| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
54,977 |
4,190 |
$3.02M |
| J0882 |
Darbepoetin alfa, esrd use |
7,674 |
1,761 |
$538K |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
9,693 |
696 |
$258K |
| J1756 |
Iron sucrose injection |
3,802 |
1,448 |
$61K |
| A4657 |
Syringe w/wo needle |
21,533 |
1,959 |
$36K |
| Q4081 |
Epoetin alfa, 100 units esrd |
5,840 |
478 |
$19K |
| J1644 |
Inj heparin sodium per 1000u |
3,303 |
262 |
$8K |
| 84520 |
|
6,796 |
2,488 |
$5K |
| 85018 |
|
85 |
69 |
$2K |
| 90661 |
|
19 |
17 |
$650.00 |
| 84075 |
|
2,870 |
2,451 |
$357.67 |
| 90747 |
|
14 |
13 |
$160.10 |
| G0008 |
Admin influenza virus vac |
141 |
130 |
$70.38 |
| 82040 |
|
3,239 |
2,405 |
$17.01 |
| 85025 |
|
339 |
273 |
$0.00 |
| 86706 |
|
203 |
179 |
$0.00 |
| A4913 |
Misc dialysis supplies noc |
168 |
26 |
$0.00 |
| 84132 |
|
192 |
146 |
$0.00 |
| 82728 |
|
928 |
794 |
$0.00 |
| 80051 |
|
1,577 |
1,399 |
$0.00 |
| 90688 |
|
46 |
45 |
$0.00 |
| 84540 |
|
49 |
45 |
$0.00 |
| 80069 |
|
12 |
12 |
$0.00 |
| 82435 |
|
179 |
146 |
$0.00 |
| 90677 |
|
23 |
18 |
$0.00 |
| 83036 |
|
29 |
24 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
23 |
18 |
$0.00 |
| 87340 |
|
54 |
39 |
$0.00 |
| 82575 |
|
16 |
13 |
$0.00 |
| 80048 |
|
34 |
34 |
$0.00 |
| 84155 |
|
2,812 |
2,404 |
$0.00 |
| 82310 |
|
3,215 |
2,233 |
$0.00 |
| 84100 |
|
2,679 |
2,263 |
$0.00 |
| 83970 |
|
1,241 |
1,044 |
$0.00 |
| 82565 |
|
2,816 |
2,402 |
$0.00 |
| 83540 |
|
1,151 |
981 |
$0.00 |
| 85045 |
|
2,305 |
1,982 |
$0.00 |
| 84466 |
|
1,149 |
981 |
$0.00 |
| 84295 |
|
179 |
146 |
$0.00 |
| 84450 |
|
324 |
258 |
$0.00 |
| 82374 |
|
179 |
146 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
248 |
18 |
$0.00 |
| 90662 |
|
26 |
25 |
$0.00 |