| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
64,704 |
6,551 |
$3.24M |
| J0882 |
Darbepoetin alfa, esrd use |
13,512 |
3,680 |
$401K |
| Q4081 |
Epoetin alfa, 100 units esrd |
17,008 |
1,801 |
$250K |
| J1756 |
Iron sucrose injection |
8,472 |
3,769 |
$118K |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
3,687 |
275 |
$106K |
| A4657 |
Syringe w/wo needle |
33,534 |
3,186 |
$106K |
| 0250 |
|
9,473 |
666 |
$25K |
| J1644 |
Inj heparin sodium per 1000u |
5,646 |
483 |
$11K |
| 83970 |
|
1,634 |
1,568 |
$6K |
| 90747 |
|
150 |
148 |
$6K |
| 84520 |
|
7,284 |
3,040 |
$3K |
| 90677 |
|
66 |
65 |
$3K |
| J1270 |
Injection, doxercalciferol |
1,898 |
166 |
$2K |
| 84466 |
|
1,547 |
1,502 |
$2K |
| 87340 |
|
1,800 |
1,716 |
$2K |
| J8499 |
Oral prescrip drug non chemo |
7,506 |
591 |
$2K |
| 82565 |
|
3,108 |
2,944 |
$1K |
| 82310 |
|
3,285 |
2,831 |
$1K |
| 82728 |
|
1,187 |
1,152 |
$1K |
| 80051 |
|
2,357 |
2,278 |
$1K |
| 85018 |
|
578 |
372 |
$1K |
| 85025 |
|
788 |
702 |
$1K |
| 82040 |
|
3,316 |
2,944 |
$1K |
| 84100 |
|
3,126 |
2,852 |
$1K |
| 84075 |
|
3,163 |
3,047 |
$1K |
| 83540 |
|
1,549 |
1,504 |
$1K |
| 85045 |
|
3,154 |
2,926 |
$907.41 |
| 84155 |
|
3,114 |
2,998 |
$841.76 |
| 90688 |
|
160 |
160 |
$819.23 |
| 84450 |
|
476 |
443 |
$700.63 |
| 90732 |
|
20 |
18 |
$679.12 |
| 84132 |
|
1,495 |
733 |
$631.74 |
| 90756 |
|
41 |
41 |
$409.22 |
| 86706 |
|
299 |
285 |
$306.79 |
| 90694 |
|
60 |
59 |
$273.41 |
| 82746 |
|
52 |
52 |
$170.57 |
| 84443 |
|
42 |
41 |
$82.09 |
| 83735 |
|
52 |
52 |
$77.79 |
| 86803 |
|
44 |
43 |
$69.88 |
| 82947 |
|
114 |
108 |
$62.91 |
| 84295 |
|
257 |
240 |
$56.16 |
| 82435 |
|
269 |
253 |
$54.90 |
| A4913 |
Misc dialysis supplies noc |
102 |
29 |
$53.72 |
| 80061 |
|
30 |
30 |
$46.16 |
| 84540 |
|
170 |
151 |
$32.14 |
| G0008 |
Admin influenza virus vac |
131 |
131 |
$22.34 |
| 82374 |
|
255 |
240 |
$21.76 |
| 83036 |
|
19 |
19 |
$17.08 |
| 82607 |
|
44 |
44 |
$14.00 |
| 80048 |
|
46 |
45 |
$11.28 |