| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
63,031 |
5,390 |
$2.91M |
| Q4081 |
Epoetin alfa, 100 units esrd |
49,930 |
3,215 |
$406K |
| 83970 |
|
1,992 |
1,762 |
$226K |
| 82728 |
|
1,625 |
1,359 |
$196K |
| J0887 |
Epoetin beta esrd use |
1,461 |
841 |
$98K |
| 83550 |
|
1,536 |
1,281 |
$89K |
| 83540 |
|
1,572 |
1,309 |
$78K |
| J1756 |
Iron sucrose injection |
12,249 |
2,942 |
$65K |
| J1270 |
Injection, doxercalciferol |
11,668 |
1,064 |
$40K |
| 82108 |
|
137 |
127 |
$25K |
| G0499 |
Hepb screen high risk indiv |
1,037 |
640 |
$16K |
| 85041 |
|
2,614 |
2,295 |
$15K |
| A4657 |
Syringe w/wo needle |
2,681 |
2,417 |
$12K |
| 85048 |
|
2,607 |
2,289 |
$11K |
| J2501 |
Paricalcitol |
8,345 |
557 |
$4K |
| J0882 |
Darbepoetin alfa, esrd use |
629 |
157 |
$1K |
| G0008 |
Admin influenza virus vac |
168 |
150 |
$1K |
| 90747 |
|
13 |
13 |
$966.64 |
| G0009 |
Admin pneumococcal vaccine |
16 |
16 |
$204.18 |
| 90662 |
|
58 |
54 |
$57.90 |
| J2916 |
Na ferric gluconate complex |
65 |
20 |
$43.20 |
| 90674 |
|
80 |
68 |
$14.17 |
| 82607 |
|
16 |
16 |
$0.00 |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
278 |
25 |
$0.00 |
| 82306 |
|
16 |
16 |
$0.00 |
| 82746 |
|
16 |
16 |
$0.00 |
| J0604 |
Cinacalcet, esrd on dialysis |
20 |
12 |
$0.00 |
| 90670 |
|
16 |
16 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
3,525 |
284 |
$0.00 |