron sucrose injection |
12,727 |
2,440 |
$18K |
| J0604 |
Cinacalcet, esrd on dialysis |
1,866 |
217 |
$8K |
| 80069 |
|
2,094 |
1,770 |
$1K |
| J1270 |
Injection, doxercalciferol |
6,850 |
559 |
$1K |
| 83970 |
|
2,728 |
2,277 |
$506.90 |
| 90740 |
|
55 |
45 |
$183.00 |
| 90732 |
|
35 |
29 |
$152.45 |
| G0009 |
Admin pneumococcal vaccine |
35 |
29 |
$99.98 |
| 87340 |
|
1,235 |
1,063 |
$79.32 |
| 82728 |
|
1,769 |
1,481 |
$11.18 |
| 85027 |
|
1,532 |
1,373 |
$8.23 |
| 83550 |
|
3,874 |
3,266 |
$7.17 |
| 85018 |
|
11,620 |
3,497 |
$5.82 |
| 83540 |
|
3,919 |
3,306 |
$5.31 |
| 84075 |
|
1,392 |
1,189 |
$4.25 |
| 84520 |
|
8,285 |
3,368 |
$3.24 |
| 84155 |
|
3,855 |
3,274 |
$3.01 |
| 85046 |
|
196 |
170 |
$0.00 |
| 84100 |
|
1,991 |
1,627 |
$0.00 |
| 82310 |
|
2,085 |
1,633 |
$0.00 |
| 82565 |
|
1,855 |
1,564 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
839 |
85 |
$0.00 |
| 82108 |
|
733 |
613 |
$0.00 |
| 90661 |
|
15 |
14 |
$0.00 |
| 90662 |
|
55 |
53 |
$0.00 |
| 90682 |
|
35 |
28 |
$0.00 |
| 82040 |
|
1,824 |
1,566 |
$0.00 |
| 85025 |
|
2,013 |
1,640 |
$0.00 |
| 80051 |
|
1,804 |
1,529 |
$0.00 |
| 83735 |
|
485 |
414 |
$0.00 |
| 84132 |
|
1,290 |
408 |
$0.00 |
| 83036 |
|
164 |
125 |
$0.00 |
| 86803 |
|
59 |
56 |
$0.00 |
| Q4081 |
Epoetin alfa, 100 units esrd |
346 |
39 |
$0.00 |
| 86706 |
|
468 |
375 |
$0.00 |
| 86704 |
|
98 |
73 |
$0.00 |
| G0008 |
Admin influenza virus vac |
285 |
245 |
$0.00 |
| 82746 |
|
89 |
78 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
68 |
56 |
$0.00 |
| 82607 |
|
23 |
22 |
$0.00 |
| 90686 |
|
84 |
67 |
$0.00 |
| 90688 |
|
84 |
72 |
$0.00 |
| 90739 |
|
14 |
12 |
$0.00 |
| J3490 |
Drugs unclassified injection |
56 |
12 |
$0.00 |