| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
50,873 |
6,094 |
$9.89M |
| A4657 |
Syringe w/wo needle |
125,952 |
5,724 |
$172K |
| J0604 |
Cinacalcet, esrd on dialysis |
1,066 |
261 |
$29K |
| 85018 |
|
13,314 |
5,631 |
$6K |
| 84132 |
|
4,780 |
2,686 |
$6K |
| J1270 |
Injection, doxercalciferol |
41,341 |
4,946 |
$3K |
| J0887 |
Epoetin beta esrd use |
5,773 |
3,767 |
$2K |
| J1756 |
Iron sucrose injection |
11,780 |
3,420 |
$2K |
| 80051 |
|
4,133 |
4,057 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
81,520 |
3,110 |
$881.41 |
| 80069 |
|
1,187 |
1,109 |
$872.95 |
| 82728 |
|
2,586 |
2,455 |
$686.39 |
| 84520 |
|
10,661 |
5,339 |
$511.83 |
| 90673 |
|
20 |
20 |
$87.07 |
| 85025 |
|
5,224 |
5,065 |
$86.40 |
| 87340 |
|
1,587 |
1,524 |
$73.04 |
| 83970 |
|
4,207 |
4,042 |
$34.49 |
| 83550 |
|
3,458 |
3,381 |
$13.64 |
| 84100 |
|
5,184 |
4,228 |
$8.34 |
| 83540 |
|
5,484 |
5,306 |
$5.66 |
| J3490 |
Drugs unclassified injection |
600 |
256 |
$1.19 |
| 84075 |
|
1,636 |
1,586 |
$0.00 |
| 83735 |
|
1,769 |
1,712 |
$0.00 |
| 82040 |
|
4,188 |
4,106 |
$0.00 |
| 83036 |
|
152 |
146 |
$0.00 |
| 90732 |
|
120 |
120 |
$0.00 |
| G0008 |
Admin influenza virus vac |
346 |
340 |
$0.00 |
| 86803 |
|
135 |
135 |
$0.00 |
| 86580 |
|
214 |
207 |
$0.00 |
| 90739 |
|
14 |
13 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
28 |
27 |
$0.00 |
| 85027 |
|
55 |
55 |
$0.00 |
| 82746 |
|
98 |
90 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
104 |
104 |
$0.00 |
| 82607 |
|
53 |
50 |
$0.00 |
| 86706 |
|
389 |
371 |
$0.00 |
| 90686 |
|
104 |
103 |
$0.00 |
| 90688 |
|
64 |
63 |
$0.00 |
| 82565 |
|
4,146 |
4,067 |
$0.00 |
| 84466 |
|
1,841 |
1,756 |
$0.00 |
| 84155 |
|
5,439 |
5,272 |
$0.00 |
| 82310 |
|
4,657 |
4,274 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
6,145 |
623 |
$0.00 |
| 82108 |
|
536 |
512 |
$0.00 |
| 85046 |
|
106 |
102 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
48 |
12 |
$0.00 |
| 90682 |
|
60 |
58 |
$0.00 |
| 90662 |
|
88 |
86 |
$0.00 |
| 90661 |
|
12 |
12 |
$0.00 |
| 0013A |
|
12 |
12 |
$0.00 |
| 90740 |
|
15 |
15 |
$0.00 |