| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0887 |
Epoetin beta esrd use |
4,498 |
2,291 |
$3.05M |
| 90999 |
|
59,438 |
4,273 |
$2.35M |
| J0882 |
Darbepoetin alfa, esrd use |
2,827 |
773 |
$722K |
| J1756 |
Iron sucrose injection |
8,903 |
2,076 |
$78K |
| J0604 |
Cinacalcet, esrd on dialysis |
4,908 |
819 |
$43K |
| 82306 |
|
500 |
401 |
$7K |
| J1644 |
Inj heparin sodium per 1000u |
23,589 |
1,772 |
$4K |
| 85018 |
|
6,794 |
3,245 |
$0.00 |
| 82607 |
|
462 |
376 |
$0.00 |
| A4657 |
Syringe w/wo needle |
62,759 |
4,152 |
$0.00 |
| 86706 |
|
602 |
509 |
$0.00 |
| 83550 |
|
1,207 |
846 |
$0.00 |
| 82435 |
|
1,228 |
961 |
$0.00 |
| 87340 |
|
3,152 |
2,667 |
$0.00 |
| 80051 |
|
2,075 |
1,737 |
$0.00 |
| 90674 |
|
81 |
48 |
$0.00 |
| 84132 |
|
1,443 |
1,029 |
$0.00 |
| 82728 |
|
1,603 |
1,296 |
$0.00 |
| J2501 |
Paricalcitol |
23,761 |
1,954 |
$0.00 |
| 84075 |
|
4,516 |
3,729 |
$0.00 |
| 80069 |
|
926 |
800 |
$0.00 |
| 85025 |
|
4,522 |
3,702 |
$0.00 |
| 83036 |
|
518 |
418 |
$0.00 |
| 86803 |
|
210 |
159 |
$0.00 |
| 83735 |
|
513 |
418 |
$0.00 |
| 82746 |
|
460 |
374 |
$0.00 |
| 82040 |
|
3,740 |
2,827 |
$0.00 |
| Q4081 |
Epoetin alfa, 100 units esrd |
404 |
72 |
$0.00 |
| 86704 |
|
157 |
123 |
$0.00 |
| G0008 |
Admin influenza virus vac |
175 |
136 |
$0.00 |
| 90688 |
|
40 |
38 |
$0.00 |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
2,537 |
190 |
$0.00 |
| J3490 |
Drugs unclassified injection |
60 |
50 |
$0.00 |
| 84478 |
|
157 |
119 |
$0.00 |
| 90686 |
|
34 |
31 |
$0.00 |
| 80048 |
|
13 |
12 |
$0.00 |
| 0001A |
|
22 |
18 |
$0.00 |
| 82374 |
|
1,221 |
953 |
$0.00 |
| 84155 |
|
4,485 |
3,698 |
$0.00 |
| 83540 |
|
5,389 |
3,720 |
$0.00 |
| 82310 |
|
5,107 |
3,486 |
$0.00 |
| 82465 |
|
158 |
120 |
$0.00 |
| 84295 |
|
1,216 |
949 |
$0.00 |
| 85014 |
|
4,279 |
2,989 |
$0.00 |
| 84520 |
|
8,117 |
3,289 |
$0.00 |
| 84100 |
|
3,861 |
2,952 |
$0.00 |
| 84450 |
|
3,212 |
2,573 |
$0.00 |
| 82565 |
|
3,464 |
2,815 |
$0.00 |
| 84466 |
|
3,760 |
2,862 |
$0.00 |
| 83970 |
|
2,367 |
1,917 |
$0.00 |
| 84460 |
|
539 |
366 |
$0.00 |
| 82947 |
|
651 |
447 |
$0.00 |
| 82108 |
|
419 |
337 |
$0.00 |
| 83721 |
|
101 |
67 |
$0.00 |
| 83718 |
|
158 |
120 |
$0.00 |
| 86705 |
|
42 |
32 |
$0.00 |
| 0002A |
|
24 |
16 |
$0.00 |