| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
24,989 |
2,149 |
$1.71M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
3,848 |
1,174 |
$10K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
30 |
27 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
3,243 |
976 |
$295.62 |
| J2501 |
Injection, paricalcitol, 1 mcg |
21,481 |
1,199 |
$166.00 |
| 83970 |
|
864 |
751 |
$100.69 |
| 80069 |
|
2,122 |
1,857 |
$45.60 |
| 82306 |
|
172 |
147 |
$41.63 |
| 84132 |
|
1,148 |
556 |
$35.72 |
| 86803 |
|
202 |
171 |
$35.05 |
| 82728 |
|
664 |
598 |
$19.16 |
| 83550 |
|
662 |
598 |
$12.30 |
| 83540 |
|
664 |
599 |
$9.10 |
| 84520 |
|
2,375 |
1,872 |
$8.16 |
| J1644 |
Injection, heparin sodium, per 1000 units |
12,605 |
894 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
168 |
65 |
$0.00 |
| 85027 |
|
2,044 |
1,815 |
$0.00 |
| 90686 |
|
95 |
91 |
$0.00 |
| 86706 |
|
136 |
122 |
$0.00 |
| 85018 |
|
1,297 |
738 |
$0.00 |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
2,597 |
260 |
$0.00 |
| 83735 |
|
36 |
36 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
112 |
107 |
$0.00 |