| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
81,170 |
6,257 |
$4.10M |
| J0887 |
Epoetin beta esrd use |
8,230 |
4,383 |
$195K |
| J0604 |
Cinacalcet, esrd on dialysis |
5,782 |
687 |
$22K |
| 80069 |
|
1,942 |
1,625 |
$7K |
| A4657 |
Syringe w/wo needle |
94,512 |
5,097 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
54,068 |
1,848 |
$2K |
| J1756 |
Iron sucrose injection |
18,954 |
3,720 |
$716.38 |
| 83970 |
|
3,990 |
3,282 |
$51.00 |
| J3490 |
Drugs unclassified injection |
4,973 |
673 |
$21.66 |
| 82728 |
|
3,469 |
2,907 |
$14.94 |
| 83550 |
|
6,214 |
5,261 |
$12.91 |
| 85018 |
|
19,941 |
5,604 |
$11.70 |
| 84520 |
|
13,789 |
5,592 |
$10.42 |
| 83540 |
|
6,490 |
5,522 |
$9.54 |
| G0307 |
Cbc without platelet |
3,461 |
2,940 |
$8.31 |
| 84100 |
|
5,065 |
3,935 |
$6.46 |
| 82310 |
|
5,133 |
3,878 |
$6.09 |
| 82565 |
|
4,431 |
3,744 |
$5.92 |
| 82040 |
|
4,622 |
3,873 |
$5.86 |
| 80051 |
|
4,168 |
3,600 |
$5.84 |
| 90662 |
|
104 |
78 |
$1.20 |
| J1270 |
Injection, doxercalciferol |
5,878 |
557 |
$1.14 |
| 87340 |
|
2,709 |
2,363 |
$0.86 |
| 85027 |
|
2,317 |
1,971 |
$0.84 |
| 82108 |
|
864 |
753 |
$0.83 |
| 86706 |
|
564 |
482 |
$0.64 |
| 83036 |
|
194 |
139 |
$0.57 |
| 84155 |
|
2,353 |
1,943 |
$0.47 |
| 86803 |
|
121 |
99 |
$0.47 |
| 84132 |
|
4,152 |
1,315 |
$0.31 |
| 85046 |
|
869 |
709 |
$0.23 |
| 84075 |
|
2,019 |
1,718 |
$0.17 |
| A6216 |
Non-sterile gauze<=16 sq in |
2,185 |
213 |
$0.00 |
| 90682 |
|
27 |
21 |
$0.00 |
| 84466 |
|
12 |
12 |
$0.00 |
| 82746 |
|
15 |
13 |
$0.00 |
| 90739 |
|
49 |
39 |
$0.00 |
| 0001A |
|
19 |
14 |
$0.00 |
| 90686 |
|
132 |
109 |
$0.00 |
| 83735 |
|
63 |
51 |
$0.00 |
| 90688 |
|
84 |
77 |
$0.00 |
| G0008 |
Admin influenza virus vac |
347 |
285 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
49 |
39 |
$0.00 |
| 82607 |
|
15 |
13 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
15 |
12 |
$0.00 |
| Q4081 |
Epoetin alfa, 100 units esrd |
103 |
12 |
$0.00 |
| 0031A |
|
18 |
12 |
$0.00 |
| 85025 |
|
22 |
14 |
$0.00 |