| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4657 |
Syringe w/wo needle |
59,758 |
1,905 |
$9.10M |
| J1644 |
Inj heparin sodium per 1000u |
25,939 |
1,209 |
$3.87M |
| 90999 |
|
20,436 |
1,471 |
$3.32M |
| J2501 |
Paricalcitol |
10,538 |
854 |
$1.73M |
| J1642 |
Inj heparin sodium per 10 u |
12,080 |
547 |
$955K |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
2,107 |
162 |
$520K |
| J1756 |
Iron sucrose injection |
4,945 |
850 |
$520K |
| 90935 |
|
4,844 |
395 |
$435K |
| J0887 |
Epoetin beta esrd use |
2,791 |
1,237 |
$398K |
| 84100 |
|
2,904 |
1,465 |
$384K |
| 84132 |
|
2,971 |
1,357 |
$328K |
| A4913 |
Misc dialysis supplies noc |
2,043 |
177 |
$259K |
| 85018 |
|
1,681 |
659 |
$233K |
| 84520 |
|
1,440 |
1,078 |
$187K |
| 84295 |
|
1,464 |
1,088 |
$180K |
| 82728 |
|
1,221 |
847 |
$165K |
| 83970 |
|
1,245 |
943 |
$164K |
| 83540 |
|
1,087 |
765 |
$152K |
| 84155 |
|
1,177 |
865 |
$151K |
| 87340 |
|
1,013 |
764 |
$135K |
| 83550 |
|
425 |
334 |
$52K |
| 90945 |
|
1,227 |
53 |
$38K |
| 86803 |
|
191 |
157 |
$29K |
| J0604 |
Cinacalcet, esrd on dialysis |
130 |
12 |
$26K |
| 86706 |
|
81 |
46 |
$14K |
| Q5105 |
Inj retacrit esrd on dialysi |
121 |
25 |
$14K |
| 83615 |
|
87 |
59 |
$12K |
| 86689 |
|
64 |
52 |
$9K |
| 90688 |
|
46 |
36 |
$9K |
| G0008 |
Admin influenza virus vac |
45 |
36 |
$9K |
| 87350 |
|
56 |
46 |
$9K |
| 86705 |
|
56 |
46 |
$9K |
| G0009 |
Admin pneumococcal vaccine |
19 |
17 |
$5K |
| 86580 |
|
69 |
46 |
$4K |
| 90670 |
|
18 |
16 |
$3K |
| 82306 |
|
30 |
22 |
$2K |
| J0882 |
Darbepoetin alfa, esrd use |
110 |
38 |
$2K |
| 80074 |
|
18 |
18 |
$543.40 |