| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
25,752 |
1,864 |
$714K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
3,547 |
966 |
$104K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
1,363 |
350 |
$32K |
| A4657 |
Syringe, with or without needle, each |
6,676 |
547 |
$21K |
| J1644 |
Injection, heparin sodium, per 1000 units |
6,333 |
245 |
$11K |
| J0636 |
Injection, calcitriol, 0.1 mcg |
7,332 |
487 |
$8K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
389 |
44 |
$2K |
| 83735 |
|
366 |
335 |
$1K |
| 84466 |
|
1,191 |
1,124 |
$712.27 |
| 83970 |
|
356 |
322 |
$563.37 |
| 84520 |
|
2,748 |
1,129 |
$528.09 |
| 87340 |
|
1,092 |
1,030 |
$458.51 |
| 83540 |
|
1,191 |
1,124 |
$344.88 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
346 |
28 |
$251.94 |
| 82728 |
|
386 |
354 |
$229.03 |
| 84132 |
|
1,233 |
1,102 |
$217.09 |
| 82565 |
|
1,198 |
1,119 |
$206.79 |
| 84295 |
|
1,190 |
1,123 |
$206.57 |
| 82374 |
|
1,190 |
1,123 |
$200.51 |
| 82108 |
|
93 |
90 |
$194.92 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
140 |
135 |
$182.10 |
| 82435 |
|
1,190 |
1,122 |
$171.75 |
| 82310 |
|
1,087 |
1,014 |
$141.94 |
| 84100 |
|
1,089 |
1,015 |
$112.47 |
| 82040 |
|
1,091 |
1,014 |
$103.89 |
| 84075 |
|
361 |
331 |
$101.62 |
| 86705 |
|
15 |
15 |
$38.28 |
| 86706 |
|
88 |
85 |
$35.64 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$32.31 |
| J1955 |
Injection, levocarnitine, per 1 gm |
744 |
77 |
$29.04 |
| 90658 |
|
13 |
13 |
$21.84 |