| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
102,295 |
8,694 |
$6.48M |
| 90945 |
|
2,502 |
97 |
$127K |
| A4657 |
Syringe w/wo needle |
22,630 |
4,036 |
$87K |
| 0250 |
|
5,782 |
378 |
$31K |
| Q4081 |
Epoetin alfa, 100 units esrd |
28,652 |
2,508 |
$29K |
| J0604 |
Cinacalcet, esrd on dialysis |
193 |
103 |
$18K |
| J1756 |
Iron sucrose injection |
10,583 |
3,024 |
$4K |
| J0887 |
Epoetin beta esrd use |
1,440 |
966 |
$991.76 |
| J1270 |
Injection, doxercalciferol |
21,511 |
1,809 |
$690.25 |
| 90940 |
|
700 |
684 |
$156.37 |
| 90747 |
|
30 |
30 |
$145.21 |
| 83970 |
|
1,293 |
1,096 |
$113.00 |
| 90674 |
|
266 |
262 |
$69.00 |
| 90662 |
|
70 |
63 |
$58.80 |
| 82728 |
|
878 |
752 |
$22.97 |
| 83540 |
|
874 |
751 |
$10.88 |
| 85041 |
|
1,574 |
1,287 |
$8.66 |
| 85048 |
|
1,507 |
1,222 |
$7.33 |
| 83550 |
|
595 |
479 |
$0.00 |
| G0499 |
Hepb screen high risk indiv |
465 |
339 |
$0.00 |
| G0008 |
Admin influenza virus vac |
382 |
367 |
$0.00 |
| 82746 |
|
133 |
110 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
37 |
35 |
$0.00 |
| 82607 |
|
131 |
108 |
$0.00 |
| 90732 |
|
38 |
36 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
18 |
18 |
$0.00 |
| 85045 |
|
1,628 |
930 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
3,358 |
313 |
$0.00 |
| 90661 |
|
30 |
30 |
$0.00 |