| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
141,555 |
8,459 |
$5.48M |
| J0604 |
Cinacalcet, esrd on dialysis |
4,556 |
1,444 |
$400K |
| J0887 |
Epoetin beta esrd use |
9,589 |
5,241 |
$277K |
| 83970 |
|
8,672 |
7,057 |
$92K |
| J1756 |
Iron sucrose injection |
23,799 |
4,978 |
$51K |
| 84520 |
|
15,227 |
5,825 |
$19K |
| 83550 |
|
8,235 |
6,831 |
$19K |
| 82728 |
|
4,736 |
3,887 |
$14K |
| 85018 |
|
18,338 |
5,499 |
$13K |
| 82310 |
|
7,601 |
5,407 |
$13K |
| 87340 |
|
4,962 |
4,010 |
$13K |
| J1270 |
Injection, doxercalciferol |
24,503 |
2,179 |
$12K |
| 84100 |
|
8,007 |
5,649 |
$12K |
| 83540 |
|
7,070 |
5,780 |
$10K |
| 82565 |
|
6,134 |
5,145 |
$10K |
| 82040 |
|
6,423 |
5,356 |
$10K |
| 84132 |
|
5,181 |
4,136 |
$7K |
| 82374 |
|
4,491 |
3,859 |
$7K |
| 86706 |
|
2,336 |
1,898 |
$6K |
| J1644 |
Inj heparin sodium per 1000u |
40,110 |
1,471 |
$5K |
| 84075 |
|
2,497 |
1,985 |
$3K |
| 80051 |
|
1,326 |
1,074 |
$3K |
| 80069 |
|
2,183 |
1,681 |
$3K |
| 90740 |
|
57 |
51 |
$2K |
| 85045 |
|
2,446 |
1,918 |
$2K |
| 82108 |
|
443 |
344 |
$1K |
| 83735 |
|
921 |
690 |
$918.25 |
| G0008 |
Admin influenza virus vac |
448 |
362 |
$706.85 |
| 90688 |
|
129 |
126 |
$581.60 |
| 90686 |
|
179 |
133 |
$479.85 |
| 86803 |
|
133 |
113 |
$424.54 |
| 86704 |
|
120 |
89 |
$310.92 |
| 82435 |
|
165 |
128 |
$297.58 |
| A4657 |
Syringe w/wo needle |
91,025 |
5,727 |
$284.56 |
| 90732 |
|
18 |
17 |
$266.94 |
| 0011A |
|
28 |
28 |
$219.39 |
| 84155 |
|
484 |
362 |
$216.96 |
| 0012A |
|
31 |
30 |
$215.22 |
| 86705 |
|
50 |
36 |
$203.56 |
| 90662 |
|
56 |
26 |
$112.02 |
| 0064A |
|
28 |
27 |
$71.74 |
| 82570 |
|
256 |
127 |
$60.58 |
| 84540 |
|
80 |
68 |
$35.00 |
| 82575 |
|
19 |
12 |
$25.53 |
| J3490 |
Drugs unclassified injection |
476 |
181 |
$8.44 |
| 90682 |
|
41 |
35 |
$0.00 |
| 85014 |
|
68 |
49 |
$0.00 |
| 85048 |
|
80 |
61 |
$0.00 |
| 85041 |
|
53 |
37 |
$0.00 |
| 90661 |
|
14 |
14 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
204 |
14 |
$0.00 |
| G0307 |
Cbc without platelet |
5,927 |
5,005 |
$0.00 |
| 90739 |
|
55 |
38 |
$0.00 |
| G0306 |
Cbc/diffwbc w/o platelet |
952 |
667 |
$0.00 |
| 86580 |
|
24 |
17 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
111 |
89 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
30 |
29 |
$0.00 |
| 82945 |
|
55 |
25 |
$0.00 |