| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
69,832 |
6,413 |
$4.39M |
| J0882 |
Darbepoetin alfa, esrd use |
15,071 |
4,113 |
$430K |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
7,114 |
535 |
$218K |
| J1756 |
Iron sucrose injection |
6,689 |
3,090 |
$149K |
| Q4081 |
Epoetin alfa, 100 units esrd |
10,218 |
1,088 |
$142K |
| 0250 |
|
15,490 |
1,000 |
$66K |
| A4657 |
Syringe w/wo needle |
34,287 |
3,267 |
$54K |
| 83970 |
|
1,749 |
1,716 |
$8K |
| J8499 |
Oral prescrip drug non chemo |
3,581 |
226 |
$6K |
| J1644 |
Inj heparin sodium per 1000u |
2,622 |
229 |
$3K |
| 90677 |
|
41 |
41 |
$3K |
| 84466 |
|
1,647 |
1,623 |
$3K |
| 80051 |
|
2,436 |
2,406 |
$2K |
| 84520 |
|
5,837 |
2,703 |
$2K |
| 82728 |
|
1,364 |
1,345 |
$2K |
| 90747 |
|
48 |
48 |
$2K |
| 85025 |
|
660 |
621 |
$1K |
| 84100 |
|
2,863 |
2,596 |
$1K |
| 85045 |
|
3,642 |
3,565 |
$1K |
| 82310 |
|
3,077 |
2,565 |
$1K |
| 84075 |
|
2,800 |
2,745 |
$1K |
| 83540 |
|
1,646 |
1,622 |
$1K |
| 82040 |
|
3,035 |
2,633 |
$1K |
| 82565 |
|
2,697 |
2,641 |
$1K |
| 90694 |
|
77 |
77 |
$1K |
| 90688 |
|
163 |
162 |
$1K |
| 84155 |
|
2,747 |
2,691 |
$949.57 |
| 84450 |
|
433 |
410 |
$809.07 |
| 87340 |
|
402 |
389 |
$669.32 |
| 86706 |
|
362 |
359 |
$514.83 |
| 90662 |
|
46 |
46 |
$374.17 |
| 85018 |
|
491 |
322 |
$320.74 |
| 90756 |
|
21 |
21 |
$252.48 |
| 84132 |
|
522 |
331 |
$209.66 |
| 84443 |
|
28 |
28 |
$194.75 |
| 83036 |
|
54 |
53 |
$192.48 |
| 90653 |
|
13 |
13 |
$191.97 |
| 86803 |
|
32 |
31 |
$165.91 |
| 80061 |
|
29 |
29 |
$152.26 |
| 82746 |
|
28 |
28 |
$96.27 |
| 82435 |
|
212 |
197 |
$63.20 |
| 82374 |
|
184 |
170 |
$59.28 |
| 84295 |
|
184 |
170 |
$45.63 |
| 83735 |
|
30 |
29 |
$43.90 |
| 82947 |
|
78 |
78 |
$34.00 |
| 82607 |
|
25 |
24 |
$31.51 |
| 80048 |
|
47 |
47 |
$25.89 |
| 85014 |
|
15 |
12 |
$11.55 |
| 84540 |
|
27 |
26 |
$7.90 |
| 80069 |
|
13 |
13 |
$7.60 |
| G0008 |
Admin influenza virus vac |
113 |
113 |
$0.00 |
| J3490 |
Drugs unclassified injection |
181 |
26 |
$0.00 |
| A4913 |
Misc dialysis supplies noc |
78 |
21 |
$0.00 |