| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
108,205 |
8,216 |
$3.91M |
| J0887 |
Epoetin beta esrd use |
10,819 |
5,324 |
$540K |
| J1756 |
Iron sucrose injection |
23,153 |
4,519 |
$67K |
| J0882 |
Darbepoetin alfa, esrd use |
83 |
27 |
$23K |
| 83970 |
|
6,599 |
5,109 |
$15K |
| J1270 |
Injection, doxercalciferol |
77,374 |
6,041 |
$12K |
| J0604 |
Cinacalcet, esrd on dialysis |
3,159 |
771 |
$6K |
| 84520 |
|
18,357 |
6,595 |
$5K |
| 90740 |
|
171 |
129 |
$4K |
| 85018 |
|
22,860 |
6,439 |
$4K |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
5,322 |
337 |
$3K |
| 83550 |
|
7,487 |
5,648 |
$3K |
| 83540 |
|
8,561 |
6,550 |
$3K |
| 82728 |
|
3,837 |
2,965 |
$3K |
| 85025 |
|
7,041 |
5,283 |
$3K |
| 87340 |
|
3,831 |
2,784 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
13,011 |
927 |
$2K |
| 80051 |
|
6,151 |
4,641 |
$2K |
| 84100 |
|
7,020 |
4,931 |
$2K |
| 82310 |
|
7,631 |
4,970 |
$2K |
| 82565 |
|
6,698 |
4,954 |
$2K |
| 80069 |
|
2,171 |
1,714 |
$1K |
| 82040 |
|
6,294 |
4,794 |
$1K |
| 84155 |
|
7,306 |
5,519 |
$1K |
| 82108 |
|
1,448 |
1,090 |
$1K |
| 90732 |
|
72 |
71 |
$1K |
| 83735 |
|
3,362 |
2,686 |
$1K |
| 90739 |
|
47 |
46 |
$730.93 |
| 84075 |
|
3,005 |
2,345 |
$668.88 |
| 84466 |
|
996 |
877 |
$613.29 |
| 86706 |
|
969 |
736 |
$599.79 |
| J3490 |
Drugs unclassified injection |
466 |
146 |
$434.74 |
| 90686 |
|
185 |
111 |
$395.97 |
| G0008 |
Admin influenza virus vac |
637 |
426 |
$279.78 |
| 90688 |
|
87 |
81 |
$256.09 |
| 82746 |
|
440 |
318 |
$206.15 |
| 90661 |
|
18 |
18 |
$152.67 |
| 90673 |
|
12 |
12 |
$133.58 |
| 85046 |
|
374 |
262 |
$87.63 |
| 82607 |
|
92 |
72 |
$75.78 |
| 86580 |
|
43 |
32 |
$58.71 |
| 86803 |
|
39 |
30 |
$44.21 |
| 86704 |
|
83 |
54 |
$39.39 |
| 84132 |
|
131 |
65 |
$16.50 |
| 0064A |
|
36 |
36 |
$14.82 |
| A4657 |
Syringe w/wo needle |
113,348 |
7,061 |
$5.38 |
| G0306 |
Cbc/diffwbc w/o platelet |
842 |
798 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
204 |
162 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
92 |
85 |
$0.00 |
| 90662 |
|
246 |
151 |
$0.00 |
| 90682 |
|
49 |
29 |
$0.00 |