| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0887 |
Epoetin beta esrd use |
4,015 |
2,096 |
$2.96M |
| 90999 |
|
57,613 |
3,833 |
$1.97M |
| J0882 |
Darbepoetin alfa, esrd use |
2,142 |
597 |
$648K |
| J1756 |
Iron sucrose injection |
6,477 |
1,514 |
$173K |
| 82306 |
|
356 |
285 |
$11K |
| J0604 |
Cinacalcet, esrd on dialysis |
4,714 |
529 |
$4K |
| J2501 |
Paricalcitol |
27,121 |
1,953 |
$633.36 |
| 80069 |
|
577 |
520 |
$0.00 |
| 85025 |
|
4,395 |
3,482 |
$0.00 |
| 84075 |
|
4,335 |
3,477 |
$0.00 |
| 87340 |
|
3,687 |
2,963 |
$0.00 |
| 80051 |
|
2,429 |
1,914 |
$0.00 |
| 85018 |
|
6,858 |
3,218 |
$0.00 |
| 90674 |
|
73 |
63 |
$0.00 |
| 82040 |
|
4,294 |
2,832 |
$0.00 |
| 83036 |
|
334 |
274 |
$0.00 |
| A4657 |
Syringe w/wo needle |
59,894 |
3,623 |
$0.00 |
| 84132 |
|
1,110 |
822 |
$0.00 |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
6,020 |
451 |
$0.00 |
| G0008 |
Admin influenza virus vac |
160 |
139 |
$0.00 |
| 82728 |
|
1,540 |
1,217 |
$0.00 |
| 86706 |
|
406 |
319 |
$0.00 |
| 82746 |
|
339 |
268 |
$0.00 |
| 83735 |
|
404 |
322 |
$0.00 |
| 83550 |
|
886 |
655 |
$0.00 |
| 90688 |
|
27 |
27 |
$0.00 |
| 82435 |
|
981 |
789 |
$0.00 |
| 82607 |
|
341 |
270 |
$0.00 |
| 0001A |
|
40 |
24 |
$0.00 |
| Q4081 |
Epoetin alfa, 100 units esrd |
484 |
67 |
$0.00 |
| J3490 |
Drugs unclassified injection |
42 |
39 |
$0.00 |
| 84478 |
|
15 |
12 |
$0.00 |
| 90686 |
|
25 |
22 |
$0.00 |
| 84100 |
|
4,183 |
2,919 |
$0.00 |
| 82565 |
|
3,576 |
2,812 |
$0.00 |
| 85014 |
|
4,604 |
3,121 |
$0.00 |
| 84466 |
|
3,521 |
2,834 |
$0.00 |
| 82310 |
|
5,513 |
3,363 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
21,923 |
1,605 |
$0.00 |
| 84155 |
|
4,275 |
3,447 |
$0.00 |
| 82947 |
|
300 |
208 |
$0.00 |
| 83540 |
|
4,762 |
3,498 |
$0.00 |
| 83970 |
|
2,792 |
2,199 |
$0.00 |
| 84450 |
|
3,081 |
2,435 |
$0.00 |
| 84460 |
|
485 |
361 |
$0.00 |
| 84520 |
|
8,414 |
3,065 |
$0.00 |
| 82374 |
|
997 |
789 |
$0.00 |
| 84295 |
|
984 |
789 |
$0.00 |
| 82108 |
|
398 |
312 |
$0.00 |
| 0002A |
|
31 |
19 |
$0.00 |
| 82465 |
|
15 |
12 |
$0.00 |
| 83721 |
|
21 |
16 |
$0.00 |
| 83718 |
|
15 |
12 |
$0.00 |