| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
71,754 |
5,912 |
$3.63M |
| J0604 |
Cinacalcet, esrd on dialysis |
7,635 |
1,167 |
$387K |
| J0887 |
Epoetin beta esrd use |
7,326 |
3,902 |
$262K |
| 83970 |
|
6,102 |
5,086 |
$88K |
| J1756 |
Iron sucrose injection |
18,698 |
3,679 |
$38K |
| 84520 |
|
14,679 |
5,169 |
$21K |
| 84466 |
|
2,714 |
2,476 |
$18K |
| 80051 |
|
5,617 |
4,907 |
$14K |
| J1270 |
Injection, doxercalciferol |
26,586 |
2,426 |
$14K |
| 85018 |
|
16,671 |
5,186 |
$14K |
| 83540 |
|
5,819 |
5,103 |
$13K |
| 82310 |
|
6,350 |
5,019 |
$12K |
| 84100 |
|
6,542 |
5,028 |
$11K |
| 82565 |
|
5,777 |
5,004 |
$10K |
| 82040 |
|
5,843 |
5,018 |
$10K |
| 82728 |
|
2,038 |
1,766 |
$9K |
| 82108 |
|
768 |
692 |
$7K |
| 87340 |
|
3,188 |
2,706 |
$7K |
| 83735 |
|
1,922 |
1,665 |
$4K |
| 90740 |
|
119 |
96 |
$3K |
| 84075 |
|
1,686 |
1,472 |
$3K |
| 85025 |
|
2,178 |
1,819 |
$3K |
| 83550 |
|
2,917 |
2,474 |
$3K |
| 90732 |
|
64 |
52 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
29,353 |
1,202 |
$2K |
| 86706 |
|
657 |
561 |
$2K |
| 85027 |
|
1,053 |
939 |
$2K |
| 90662 |
|
58 |
51 |
$1K |
| 85045 |
|
2,575 |
2,186 |
$1K |
| 82746 |
|
338 |
301 |
$780.57 |
| 86704 |
|
171 |
150 |
$680.55 |
| 90688 |
|
127 |
119 |
$618.17 |
| 90686 |
|
126 |
98 |
$467.63 |
| 0011A |
|
16 |
14 |
$285.17 |
| 84155 |
|
281 |
245 |
$219.78 |
| 0064A |
|
19 |
17 |
$215.22 |
| 0012A |
|
13 |
12 |
$213.43 |
| A4657 |
Syringe w/wo needle |
83,072 |
5,167 |
$146.00 |
| 85046 |
|
46 |
31 |
$120.27 |
| J1200 |
Diphenhydramine hcl injectio |
682 |
125 |
$48.44 |
| 86803 |
|
198 |
163 |
$28.80 |
| 82374 |
|
13 |
12 |
$13.17 |
| 82435 |
|
13 |
12 |
$12.42 |
| 84295 |
|
13 |
12 |
$8.66 |
| 84132 |
|
13 |
12 |
$8.56 |
| J3490 |
Drugs unclassified injection |
3,124 |
467 |
$0.54 |
| A6216 |
Non-sterile gauze<=16 sq in |
2,378 |
189 |
$0.00 |
| 90661 |
|
14 |
14 |
$0.00 |
| 90682 |
|
41 |
38 |
$0.00 |
| G0306 |
Cbc/diffwbc w/o platelet |
1,861 |
1,711 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
95 |
76 |
$0.00 |
| 90739 |
|
75 |
57 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
192 |
152 |
$0.00 |
| G0307 |
Cbc without platelet |
133 |
113 |
$0.00 |
| G0008 |
Admin influenza virus vac |
381 |
335 |
$0.00 |
| 90677 |
|
22 |
21 |
$0.00 |