| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
44,841 |
3,646 |
$5.69M |
| J0887 |
Epoetin beta esrd use |
4,242 |
2,224 |
$3.15M |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
921 |
89 |
$8K |
| Q4081 |
Epoetin alfa, 100 units esrd |
89 |
13 |
$339.22 |
| 80069 |
|
2,622 |
2,263 |
$0.00 |
| 85025 |
|
3,491 |
3,000 |
$0.00 |
| 85018 |
|
11,639 |
3,235 |
$0.00 |
| J3490 |
Drugs unclassified injection |
3,513 |
807 |
$0.00 |
| 86706 |
|
255 |
210 |
$0.00 |
| 82040 |
|
723 |
602 |
$0.00 |
| J0604 |
Cinacalcet, esrd on dialysis |
5,997 |
544 |
$0.00 |
| G0307 |
Cbc without platelet |
355 |
280 |
$0.00 |
| 82746 |
|
715 |
626 |
$0.00 |
| 82728 |
|
1,528 |
1,273 |
$0.00 |
| A4657 |
Syringe w/wo needle |
87,932 |
3,299 |
$0.00 |
| 84075 |
|
1,521 |
1,315 |
$0.00 |
| 87340 |
|
941 |
828 |
$0.00 |
| 83550 |
|
2,130 |
1,748 |
$0.00 |
| 83735 |
|
1,541 |
1,341 |
$0.00 |
| J1270 |
Injection, doxercalciferol |
1,264 |
120 |
$0.00 |
| 80051 |
|
620 |
523 |
$0.00 |
| G0008 |
Admin influenza virus vac |
206 |
183 |
$0.00 |
| 86704 |
|
235 |
195 |
$0.00 |
| 86580 |
|
178 |
146 |
$0.00 |
| 83036 |
|
157 |
143 |
$0.00 |
| A4913 |
Misc dialysis supplies noc |
206 |
29 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
12 |
12 |
$0.00 |
| 90686 |
|
71 |
58 |
$0.00 |
| 90688 |
|
47 |
42 |
$0.00 |
| 86803 |
|
40 |
33 |
$0.00 |
| G0306 |
Cbc/diffwbc w/o platelet |
12 |
12 |
$0.00 |
| 82310 |
|
2,020 |
1,251 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
57,131 |
1,965 |
$0.00 |
| J1756 |
Iron sucrose injection |
10,134 |
2,069 |
$0.00 |
| 84155 |
|
3,609 |
3,091 |
$0.00 |
| 84520 |
|
7,385 |
3,243 |
$0.00 |
| 83540 |
|
3,765 |
3,216 |
$0.00 |
| 82565 |
|
537 |
405 |
$0.00 |
| 83970 |
|
2,104 |
1,766 |
$0.00 |
| 84100 |
|
1,209 |
856 |
$0.00 |
| 84466 |
|
1,355 |
1,214 |
$0.00 |
| 90682 |
|
29 |
26 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
1,040 |
101 |
$0.00 |
| 82108 |
|
451 |
384 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
1,486 |
143 |
$0.00 |
| 85049 |
|
12 |
12 |
$0.00 |