| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
53,893 |
4,267 |
$10.65M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
4,842 |
1,620 |
$1.21M |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
1,836 |
192 |
$418K |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
16,561 |
1,803 |
$172K |
| J1756 |
Injection, iron sucrose, 1 mg |
4,572 |
1,723 |
$2K |
| 80053 |
Comprehensive metabolic panel |
3,744 |
3,687 |
$48.38 |
| 87340 |
|
748 |
683 |
$0.00 |
| 90686 |
|
178 |
176 |
$0.00 |
| 90656 |
|
23 |
23 |
$0.00 |
| 83550 |
|
3,729 |
3,687 |
$0.00 |
| 85018 |
|
9,680 |
3,660 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
712 |
699 |
$0.00 |
| 82728 |
|
1,237 |
1,225 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
16,778 |
4,262 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
289 |
271 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
309 |
301 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,525 |
3,475 |
$0.00 |
| 83735 |
|
1,230 |
1,220 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
17 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
594 |
586 |
$0.00 |
| 86704 |
|
294 |
288 |
$0.00 |
| 86706 |
|
504 |
495 |
$0.00 |
| 86803 |
|
666 |
648 |
$0.00 |
| 90732 |
|
21 |
21 |
$0.00 |
| 0012A |
|
30 |
29 |
$0.00 |
| 0134A |
|
12 |
12 |
$0.00 |
| 90480 |
|
28 |
28 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
43,180 |
3,160 |
$0.00 |
| 83540 |
|
3,730 |
3,688 |
$0.00 |
| 84100 |
|
3,994 |
3,688 |
$0.00 |
| 83970 |
|
2,296 |
2,264 |
$0.00 |
| 85014 |
|
9,682 |
3,661 |
$0.00 |
| A4690 |
Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each |
36,152 |
2,950 |
$0.00 |
| 86480 |
|
282 |
274 |
$0.00 |
| J1643 |
Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units |
2,458 |
231 |
$0.00 |
| 84520 |
|
4,168 |
3,678 |
$0.00 |
| 82108 |
|
265 |
264 |
$0.00 |
| 0124A |
|
33 |
33 |
$0.00 |
| A4640 |
Replacement pad for use with medically necessary alternating pressure pad owned by patient |
194 |
41 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |
| 91322 |
|
28 |
28 |
$0.00 |