| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
5,502 |
1,065 |
$1.20M |
| A4657 |
Syringe w/wo needle |
12,442 |
963 |
$135K |
| J3490 |
Drugs unclassified injection |
596 |
172 |
$4K |
| 85018 |
|
1,828 |
957 |
$3K |
| J1756 |
Iron sucrose injection |
2,177 |
810 |
$3K |
| 84132 |
|
872 |
377 |
$2K |
| 84520 |
|
1,871 |
918 |
$1K |
| 83970 |
|
514 |
477 |
$1K |
| J1270 |
Injection, doxercalciferol |
3,788 |
757 |
$878.09 |
| 80051 |
|
986 |
911 |
$832.20 |
| J0887 |
Epoetin beta esrd use |
1,037 |
703 |
$714.87 |
| 90740 |
|
47 |
44 |
$127.42 |
| J1644 |
Inj heparin sodium per 1000u |
7,007 |
274 |
$50.02 |
| 82108 |
|
76 |
70 |
$19.72 |
| 87340 |
|
336 |
314 |
$18.24 |
| 85025 |
|
991 |
916 |
$13.50 |
| 84100 |
|
1,794 |
922 |
$12.63 |
| 82728 |
|
427 |
401 |
$12.07 |
| 83540 |
|
992 |
917 |
$11.44 |
| 84466 |
|
290 |
275 |
$11.01 |
| 86704 |
|
75 |
69 |
$10.83 |
| 86706 |
|
76 |
70 |
$9.51 |
| 82040 |
|
992 |
917 |
$8.04 |
| 82565 |
|
991 |
916 |
$4.31 |
| 82310 |
|
1,101 |
922 |
$4.10 |
| 84155 |
|
991 |
916 |
$2.96 |
| 90688 |
|
89 |
80 |
$0.00 |
| G0008 |
Admin influenza virus vac |
89 |
80 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
46 |
43 |
$0.00 |
| 83550 |
|
676 |
619 |
$0.00 |
| J0604 |
Cinacalcet, esrd on dialysis |
459 |
217 |
$0.00 |
| 84075 |
|
310 |
295 |
$0.00 |
| A4913 |
Misc dialysis supplies noc |
27 |
14 |
$0.00 |
| 0636 |
|
37 |
13 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
38 |
12 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
40 |
12 |
$0.00 |