| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
111,164 |
9,316 |
$17.21M |
| J0604 |
Cinacalcet, esrd on dialysis |
2,561 |
929 |
$696K |
| J1756 |
Iron sucrose injection |
11,068 |
2,784 |
$609K |
| J0882 |
Darbepoetin alfa, esrd use |
3,593 |
917 |
$400K |
| J0887 |
Epoetin beta esrd use |
3,193 |
1,999 |
$326K |
| Z6004 |
|
391 |
142 |
$212K |
| J2501 |
Paricalcitol |
22,495 |
2,032 |
$158K |
| 0821 |
|
676 |
90 |
$155K |
| A4657 |
Syringe w/wo needle |
8,943 |
1,554 |
$69K |
| J1644 |
Inj heparin sodium per 1000u |
9,072 |
547 |
$49K |
| A6402 |
Sterile gauze <= 16 sq in |
940 |
100 |
$19K |
| 84075 |
|
2,450 |
2,383 |
$14K |
| 80051 |
|
2,076 |
2,031 |
$9K |
| Q4081 |
Epoetin alfa, 100 units esrd |
3,415 |
499 |
$8K |
| U0003 |
Cov-19 amp prb hgh thruput |
210 |
134 |
$5K |
| 83970 |
|
1,173 |
1,131 |
$2K |
| 85025 |
|
2,424 |
2,353 |
$2K |
| 84520 |
|
4,153 |
1,764 |
$2K |
| 85018 |
|
3,234 |
2,009 |
$2K |
| 82040 |
|
2,876 |
2,263 |
$2K |
| 84466 |
|
1,990 |
1,880 |
$2K |
| 83540 |
|
2,517 |
2,356 |
$2K |
| 84100 |
|
4,080 |
2,348 |
$1K |
| 84450 |
|
1,939 |
1,883 |
$1K |
| 82310 |
|
3,255 |
2,329 |
$1K |
| 82435 |
|
215 |
213 |
$1K |
| 82565 |
|
2,331 |
2,257 |
$1K |
| 0250 |
|
99 |
65 |
$935.87 |
| 85014 |
|
2,474 |
1,890 |
$802.01 |
| 82728 |
|
883 |
858 |
$605.89 |
| 83550 |
|
523 |
474 |
$574.45 |
| 84155 |
|
1,937 |
1,881 |
$499.51 |
| 90658 |
|
28 |
27 |
$480.68 |
| 90674 |
|
56 |
55 |
$341.04 |
| 87340 |
|
904 |
862 |
$329.73 |
| 86706 |
|
179 |
174 |
$270.99 |
| 90694 |
|
26 |
26 |
$261.37 |
| 90677 |
|
14 |
14 |
$208.52 |
| 90686 |
|
73 |
71 |
$194.53 |
| 82306 |
|
192 |
187 |
$194.10 |
| G0008 |
Admin influenza virus vac |
142 |
133 |
$134.95 |
| 90661 |
|
22 |
22 |
$128.32 |
| 83036 |
|
39 |
38 |
$127.91 |
| 84132 |
|
410 |
289 |
$112.82 |
| 82374 |
|
282 |
236 |
$103.53 |
| 82108 |
|
196 |
192 |
$97.42 |
| 84295 |
|
215 |
213 |
$81.40 |
| 82746 |
|
244 |
238 |
$50.19 |
| 82607 |
|
143 |
138 |
$20.00 |
| 83735 |
|
185 |
178 |
$17.98 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
18 |
17 |
$0.00 |
| 0011A |
|
15 |
15 |
$0.00 |
| 0771 |
|
18 |
16 |
$0.00 |
| 90688 |
|
31 |
24 |
$0.00 |
| 86704 |
|
14 |
14 |
$0.00 |