| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
94,768 |
7,074 |
$10.50M |
| J0887 |
Epoetin beta esrd use |
7,821 |
4,218 |
$8.67M |
| Q4081 |
Epoetin alfa, 100 units esrd |
2,616 |
328 |
$52K |
| J1756 |
Iron sucrose injection |
14,582 |
3,382 |
$26K |
| J0604 |
Cinacalcet, esrd on dialysis |
2,731 |
777 |
$1K |
| 0011A |
|
24 |
15 |
$87.36 |
| 0012A |
|
18 |
17 |
$87.36 |
| J1644 |
Inj heparin sodium per 1000u |
109,851 |
3,861 |
$29.72 |
| 82565 |
|
6,040 |
4,684 |
$0.00 |
| 84460 |
|
1,017 |
904 |
$0.00 |
| 84466 |
|
1,881 |
1,611 |
$0.00 |
| 83970 |
|
5,601 |
4,187 |
$0.00 |
| 82108 |
|
1,202 |
955 |
$0.00 |
| 84155 |
|
8,117 |
6,299 |
$0.00 |
| 83540 |
|
8,386 |
6,402 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
5,899 |
498 |
$0.00 |
| 84520 |
|
16,177 |
6,207 |
$0.00 |
| 82310 |
|
7,253 |
4,982 |
$0.00 |
| 84100 |
|
7,677 |
5,054 |
$0.00 |
| 82374 |
|
21 |
16 |
$0.00 |
| 85046 |
|
111 |
80 |
$0.00 |
| 90662 |
|
35 |
31 |
$0.00 |
| 90661 |
|
16 |
16 |
$0.00 |
| 90682 |
|
51 |
40 |
$0.00 |
| 84132 |
|
4,834 |
1,691 |
$0.00 |
| 83550 |
|
6,468 |
4,811 |
$0.00 |
| 82040 |
|
6,083 |
4,754 |
$0.00 |
| 82728 |
|
3,051 |
2,399 |
$0.00 |
| 87340 |
|
2,861 |
2,250 |
$0.00 |
| 85018 |
|
20,866 |
6,207 |
$0.00 |
| 85025 |
|
8,146 |
6,324 |
$0.00 |
| 84075 |
|
3,160 |
2,542 |
$0.00 |
| 82746 |
|
552 |
431 |
$0.00 |
| 80051 |
|
5,896 |
4,626 |
$0.00 |
| 80069 |
|
2,064 |
1,550 |
$0.00 |
| A4657 |
Syringe w/wo needle |
145,765 |
5,816 |
$0.00 |
| 83735 |
|
2,598 |
2,038 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
22 |
14 |
$0.00 |
| J3490 |
Drugs unclassified injection |
3,032 |
581 |
$0.00 |
| G0008 |
Admin influenza virus vac |
436 |
335 |
$0.00 |
| 83036 |
|
607 |
546 |
$0.00 |
| 86803 |
|
163 |
149 |
$0.00 |
| J1270 |
Injection, doxercalciferol |
13,993 |
1,335 |
$0.00 |
| A4913 |
Misc dialysis supplies noc |
251 |
58 |
$0.00 |
| 86706 |
|
572 |
438 |
$0.00 |
| 90686 |
|
133 |
89 |
$0.00 |
| 90732 |
|
32 |
26 |
$0.00 |
| 90688 |
|
103 |
93 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
32 |
26 |
$0.00 |
| 90739 |
|
22 |
14 |
$0.00 |
| 86580 |
|
16 |
14 |
$0.00 |