| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
60,885 |
4,493 |
$3.32M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
5,106 |
2,615 |
$282K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,828 |
458 |
$66K |
| J2501 |
Injection, paricalcitol, 1 mcg |
34,936 |
3,173 |
$34K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
7,593 |
2,400 |
$32K |
| A4657 |
Syringe, with or without needle, each |
8,778 |
3,705 |
$6K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
368 |
26 |
$1K |
| 83970 |
|
2,060 |
1,811 |
$504.26 |
| 90674 |
|
48 |
35 |
$240.50 |
| 80053 |
Comprehensive metabolic panel |
182 |
173 |
$129.00 |
| 82728 |
|
1,985 |
1,812 |
$102.54 |
| 85027 |
|
184 |
176 |
$72.76 |
| 84100 |
|
247 |
226 |
$57.90 |
| 83550 |
|
1,946 |
1,780 |
$57.26 |
| 83540 |
|
1,958 |
1,790 |
$49.72 |
| 90656 |
|
16 |
16 |
$44.70 |
| 80069 |
|
139 |
91 |
$42.15 |
| 90688 |
|
133 |
127 |
$37.75 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
283 |
263 |
$28.74 |
| 84460 |
|
133 |
91 |
$25.75 |
| 84075 |
|
2,975 |
2,811 |
$25.15 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
125 |
86 |
$22.62 |
| 85045 |
|
834 |
763 |
$19.35 |
| 84520 |
|
796 |
611 |
$19.15 |
| 84155 |
|
2,973 |
2,816 |
$17.80 |
| 83735 |
|
229 |
209 |
$6.50 |
| 82310 |
|
324 |
267 |
$4.59 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
508 |
146 |
$0.88 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
37 |
13 |
$0.87 |
| 84466 |
|
1,822 |
1,688 |
$0.00 |
| 87340 |
|
3,025 |
2,855 |
$0.00 |
| 86706 |
|
284 |
263 |
$0.00 |
| 85018 |
|
343 |
235 |
$0.00 |
| 84132 |
|
57 |
45 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
181 |
162 |
$0.00 |