| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
175,936 |
13,116 |
$15.40M |
| 90945 |
|
10,105 |
399 |
$847K |
| 90935 |
|
285 |
24 |
$16K |
| J1270 |
Injection, doxercalciferol |
49,408 |
4,142 |
$15K |
| A4657 |
Syringe w/wo needle |
13,655 |
7,032 |
$11K |
| Q4081 |
Epoetin alfa, 100 units esrd |
81,171 |
5,195 |
$11K |
| J0604 |
Cinacalcet, esrd on dialysis |
2,055 |
1,057 |
$4K |
| J1756 |
Iron sucrose injection |
17,337 |
5,057 |
$4K |
| G0008 |
Admin influenza virus vac |
376 |
358 |
$524.89 |
| 90662 |
|
115 |
115 |
$73.40 |
| 85048 |
|
5,149 |
4,798 |
$16.54 |
| 83550 |
|
4,113 |
3,955 |
$0.00 |
| G0499 |
Hepb screen high risk indiv |
2,652 |
2,067 |
$0.00 |
| 82607 |
|
317 |
317 |
$0.00 |
| 82728 |
|
5,062 |
4,814 |
$0.00 |
| 90747 |
|
21 |
21 |
$0.00 |
| 82746 |
|
338 |
336 |
$0.00 |
| 90674 |
|
92 |
91 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
13 |
13 |
$0.00 |
| 83540 |
|
5,015 |
4,758 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
9,505 |
718 |
$0.00 |
| 85041 |
|
5,148 |
4,800 |
$0.00 |
| J0887 |
Epoetin beta esrd use |
1,348 |
836 |
$0.00 |
| 83970 |
|
5,586 |
5,246 |
$0.00 |
| 82108 |
|
1,459 |
1,405 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
1,358 |
191 |
$0.00 |
| 85045 |
|
83 |
60 |
$0.00 |
| 0013A |
|
17 |
17 |
$0.00 |