| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
39,960 |
3,289 |
$2.80M |
| Q4081 |
Epoetin alfa, 100 units esrd |
28,648 |
2,143 |
$436K |
| J0887 |
Epoetin beta esrd use |
504 |
307 |
$213K |
| J1756 |
Iron sucrose injection |
8,417 |
2,064 |
$42K |
| 90945 |
|
1,377 |
48 |
$31K |
| A4657 |
Syringe w/wo needle |
19,322 |
2,823 |
$2K |
| 83970 |
|
442 |
360 |
$50.56 |
| 85041 |
|
569 |
498 |
$3.70 |
| 85048 |
|
567 |
497 |
$3.11 |
| J1270 |
Injection, doxercalciferol |
16,340 |
1,238 |
$0.00 |
| G0008 |
Admin influenza virus vac |
190 |
172 |
$0.00 |
| 83550 |
|
273 |
233 |
$0.00 |
| 82728 |
|
308 |
258 |
$0.00 |
| 90674 |
|
110 |
95 |
$0.00 |
| J0604 |
Cinacalcet, esrd on dialysis |
113 |
58 |
$0.00 |
| 82306 |
|
75 |
66 |
$0.00 |
| G0499 |
Hepb screen high risk indiv |
40 |
29 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
14,862 |
970 |
$0.00 |
| 82108 |
|
96 |
82 |
$0.00 |
| 83540 |
|
274 |
233 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
371 |
105 |
$0.00 |
| 90662 |
|
31 |
30 |
$0.00 |
| 0124A |
|
21 |
20 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
78 |
14 |
$0.00 |