| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0887 |
Epoetin beta esrd use |
14,864 |
8,552 |
$22.11M |
| 90999 |
|
175,144 |
12,403 |
$20.08M |
| J0604 |
Cinacalcet, esrd on dialysis |
11,048 |
2,051 |
$280K |
| J1756 |
Iron sucrose injection |
21,907 |
5,147 |
$125K |
| Q4081 |
Epoetin alfa, 100 units esrd |
2,297 |
305 |
$69K |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
1,780 |
173 |
$17K |
| 90740 |
|
314 |
271 |
$14K |
| J3370 |
Vancomycin hcl injection |
77 |
14 |
$5K |
| J3490 |
Drugs unclassified injection |
13,611 |
2,759 |
$4K |
| J0713 |
Inj ceftazidime per 500 mg |
70 |
14 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
194,903 |
6,739 |
$849.22 |
| J1270 |
Injection, doxercalciferol |
11,193 |
1,154 |
$357.36 |
| 83970 |
|
7,330 |
5,904 |
$330.30 |
| 0064A |
|
39 |
29 |
$262.08 |
| 0124A |
|
15 |
14 |
$259.92 |
| 83550 |
|
10,519 |
8,476 |
$2.03 |
| 85025 |
|
13,682 |
11,230 |
$1.99 |
| 80051 |
|
7,730 |
6,188 |
$1.80 |
| 82728 |
|
5,653 |
4,633 |
$1.78 |
| 83540 |
|
13,745 |
11,288 |
$1.70 |
| 84520 |
|
22,912 |
10,848 |
$1.41 |
| 86706 |
|
1,455 |
1,193 |
$1.41 |
| 87340 |
|
4,166 |
3,424 |
$1.34 |
| 82565 |
|
7,712 |
6,113 |
$1.27 |
| 84100 |
|
9,977 |
7,017 |
$1.24 |
| 82310 |
|
11,251 |
6,904 |
$1.21 |
| 82040 |
|
7,791 |
6,242 |
$1.19 |
| 83735 |
|
4,471 |
3,695 |
$0.89 |
| 84155 |
|
13,646 |
11,223 |
$0.88 |
| A4657 |
Syringe w/wo needle |
248,852 |
9,899 |
$0.71 |
| 84075 |
|
4,868 |
4,001 |
$0.61 |
| 85018 |
|
34,648 |
10,679 |
$0.30 |
| 84466 |
|
3,205 |
2,814 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
22,358 |
2,031 |
$0.00 |
| 82108 |
|
2,094 |
1,757 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
4,440 |
464 |
$0.00 |
| 82374 |
|
80 |
66 |
$0.00 |
| 82570 |
|
108 |
38 |
$0.00 |
| 90662 |
|
230 |
208 |
$0.00 |
| 90670 |
|
31 |
20 |
$0.00 |
| 85046 |
|
75 |
64 |
$0.00 |
| 90682 |
|
112 |
85 |
$0.00 |
| 90661 |
|
47 |
47 |
$0.00 |
| 80069 |
|
5,986 |
5,071 |
$0.00 |
| 90732 |
|
90 |
67 |
$0.00 |
| A4913 |
Misc dialysis supplies noc |
2,522 |
402 |
$0.00 |
| 82746 |
|
1,098 |
900 |
$0.00 |
| 86704 |
|
206 |
179 |
$0.00 |
| G0008 |
Admin influenza virus vac |
881 |
748 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
446 |
373 |
$0.00 |
| 84132 |
|
4,621 |
1,622 |
$0.00 |
| 86580 |
|
676 |
597 |
$0.00 |
| 90686 |
|
278 |
210 |
$0.00 |
| 83036 |
|
973 |
849 |
$0.00 |
| 90739 |
|
132 |
102 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
141 |
105 |
$0.00 |
| 90688 |
|
176 |
160 |
$0.00 |
| 82607 |
|
353 |
290 |
$0.00 |
| 86803 |
|
401 |
361 |
$0.00 |
| 90673 |
|
29 |
29 |
$0.00 |