| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
73,674 |
5,326 |
$4.98M |
| 90945 |
|
51,217 |
1,736 |
$1.54M |
| Q4081 |
Epoetin alfa, 100 units esrd |
28,022 |
2,904 |
$756K |
| J0887 |
Epoetin beta esrd use |
987 |
599 |
$456K |
| J1756 |
Iron sucrose injection |
9,954 |
3,014 |
$266K |
| J0882 |
Darbepoetin alfa, esrd use |
255 |
206 |
$234K |
| 83970 |
|
1,531 |
1,321 |
$3.43 |
| 82728 |
|
1,269 |
1,060 |
$3.04 |
| 84466 |
|
1,077 |
895 |
$2.85 |
| 83540 |
|
1,826 |
1,531 |
$1.43 |
| 85045 |
|
1,115 |
945 |
$0.89 |
| 85041 |
|
2,505 |
2,131 |
$0.67 |
| 85048 |
|
2,486 |
2,110 |
$0.56 |
| A4657 |
Syringe w/wo needle |
11,704 |
3,557 |
$0.41 |
| J1270 |
Injection, doxercalciferol |
15,363 |
1,304 |
$0.00 |
| G0499 |
Hepb screen high risk indiv |
593 |
342 |
$0.00 |
| 90674 |
|
216 |
181 |
$0.00 |
| 82306 |
|
376 |
320 |
$0.00 |
| 83550 |
|
764 |
646 |
$0.00 |
| 82607 |
|
74 |
60 |
$0.00 |
| J0604 |
Cinacalcet, esrd on dialysis |
62 |
24 |
$0.00 |
| 82746 |
|
105 |
85 |
$0.00 |
| 86140 |
|
359 |
291 |
$0.00 |
| 90677 |
|
25 |
25 |
$0.00 |
| G0008 |
Admin influenza virus vac |
285 |
254 |
$0.00 |
| 90747 |
|
62 |
54 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
24 |
24 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
28 |
26 |
$0.00 |
| 82108 |
|
211 |
177 |
$0.00 |
| 90662 |
|
37 |
30 |
$0.00 |
| 82947 |
|
35 |
27 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
80 |
13 |
$0.00 |
| 90661 |
|
19 |
19 |
$0.00 |