| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
18,684 |
1,694 |
$2.15M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
2,326 |
654 |
$10K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
5,156 |
629 |
$5K |
| J1756 |
Injection, iron sucrose, 1 mg |
4,248 |
1,176 |
$3K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
4,857 |
463 |
$1K |
| 99070 |
|
13,503 |
938 |
$1K |
| A4657 |
Syringe, with or without needle, each |
5,183 |
325 |
$786.23 |
| J0636 |
Injection, calcitriol, 0.1 mcg |
8,341 |
688 |
$182.92 |
| 83970 |
|
978 |
834 |
$78.60 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
289 |
284 |
$56.17 |
| 82728 |
|
813 |
789 |
$26.51 |
| 84466 |
|
857 |
833 |
$24.53 |
| 87340 |
|
796 |
767 |
$20.06 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
847 |
821 |
$14.97 |
| 83540 |
|
858 |
831 |
$12.58 |
| 84075 |
|
864 |
833 |
$9.61 |
| 85045 |
|
838 |
816 |
$7.77 |
| 84520 |
|
967 |
764 |
$7.33 |
| 84155 |
|
867 |
834 |
$6.84 |
| 86704 |
|
73 |
70 |
$6.07 |
| 85018 |
|
961 |
676 |
$4.57 |
| 86706 |
|
72 |
68 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |
| 82108 |
|
138 |
136 |
$0.00 |
| 84100 |
|
110 |
64 |
$0.00 |