| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
23,198 |
1,783 |
$690K |
| Q4081 |
Epoetin alfa, 100 units esrd |
10,976 |
846 |
$42K |
| 90945 |
|
1,549 |
48 |
$14K |
| J0882 |
Darbepoetin alfa, esrd use |
82 |
39 |
$11K |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
1,475 |
93 |
$6K |
| Q5105 |
Inj retacrit esrd on dialysi |
2,816 |
267 |
$4K |
| J2501 |
Paricalcitol |
15,174 |
1,183 |
$4K |
| J0604 |
Cinacalcet, esrd on dialysis |
90 |
78 |
$4K |
| J2916 |
Na ferric gluconate complex |
3,390 |
925 |
$2K |
| 86803 |
|
364 |
305 |
$1K |
| 83036 |
|
291 |
247 |
$1K |
| J1756 |
Iron sucrose injection |
94 |
27 |
$182.65 |
| 90662 |
|
69 |
57 |
$30.29 |
| G0008 |
Admin influenza virus vac |
68 |
56 |
$11.25 |