NPI: 1821193608 · JERSEY CITY, NJ 07304 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15,128 | $1.42M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 2,379 | 270 | $432K | |
| 90935 | 2,343 | 230 | $425K | |
| 85018 | 944 | 345 | $67K | |
| 84520 | 707 | 339 | $56K | |
| 82310 | 560 | 337 | $45K | |
| 84100 | 540 | 332 | $43K | |
| A4657 | Syringe w/wo needle | 2,459 | 294 | $38K |
| 83540 | 335 | 334 | $24K | |
| 83970 | 339 | 336 | $24K | |
| 84132 | 212 | 98 | $23K | |
| 84460 | 306 | 304 | $21K | |
| 85025 | 328 | 327 | $21K | |
| 80051 | 232 | 231 | $21K | |
| 82565 | 250 | 235 | $21K | |
| 82040 | 242 | 241 | $21K | |
| 84155 | 262 | 260 | $17K | |
| 83550 | 147 | 146 | $16K | |
| 82728 | 165 | 165 | $13K | |
| J0887 | Epoetin beta esrd use | 74 | 54 | $12K |
| J1756 | Iron sucrose injection | 746 | 192 | $11K |
| 87340 | 147 | 145 | $9K | |
| 84450 | 99 | 99 | $9K | |
| 84075 | 100 | 100 | $9K | |
| 84466 | 185 | 185 | $8K | |
| 82247 | 92 | 92 | $8K | |
| 83735 | 97 | 97 | $5K | |
| 82108 | 59 | 56 | $5K | |
| 86706 | 60 | 58 | $3K | |
| 82746 | 38 | 38 | $3K | |
| 80069 | 57 | 57 | $2K | |
| 80053 | 29 | 29 | $1K | |
| J1644 | Inj heparin sodium per 1000u | 215 | 12 | $64.00 |
| J3490 | Drugs unclassified injection | 363 | 67 | $20.31 |
| 83036 | 17 | 17 | $0.00 |