| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
47,233 |
4,665 |
$3.40M |
| J0887 |
Epoetin beta esrd use |
3,609 |
2,272 |
$1.32M |
| J1756 |
Iron sucrose injection |
8,196 |
2,482 |
$365K |
| Q4081 |
Epoetin alfa, 100 units esrd |
485 |
214 |
$362K |
| Q5105 |
Inj retacrit esrd on dialysi |
4,143 |
551 |
$61K |
| J1644 |
Inj heparin sodium per 1000u |
22,736 |
1,967 |
$34K |
| J0882 |
Darbepoetin alfa, esrd use |
380 |
184 |
$32K |
| A4657 |
Syringe w/wo needle |
38,507 |
4,000 |
$0.00 |
| 87340 |
|
1,184 |
1,057 |
$0.00 |
| 83550 |
|
3,461 |
3,102 |
$0.00 |
| 85018 |
|
7,312 |
3,153 |
$0.00 |
| 80051 |
|
1,331 |
1,186 |
$0.00 |
| 83735 |
|
1,105 |
993 |
$0.00 |
| J3490 |
Drugs unclassified injection |
10,112 |
1,553 |
$0.00 |
| 86706 |
|
366 |
328 |
$0.00 |
| 82040 |
|
1,345 |
1,201 |
$0.00 |
| 85025 |
|
3,402 |
3,062 |
$0.00 |
| 90688 |
|
56 |
50 |
$0.00 |
| 86803 |
|
314 |
297 |
$0.00 |
| J0604 |
Cinacalcet, esrd on dialysis |
1,151 |
136 |
$0.00 |
| 83036 |
|
421 |
403 |
$0.00 |
| 82728 |
|
1,237 |
1,108 |
$0.00 |
| 80069 |
|
2,030 |
1,803 |
$0.00 |
| G0008 |
Admin influenza virus vac |
307 |
282 |
$0.00 |
| 84075 |
|
422 |
353 |
$0.00 |
| 90686 |
|
106 |
98 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
17 |
12 |
$0.00 |
| 83540 |
|
3,482 |
3,116 |
$0.00 |
| 84100 |
|
1,303 |
1,180 |
$0.00 |
| 84155 |
|
1,815 |
1,570 |
$0.00 |
| 83970 |
|
1,995 |
1,802 |
$0.00 |
| 82565 |
|
1,272 |
1,138 |
$0.00 |
| 84520 |
|
5,506 |
3,129 |
$0.00 |
| 84450 |
|
1,513 |
1,346 |
$0.00 |
| 82310 |
|
1,604 |
1,276 |
$0.00 |
| 84460 |
|
614 |
572 |
$0.00 |
| 85046 |
|
1,093 |
1,025 |
$0.00 |
| 90740 |
|
31 |
25 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
635 |
95 |
$0.00 |
| 90661 |
|
23 |
23 |
$0.00 |
| 80061 |
|
91 |
84 |
$0.00 |
| 90662 |
|
15 |
12 |
$0.00 |
| 90682 |
|
36 |
35 |
$0.00 |