| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
73,773 |
6,908 |
$5.10M |
| J0887 |
Epoetin beta esrd use |
5,176 |
3,181 |
$2.09M |
| Q4081 |
Epoetin alfa, 100 units esrd |
1,793 |
942 |
$1.18M |
| J1756 |
Iron sucrose injection |
10,439 |
3,460 |
$254K |
| Q5105 |
Inj retacrit esrd on dialysi |
6,743 |
898 |
$172K |
| J1644 |
Inj heparin sodium per 1000u |
40,580 |
2,873 |
$43K |
| 0064A |
|
15 |
14 |
$166.00 |
| 84520 |
|
7,434 |
4,401 |
$0.00 |
| 82565 |
|
1,724 |
1,475 |
$0.00 |
| 83540 |
|
4,832 |
4,353 |
$0.00 |
| 82310 |
|
2,122 |
1,716 |
$0.00 |
| 84450 |
|
3,514 |
3,045 |
$0.00 |
| 84100 |
|
2,318 |
1,879 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
4,334 |
614 |
$0.00 |
| 85046 |
|
1,281 |
1,194 |
$0.00 |
| 84155 |
|
3,216 |
2,841 |
$0.00 |
| 83970 |
|
3,115 |
2,664 |
$0.00 |
| 80061 |
|
139 |
118 |
$0.00 |
| 84460 |
|
810 |
748 |
$0.00 |
| 90740 |
|
48 |
41 |
$0.00 |
| 82947 |
|
155 |
148 |
$0.00 |
| 90682 |
|
49 |
49 |
$0.00 |
| 90662 |
|
53 |
50 |
$0.00 |
| 90670 |
|
29 |
29 |
$0.00 |
| 90661 |
|
36 |
36 |
$0.00 |
| J1270 |
Injection, doxercalciferol |
1,714 |
178 |
$0.00 |
| 83036 |
|
726 |
661 |
$0.00 |
| 83550 |
|
4,804 |
4,331 |
$0.00 |
| 82040 |
|
2,053 |
1,724 |
$0.00 |
| 80051 |
|
1,611 |
1,397 |
$0.00 |
| 87340 |
|
1,725 |
1,476 |
$0.00 |
| 85018 |
|
10,820 |
4,429 |
$0.00 |
| 82728 |
|
2,149 |
1,912 |
$0.00 |
| 84132 |
|
1,533 |
756 |
$0.00 |
| J3490 |
Drugs unclassified injection |
14,419 |
2,012 |
$0.00 |
| 86706 |
|
521 |
453 |
$0.00 |
| 80069 |
|
2,995 |
2,748 |
$0.00 |
| 84075 |
|
1,050 |
909 |
$0.00 |
| A4657 |
Syringe w/wo needle |
65,073 |
5,955 |
$0.00 |
| 85025 |
|
4,748 |
4,304 |
$0.00 |
| 83735 |
|
1,571 |
1,401 |
$0.00 |
| J0604 |
Cinacalcet, esrd on dialysis |
3,418 |
472 |
$0.00 |
| 80048 |
|
63 |
52 |
$0.00 |
| 86803 |
|
418 |
373 |
$0.00 |
| G0008 |
Admin influenza virus vac |
447 |
426 |
$0.00 |
| 90686 |
|
128 |
124 |
$0.00 |
| 90688 |
|
131 |
120 |
$0.00 |
| 86704 |
|
90 |
82 |
$0.00 |
| 90732 |
|
29 |
28 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
65 |
63 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
48 |
41 |
$0.00 |