| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
51,230 |
4,370 |
$2.36M |
| J0887 |
Epoetin beta esrd use |
4,276 |
2,617 |
$1.44M |
| J1756 |
Iron sucrose injection |
9,025 |
2,466 |
$54K |
| Q4081 |
Epoetin alfa, 100 units esrd |
365 |
65 |
$47K |
| 90937 |
|
344 |
39 |
$30K |
| Q5105 |
Inj retacrit esrd on dialysi |
348 |
37 |
$13K |
| J3490 |
Drugs unclassified injection |
6,353 |
971 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
29,780 |
1,897 |
$1K |
| 83540 |
|
3,942 |
3,572 |
$0.00 |
| 82310 |
|
1,703 |
1,395 |
$0.00 |
| 83970 |
|
2,142 |
1,931 |
$0.00 |
| 82565 |
|
1,506 |
1,296 |
$0.00 |
| 84520 |
|
6,176 |
3,383 |
$0.00 |
| 84450 |
|
2,028 |
1,787 |
$0.00 |
| 84100 |
|
2,366 |
1,878 |
$0.00 |
| 82947 |
|
217 |
186 |
$0.00 |
| 84155 |
|
2,483 |
2,202 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
1,348 |
202 |
$0.00 |
| 80061 |
|
68 |
58 |
$0.00 |
| 84460 |
|
29 |
28 |
$0.00 |
| 82108 |
|
33 |
28 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
294 |
118 |
$0.00 |
| 90662 |
|
19 |
19 |
$0.00 |
| 85046 |
|
26 |
25 |
$0.00 |
| 90661 |
|
13 |
13 |
$0.00 |
| 90740 |
|
16 |
12 |
$0.00 |
| A4657 |
Syringe w/wo needle |
44,047 |
3,841 |
$0.00 |
| G0008 |
Admin influenza virus vac |
224 |
205 |
$0.00 |
| 80069 |
|
2,359 |
2,156 |
$0.00 |
| 85018 |
|
8,989 |
3,243 |
$0.00 |
| 85025 |
|
3,792 |
3,442 |
$0.00 |
| 83735 |
|
1,232 |
1,110 |
$0.00 |
| 82040 |
|
1,444 |
1,290 |
$0.00 |
| 83550 |
|
3,887 |
3,522 |
$0.00 |
| 87340 |
|
1,190 |
1,099 |
$0.00 |
| 83036 |
|
469 |
437 |
$0.00 |
| 80051 |
|
1,473 |
1,245 |
$0.00 |
| 86803 |
|
248 |
227 |
$0.00 |
| 86706 |
|
328 |
298 |
$0.00 |
| 82728 |
|
1,537 |
1,391 |
$0.00 |
| 90686 |
|
54 |
51 |
$0.00 |
| 84075 |
|
802 |
710 |
$0.00 |
| 90688 |
|
68 |
63 |
$0.00 |
| 90677 |
|
14 |
12 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
29 |
24 |
$0.00 |
| J0604 |
Cinacalcet, esrd on dialysis |
213 |
24 |
$0.00 |
| 90739 |
|
13 |
12 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
14 |
12 |
$0.00 |