| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
45,755 |
3,786 |
$3.30M |
| J0887 |
Epoetin beta esrd use |
5,296 |
2,492 |
$351K |
| J0882 |
Darbepoetin alfa, esrd use |
1,810 |
354 |
$77K |
| J2501 |
Paricalcitol |
23,186 |
2,273 |
$21K |
| J2916 |
Na ferric gluconate complex |
5,280 |
1,995 |
$19K |
| A4657 |
Syringe w/wo needle |
31,655 |
3,102 |
$2K |
| 90686 |
|
112 |
104 |
$519.83 |
| 80053 |
|
147 |
133 |
$122.20 |
| 90480 |
|
34 |
32 |
$120.00 |
| 85027 |
|
183 |
165 |
$94.76 |
| 84100 |
|
1,551 |
1,419 |
$91.08 |
| 83970 |
|
878 |
808 |
$71.43 |
| J1270 |
Injection, doxercalciferol |
1,480 |
140 |
$71.04 |
| 0134A |
|
21 |
21 |
$40.00 |
| J7030 |
Normal saline solution infus |
25,771 |
2,127 |
$18.67 |
| 82108 |
|
185 |
178 |
$17.75 |
| 83036 |
|
36 |
32 |
$17.28 |
| 87340 |
|
321 |
299 |
$16.42 |
| 82310 |
|
1,844 |
1,412 |
$14.41 |
| 82565 |
|
1,323 |
1,253 |
$14.29 |
| 82040 |
|
1,495 |
1,397 |
$13.81 |
| 82374 |
|
1,426 |
1,330 |
$13.62 |
| 84295 |
|
1,414 |
1,321 |
$13.43 |
| 84132 |
|
1,489 |
1,255 |
$13.28 |
| 82435 |
|
1,427 |
1,331 |
$12.85 |
| 85045 |
|
1,500 |
1,407 |
$11.13 |
| 82728 |
|
792 |
724 |
$10.86 |
| 84466 |
|
746 |
683 |
$9.91 |
| 86706 |
|
191 |
182 |
$8.56 |
| 83550 |
|
211 |
184 |
$6.20 |
| 83540 |
|
795 |
725 |
$5.15 |
| 84540 |
|
3,373 |
1,413 |
$0.00 |
| 83735 |
|
604 |
550 |
$0.00 |
| 0064A |
|
18 |
18 |
$0.00 |
| 84075 |
|
1,315 |
1,243 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
26 |
24 |
$0.00 |
| G0008 |
Admin influenza virus vac |
119 |
110 |
$0.00 |
| 90677 |
|
31 |
28 |
$0.00 |
| 85018 |
|
55 |
27 |
$0.00 |
| 90673 |
|
18 |
17 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
13 |
12 |
$0.00 |
| 86803 |
|
37 |
32 |
$0.00 |
| 0012A |
|
23 |
23 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
25,763 |
1,413 |
$0.00 |
| 84155 |
|
1,310 |
1,238 |
$0.00 |