| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
52,449 |
4,655 |
$2.77M |
| J0887 |
Epoetin beta esrd use |
5,546 |
3,129 |
$422K |
| A4657 |
Syringe w/wo needle |
58,771 |
3,809 |
$57K |
| J0604 |
Cinacalcet, esrd on dialysis |
1,090 |
156 |
$13K |
| J1756 |
Iron sucrose injection |
13,117 |
2,769 |
$11K |
| J1644 |
Inj heparin sodium per 1000u |
28,295 |
1,151 |
$4K |
| J3490 |
Drugs unclassified injection |
1,479 |
264 |
$756.14 |
| 83550 |
|
4,481 |
3,884 |
$391.82 |
| 85025 |
|
4,487 |
3,832 |
$353.13 |
| 90732 |
|
44 |
40 |
$323.25 |
| 83970 |
|
2,434 |
2,104 |
$311.59 |
| 83540 |
|
4,499 |
3,897 |
$309.70 |
| 84520 |
|
10,346 |
3,993 |
$291.60 |
| 82310 |
|
5,799 |
3,751 |
$224.60 |
| 84100 |
|
5,803 |
3,753 |
$215.75 |
| 82565 |
|
4,385 |
3,727 |
$210.31 |
| 82040 |
|
4,281 |
3,714 |
$198.70 |
| 80051 |
|
4,109 |
3,595 |
$196.88 |
| 82728 |
|
2,663 |
2,328 |
$179.68 |
| 84155 |
|
4,473 |
3,916 |
$166.65 |
| 87340 |
|
2,355 |
1,986 |
$145.62 |
| J1270 |
Injection, doxercalciferol |
1,901 |
159 |
$117.92 |
| 82108 |
|
571 |
506 |
$95.35 |
| 90686 |
|
87 |
76 |
$79.27 |
| 84132 |
|
2,436 |
928 |
$48.21 |
| 84075 |
|
1,547 |
1,374 |
$34.27 |
| 83735 |
|
1,049 |
927 |
$31.16 |
| 82746 |
|
250 |
217 |
$13.38 |
| 85018 |
|
11,855 |
3,898 |
$0.71 |
| 85046 |
|
214 |
182 |
$0.00 |
| 90740 |
|
12 |
12 |
$0.00 |
| 90682 |
|
29 |
24 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
356 |
40 |
$0.00 |
| G0008 |
Admin influenza virus vac |
252 |
221 |
$0.00 |
| 86706 |
|
496 |
430 |
$0.00 |
| 82607 |
|
32 |
30 |
$0.00 |
| 0064A |
|
14 |
14 |
$0.00 |
| 0011A |
|
28 |
23 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
51 |
48 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
44 |
40 |
$0.00 |
| 86803 |
|
106 |
93 |
$0.00 |
| 86704 |
|
85 |
76 |
$0.00 |
| A4913 |
Misc dialysis supplies noc |
236 |
39 |
$0.00 |
| 90688 |
|
74 |
62 |
$0.00 |
| 0012A |
|
25 |
24 |
$0.00 |