| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
74,937 |
6,008 |
$1.64M |
| 90945 |
|
7,166 |
386 |
$1.13M |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
9,419 |
853 |
$237K |
| Q4081 |
Epoetin alfa, 100 units esrd |
33,413 |
4,446 |
$143K |
| J1270 |
Injection, doxercalciferol |
36,161 |
3,046 |
$65K |
| 83970 |
|
4,712 |
4,442 |
$33K |
| J1644 |
Inj heparin sodium per 1000u |
40,546 |
3,678 |
$28K |
| 85027 |
|
18,084 |
4,867 |
$21K |
| J1756 |
Iron sucrose injection |
13,560 |
3,382 |
$20K |
| 36415 |
|
2,714 |
612 |
$11K |
| 84466 |
|
5,286 |
5,003 |
$10K |
| 80053 |
|
4,583 |
4,437 |
$9K |
| 87340 |
|
4,915 |
4,645 |
$8K |
| 86803 |
|
1,727 |
1,632 |
$5K |
| 83540 |
|
5,286 |
5,005 |
$5K |
| 84100 |
|
7,402 |
5,007 |
$4K |
| Q5105 |
Inj retacrit esrd on dialysi |
2,508 |
429 |
$4K |
| 82728 |
|
1,798 |
1,699 |
$4K |
| T1999 |
Noc retail items andsupplies |
52 |
45 |
$3K |
| 82306 |
|
869 |
831 |
$3K |
| 84520 |
|
6,506 |
4,698 |
$2K |
| 90670 |
|
28 |
25 |
$2K |
| 83036 |
|
1,172 |
1,096 |
$2K |
| 82040 |
|
787 |
607 |
$2K |
| 90686 |
|
357 |
329 |
$2K |
| J2501 |
Paricalcitol |
2,228 |
344 |
$1K |
| 82247 |
|
746 |
572 |
$841.75 |
| 84450 |
|
746 |
572 |
$826.31 |
| 84460 |
|
746 |
572 |
$807.83 |
| J7050 |
Normal saline solution infus |
515 |
160 |
$686.49 |
| 82310 |
|
1,345 |
876 |
$457.41 |
| J0885 |
Epoetin alfa, non-esrd |
175 |
35 |
$452.20 |
| 86706 |
|
219 |
212 |
$431.50 |
| 90471 |
|
378 |
349 |
$413.58 |
| 82947 |
|
755 |
572 |
$360.40 |
| 90732 |
|
19 |
16 |
$232.18 |
| 90747 |
|
13 |
12 |
$210.64 |
| 84132 |
|
1,016 |
645 |
$196.92 |
| J3490 |
Drugs unclassified injection |
643 |
274 |
$126.61 |
| 86580 |
|
16 |
14 |
$70.48 |
| 84295 |
|
755 |
572 |
$18.24 |
| 84075 |
|
746 |
572 |
$10.82 |
| 82565 |
|
762 |
578 |
$9.00 |
| 82374 |
|
755 |
572 |
$9.00 |
| 82435 |
|
755 |
572 |
$9.00 |
| 84155 |
|
746 |
572 |
$7.63 |
| J2916 |
Na ferric gluconate complex |
139 |
90 |
$0.00 |
| 0270 |
|
2,348 |
977 |
$0.00 |
| G0008 |
Admin influenza virus vac |
80 |
64 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
13 |
13 |
$0.00 |
| 90656 |
|
30 |
30 |
$0.00 |