| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
125,083 |
10,031 |
$3.89M |
| 83970 |
|
5,944 |
5,048 |
$742K |
| Q4081 |
Epoetin alfa, 100 units esrd |
106,173 |
6,591 |
$692K |
| 82728 |
|
5,609 |
4,804 |
$643K |
| 83550 |
|
5,386 |
4,547 |
$370K |
| 83540 |
|
5,906 |
4,978 |
$303K |
| J0887 |
Epoetin beta esrd use |
2,021 |
1,105 |
$106K |
| 82108 |
|
485 |
430 |
$94K |
| J1756 |
Iron sucrose injection |
19,190 |
5,334 |
$80K |
| A4657 |
Syringe w/wo needle |
6,131 |
5,258 |
$26K |
| J0604 |
Cinacalcet, esrd on dialysis |
3,054 |
1,229 |
$24K |
| J1270 |
Injection, doxercalciferol |
27,004 |
2,422 |
$14K |
| 90970 |
|
1,269 |
48 |
$10K |
| 85041 |
|
5,505 |
4,603 |
$6K |
| 90677 |
|
36 |
35 |
$4K |
| 85048 |
|
5,426 |
4,570 |
$4K |
| G0499 |
Hepb screen high risk indiv |
3,322 |
2,276 |
$4K |
| J0636 |
Inj calcitriol per 0.1 mcg |
3,046 |
203 |
$3K |
| 91320 |
|
17 |
17 |
$2K |
| 90945 |
|
594 |
30 |
$2K |
| 86706 |
|
88 |
83 |
$164.87 |
| 87340 |
|
87 |
83 |
$158.55 |
| G0008 |
Admin influenza virus vac |
322 |
297 |
$63.89 |
| 90662 |
|
140 |
134 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
4,141 |
344 |
$0.00 |
| 90670 |
|
58 |
49 |
$0.00 |
| 0124A |
|
22 |
22 |
$0.00 |
| 90480 |
|
17 |
17 |
$0.00 |
| 90674 |
|
155 |
145 |
$0.00 |
| 0064A |
|
34 |
33 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
27 |
27 |
$0.00 |
| 82607 |
|
60 |
49 |
$0.00 |
| 0011A |
|
17 |
17 |
$0.00 |
| 90747 |
|
12 |
12 |
$0.00 |
| 0012A |
|
16 |
15 |
$0.00 |