| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
126,268 |
7,609 |
$1.97M |
| Q4081 |
Epoetin alfa, 100 units esrd |
46,165 |
4,999 |
$147K |
| Q5105 |
Inj retacrit esrd on dialysi |
1,159 |
118 |
$27K |
| J2501 |
Paricalcitol |
43,850 |
3,967 |
$17K |
| J2916 |
Na ferric gluconate complex |
7,791 |
3,070 |
$11K |
| J0604 |
Cinacalcet, esrd on dialysis |
153 |
144 |
$4K |
| 82040 |
|
5,261 |
3,928 |
$2K |
| A4657 |
Syringe w/wo needle |
30,205 |
2,741 |
$2K |
| 83970 |
|
3,044 |
2,956 |
$2K |
| 82728 |
|
3,867 |
3,786 |
$1K |
| 85025 |
|
7,540 |
4,145 |
$1K |
| 84466 |
|
3,444 |
3,375 |
$577.76 |
| 84520 |
|
7,109 |
3,619 |
$418.78 |
| 83735 |
|
4,325 |
4,001 |
$378.27 |
| 84100 |
|
5,552 |
4,020 |
$372.83 |
| 82310 |
|
5,641 |
4,023 |
$368.31 |
| J8499 |
Oral prescrip drug non chemo |
572 |
461 |
$361.46 |
| 83540 |
|
3,448 |
3,377 |
$300.54 |
| 82565 |
|
4,677 |
3,903 |
$296.79 |
| 80051 |
|
1,264 |
1,155 |
$291.14 |
| 84075 |
|
4,188 |
3,884 |
$270.87 |
| 85027 |
|
678 |
585 |
$218.31 |
| 90688 |
|
84 |
84 |
$192.30 |
| 84155 |
|
3,151 |
2,937 |
$168.70 |
| 90662 |
|
47 |
47 |
$163.90 |
| 82435 |
|
3,535 |
2,921 |
$155.31 |
| 90747 |
|
56 |
53 |
$138.26 |
| 90658 |
|
164 |
158 |
$122.28 |
| 85014 |
|
6,164 |
3,076 |
$107.41 |
| 83550 |
|
3,233 |
3,168 |
$95.83 |
| 85018 |
|
5,306 |
2,805 |
$93.99 |
| 84132 |
|
4,084 |
2,746 |
$88.61 |
| 84295 |
|
3,291 |
2,707 |
$65.21 |
| 82374 |
|
3,249 |
2,685 |
$28.34 |
| A4913 |
Misc dialysis supplies noc |
458 |
177 |
$0.00 |
| 84540 |
|
22 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
184 |
184 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
41 |
41 |
$0.00 |
| 82947 |
|
14 |
13 |
$0.00 |