| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
95,871 |
7,475 |
$7.21M |
| J0887 |
Epoetin beta esrd use |
11,094 |
5,393 |
$762K |
| J0882 |
Darbepoetin alfa, esrd use |
3,200 |
582 |
$97K |
| J2501 |
Paricalcitol |
47,026 |
4,563 |
$46K |
| J2916 |
Na ferric gluconate complex |
8,904 |
3,418 |
$44K |
| Q4081 |
Epoetin alfa, 100 units esrd |
229 |
49 |
$19K |
| J0604 |
Cinacalcet, esrd on dialysis |
415 |
217 |
$11K |
| A4657 |
Syringe w/wo needle |
62,775 |
5,884 |
$4K |
| 90686 |
|
176 |
155 |
$1K |
| 90747 |
|
23 |
21 |
$651.25 |
| J7030 |
Normal saline solution infus |
52,648 |
3,989 |
$527.07 |
| J1270 |
Injection, doxercalciferol |
3,347 |
316 |
$456.50 |
| 80053 |
|
369 |
325 |
$347.80 |
| 90662 |
|
39 |
37 |
$252.88 |
| 85027 |
|
455 |
396 |
$251.84 |
| J1644 |
Inj heparin sodium per 1000u |
58,453 |
3,345 |
$249.89 |
| 83970 |
|
2,415 |
2,174 |
$188.03 |
| 84100 |
|
3,066 |
2,874 |
$183.92 |
| 0134A |
|
25 |
24 |
$80.00 |
| 83036 |
|
95 |
82 |
$51.84 |
| 90480 |
|
16 |
16 |
$40.00 |
| 82728 |
|
1,888 |
1,685 |
$37.82 |
| 83735 |
|
1,144 |
1,026 |
$35.15 |
| 83550 |
|
556 |
443 |
$24.26 |
| 83540 |
|
1,913 |
1,689 |
$17.96 |
| 84466 |
|
1,812 |
1,602 |
$12.70 |
| 84132 |
|
3,138 |
2,470 |
$0.00 |
| 82040 |
|
3,074 |
2,861 |
$0.00 |
| 90677 |
|
53 |
50 |
$0.00 |
| 84540 |
|
7,233 |
2,881 |
$0.00 |
| 82435 |
|
2,901 |
2,683 |
$0.00 |
| 84075 |
|
2,604 |
2,482 |
$0.00 |
| 86706 |
|
383 |
367 |
$0.00 |
| 87340 |
|
514 |
482 |
$0.00 |
| G0008 |
Admin influenza virus vac |
209 |
181 |
$0.00 |
| 90673 |
|
36 |
35 |
$0.00 |
| 85018 |
|
283 |
132 |
$0.00 |
| 0012A |
|
80 |
76 |
$0.00 |
| 0011A |
|
34 |
33 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
30 |
29 |
$0.00 |
| 86803 |
|
95 |
74 |
$0.00 |
| 0064A |
|
28 |
28 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
16 |
15 |
$0.00 |
| 84155 |
|
2,559 |
2,437 |
$0.00 |
| 82565 |
|
2,655 |
2,468 |
$0.00 |
| 82374 |
|
2,914 |
2,682 |
$0.00 |
| 82310 |
|
3,492 |
2,904 |
$0.00 |
| 84295 |
|
2,888 |
2,671 |
$0.00 |
| 85045 |
|
3,096 |
2,892 |
$0.00 |
| 82108 |
|
395 |
377 |
$0.00 |