| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
74,559 |
5,083 |
$7.90M |
| J0887 |
Epoetin beta esrd use |
4,883 |
2,933 |
$7.59M |
| J1756 |
Iron sucrose injection |
10,875 |
2,482 |
$110K |
| Q4081 |
Epoetin alfa, 100 units esrd |
573 |
81 |
$31K |
| A4657 |
Syringe w/wo needle |
89,972 |
3,974 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
67,241 |
2,310 |
$1K |
| 0064A |
|
18 |
13 |
$262.08 |
| 85018 |
|
12,722 |
4,149 |
$0.00 |
| 80051 |
|
2,482 |
2,007 |
$0.00 |
| 87340 |
|
2,026 |
1,594 |
$0.00 |
| 82040 |
|
2,815 |
2,329 |
$0.00 |
| J3490 |
Drugs unclassified injection |
2,960 |
747 |
$0.00 |
| 80069 |
|
2,355 |
2,036 |
$0.00 |
| 84132 |
|
855 |
560 |
$0.00 |
| 85025 |
|
5,094 |
4,281 |
$0.00 |
| 83036 |
|
312 |
273 |
$0.00 |
| 82728 |
|
2,050 |
1,684 |
$0.00 |
| 83550 |
|
3,068 |
2,434 |
$0.00 |
| 83735 |
|
1,622 |
1,354 |
$0.00 |
| 86706 |
|
322 |
261 |
$0.00 |
| G0008 |
Admin influenza virus vac |
321 |
275 |
$0.00 |
| 84075 |
|
1,813 |
1,543 |
$0.00 |
| 82607 |
|
76 |
64 |
$0.00 |
| J0604 |
Cinacalcet, esrd on dialysis |
849 |
226 |
$0.00 |
| J1270 |
Injection, doxercalciferol |
1,868 |
179 |
$0.00 |
| 90688 |
|
59 |
57 |
$0.00 |
| 82746 |
|
303 |
242 |
$0.00 |
| 86580 |
|
126 |
105 |
$0.00 |
| 86803 |
|
89 |
78 |
$0.00 |
| 90686 |
|
109 |
89 |
$0.00 |
| 90732 |
|
15 |
12 |
$0.00 |
| 85027 |
|
17 |
13 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
16 |
13 |
$0.00 |
| 82310 |
|
3,409 |
2,512 |
$0.00 |
| 84100 |
|
3,424 |
2,576 |
$0.00 |
| 84155 |
|
5,154 |
4,339 |
$0.00 |
| 84520 |
|
8,217 |
4,100 |
$0.00 |
| 82108 |
|
722 |
610 |
$0.00 |
| 82565 |
|
2,777 |
2,273 |
$0.00 |
| 83970 |
|
3,103 |
2,554 |
$0.00 |
| 83540 |
|
5,227 |
4,389 |
$0.00 |
| 84466 |
|
1,805 |
1,645 |
$0.00 |
| 84460 |
|
1,662 |
1,513 |
$0.00 |
| 84450 |
|
472 |
417 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
6,934 |
717 |
$0.00 |
| 82374 |
|
93 |
91 |
$0.00 |
| 82947 |
|
13 |
13 |
$0.00 |
| 84295 |
|
103 |
101 |
$0.00 |
| 90661 |
|
29 |
28 |
$0.00 |
| 82652 |
|
16 |
13 |
$0.00 |
| 90682 |
|
49 |
42 |
$0.00 |