| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
65,700 |
5,246 |
$3.40M |
| J0604 |
Cinacalcet, esrd on dialysis |
5,477 |
682 |
$224K |
| J0887 |
Epoetin beta esrd use |
7,026 |
3,348 |
$218K |
| 83970 |
|
5,463 |
4,399 |
$63K |
| J1756 |
Iron sucrose injection |
15,785 |
3,073 |
$42K |
| J1270 |
Injection, doxercalciferol |
30,137 |
2,411 |
$14K |
| 83550 |
|
5,482 |
4,427 |
$13K |
| 82728 |
|
2,989 |
2,437 |
$13K |
| 82310 |
|
7,985 |
4,260 |
$13K |
| 85025 |
|
5,425 |
4,382 |
$12K |
| 84100 |
|
8,004 |
4,269 |
$12K |
| 84520 |
|
10,242 |
4,461 |
$11K |
| 85018 |
|
14,892 |
4,460 |
$11K |
| 83540 |
|
5,483 |
4,429 |
$10K |
| 82108 |
|
943 |
727 |
$7K |
| 80069 |
|
2,746 |
2,151 |
$6K |
| 84155 |
|
5,435 |
4,412 |
$6K |
| 80051 |
|
2,343 |
1,957 |
$5K |
| 87340 |
|
1,839 |
1,486 |
$5K |
| J1644 |
Inj heparin sodium per 1000u |
33,171 |
1,401 |
$5K |
| 82565 |
|
2,655 |
2,228 |
$5K |
| 82040 |
|
2,748 |
2,265 |
$4K |
| 83735 |
|
1,829 |
1,463 |
$3K |
| 84075 |
|
1,813 |
1,455 |
$3K |
| 82746 |
|
480 |
374 |
$2K |
| 86706 |
|
627 |
483 |
$2K |
| 90740 |
|
61 |
47 |
$943.65 |
| G0008 |
Admin influenza virus vac |
319 |
230 |
$889.07 |
| 86803 |
|
245 |
202 |
$875.18 |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
3,600 |
273 |
$636.89 |
| 84295 |
|
273 |
235 |
$460.93 |
| 82374 |
|
263 |
225 |
$457.72 |
| 82435 |
|
272 |
235 |
$457.70 |
| 84132 |
|
271 |
229 |
$437.36 |
| 90662 |
|
32 |
25 |
$394.86 |
| 90688 |
|
53 |
45 |
$320.23 |
| 90686 |
|
96 |
71 |
$286.95 |
| 82947 |
|
130 |
114 |
$172.59 |
| 85046 |
|
79 |
58 |
$149.21 |
| 0011A |
|
15 |
14 |
$16.94 |
| 90682 |
|
42 |
26 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
924 |
49 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
50 |
33 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
60 |
46 |
$0.00 |
| A4657 |
Syringe w/wo needle |
81,534 |
4,449 |
$0.00 |
| J3490 |
Drugs unclassified injection |
3,205 |
447 |
$0.00 |
| 83036 |
|
160 |
83 |
$0.00 |
| 86704 |
|
23 |
13 |
$0.00 |
| 90677 |
|
25 |
15 |
$0.00 |