| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
184,435 |
9,450 |
$13.86M |
| J0887 |
Epoetin beta esrd use |
16,724 |
6,041 |
$128K |
| J1756 |
Iron sucrose injection |
38,902 |
5,157 |
$5K |
| J0604 |
Cinacalcet, esrd on dialysis |
13,708 |
802 |
$2K |
| 90732 |
|
207 |
103 |
$386.86 |
| 90686 |
|
402 |
194 |
$164.36 |
| A4657 |
Syringe w/wo needle |
89,563 |
6,449 |
$118.01 |
| 83970 |
|
8,224 |
3,940 |
$90.88 |
| J1270 |
Injection, doxercalciferol |
15,313 |
778 |
$40.80 |
| 90688 |
|
174 |
122 |
$35.68 |
| 84100 |
|
17,993 |
5,523 |
$32.99 |
| 87340 |
|
4,472 |
2,197 |
$31.68 |
| 84520 |
|
26,108 |
6,855 |
$28.12 |
| 85018 |
|
39,264 |
6,773 |
$25.09 |
| 85025 |
|
12,994 |
6,606 |
$23.55 |
| 83550 |
|
13,090 |
6,603 |
$23.38 |
| 82310 |
|
13,329 |
4,678 |
$21.80 |
| 80051 |
|
7,045 |
3,531 |
$21.65 |
| 83540 |
|
13,481 |
6,811 |
$19.34 |
| 84132 |
|
14,168 |
2,791 |
$15.58 |
| 82565 |
|
7,938 |
3,907 |
$15.14 |
| 82040 |
|
7,548 |
3,869 |
$14.24 |
| 82728 |
|
5,944 |
2,866 |
$10.86 |
| 84155 |
|
10,716 |
5,327 |
$10.48 |
| J1644 |
Inj heparin sodium per 1000u |
11,876 |
504 |
$8.89 |
| J3490 |
Drugs unclassified injection |
9,889 |
1,128 |
$5.55 |
| 83735 |
|
4,430 |
2,178 |
$5.42 |
| 84075 |
|
3,499 |
1,638 |
$3.72 |
| 86704 |
|
591 |
308 |
$0.00 |
| 80069 |
|
5,774 |
2,891 |
$0.00 |
| 82607 |
|
201 |
112 |
$0.00 |
| 86803 |
|
101 |
85 |
$0.00 |
| 86706 |
|
1,262 |
643 |
$0.00 |
| G0008 |
Admin influenza virus vac |
1,048 |
545 |
$0.00 |
| 90739 |
|
140 |
81 |
$0.00 |
| 83036 |
|
106 |
92 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
287 |
163 |
$0.00 |
| 86580 |
|
149 |
124 |
$0.00 |
| 82435 |
|
291 |
240 |
$0.00 |
| 0001A |
|
119 |
51 |
$0.00 |
| 0064A |
|
91 |
42 |
$0.00 |
| 82746 |
|
760 |
321 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
242 |
122 |
$0.00 |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
269 |
12 |
$0.00 |
| 85046 |
|
4,766 |
2,227 |
$0.00 |
| 90662 |
|
300 |
128 |
$0.00 |
| 82108 |
|
1,271 |
595 |
$0.00 |
| J0882 |
Darbepoetin alfa, esrd use |
189 |
41 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
9,239 |
789 |
$0.00 |
| 84460 |
|
1,341 |
800 |
$0.00 |
| 84450 |
|
1,340 |
799 |
$0.00 |
| 90740 |
|
147 |
82 |
$0.00 |
| 84295 |
|
300 |
240 |
$0.00 |
| 82947 |
|
180 |
137 |
$0.00 |
| 90661 |
|
17 |
17 |
$0.00 |
| 82374 |
|
336 |
253 |
$0.00 |
| 0002A |
|
108 |
47 |
$0.00 |
| 84466 |
|
65 |
37 |
$0.00 |
| 90682 |
|
144 |
73 |
$0.00 |