| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
36,761 |
3,296 |
$1.32M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
8,068 |
2,001 |
$140K |
| J1756 |
Injection, iron sucrose, 1 mg |
3,526 |
1,724 |
$79K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
3,728 |
386 |
$34K |
| A4657 |
Syringe, with or without needle, each |
14,816 |
1,636 |
$17K |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
2,027 |
140 |
$14K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
6,810 |
441 |
$11K |
| 0250 |
|
2,765 |
147 |
$1K |
| 83970 |
|
746 |
728 |
$1K |
| 80051 |
|
1,323 |
1,294 |
$864.98 |
| 84520 |
|
3,949 |
1,743 |
$396.68 |
| 90732 |
|
29 |
27 |
$392.41 |
| 84100 |
|
1,848 |
1,571 |
$388.04 |
| 82310 |
|
1,952 |
1,562 |
$370.75 |
| 82728 |
|
715 |
707 |
$363.86 |
| 85045 |
|
2,142 |
2,081 |
$332.14 |
| 84466 |
|
716 |
710 |
$320.41 |
| 84075 |
|
1,794 |
1,755 |
$223.32 |
| 82040 |
|
2,003 |
1,685 |
$212.18 |
| 90688 |
|
90 |
90 |
$205.06 |
| 82565 |
|
1,691 |
1,660 |
$203.28 |
| 87340 |
|
368 |
348 |
$197.19 |
| 83540 |
|
717 |
711 |
$165.89 |
| 84155 |
|
1,747 |
1,709 |
$156.34 |
| 90756 |
|
16 |
16 |
$108.51 |
| 86706 |
|
155 |
150 |
$65.02 |
| 90747 |
|
13 |
13 |
$59.79 |
| 90694 |
|
12 |
12 |
$38.94 |
| 84540 |
|
66 |
59 |
$23.52 |
| 90662 |
|
15 |
15 |
$22.29 |
| 84132 |
|
175 |
122 |
$19.07 |
| 82435 |
|
85 |
82 |
$8.39 |
| 84295 |
|
78 |
75 |
$7.72 |
| 80048 |
|
35 |
34 |
$7.14 |
| 82374 |
|
77 |
74 |
$2.72 |
| G0008 |
Administration of influenza virus vaccine |
41 |
41 |
$0.00 |