| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
49,035 |
4,428 |
$2.88M |
| J0887 |
Epoetin beta esrd use |
2,938 |
1,772 |
$1.00M |
| Q4081 |
Epoetin alfa, 100 units esrd |
682 |
343 |
$563K |
| J1644 |
Inj heparin sodium per 1000u |
19,289 |
2,070 |
$187K |
| J1756 |
Iron sucrose injection |
7,516 |
2,331 |
$173K |
| Q5105 |
Inj retacrit esrd on dialysi |
3,589 |
454 |
$61K |
| 80069 |
|
1,744 |
1,572 |
$532.32 |
| 83550 |
|
2,893 |
2,617 |
$484.28 |
| 85025 |
|
2,903 |
2,571 |
$474.80 |
| 85018 |
|
6,077 |
2,603 |
$430.58 |
| 83540 |
|
2,898 |
2,622 |
$402.24 |
| A4657 |
Syringe w/wo needle |
35,148 |
3,852 |
$248.36 |
| 84520 |
|
4,311 |
2,658 |
$222.83 |
| 83970 |
|
1,601 |
1,413 |
$58.15 |
| 82728 |
|
1,160 |
1,046 |
$18.56 |
| 84460 |
|
570 |
514 |
$7.04 |
| 86706 |
|
260 |
238 |
$1.56 |
| 87340 |
|
559 |
492 |
$1.50 |
| 84450 |
|
2,168 |
1,952 |
$1.30 |
| 85046 |
|
931 |
859 |
$1.20 |
| 83735 |
|
911 |
832 |
$0.98 |
| 80051 |
|
877 |
785 |
$0.73 |
| 82310 |
|
986 |
847 |
$0.53 |
| 82040 |
|
978 |
877 |
$0.52 |
| 84100 |
|
1,487 |
1,163 |
$0.49 |
| 84155 |
|
2,170 |
1,940 |
$0.38 |
| J3490 |
Drugs unclassified injection |
9,567 |
1,363 |
$0.00 |
| 84075 |
|
564 |
509 |
$0.00 |
| 90688 |
|
93 |
84 |
$0.00 |
| 83036 |
|
391 |
364 |
$0.00 |
| 86803 |
|
258 |
243 |
$0.00 |
| 90686 |
|
92 |
88 |
$0.00 |
| G0008 |
Admin influenza virus vac |
288 |
267 |
$0.00 |
| Q0164 |
Prochlorperazine maleate 5mg |
97 |
24 |
$0.00 |
| 86140 |
|
18 |
17 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
12 |
12 |
$0.00 |
| 84134 |
|
20 |
19 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| J0604 |
Cinacalcet, esrd on dialysis |
192 |
25 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
163 |
25 |
$0.00 |
| 82565 |
|
838 |
747 |
$0.00 |
| 80061 |
|
141 |
133 |
$0.00 |
| 90661 |
|
13 |
13 |
$0.00 |
| 90662 |
|
14 |
12 |
$0.00 |
| 90682 |
|
26 |
26 |
$0.00 |