| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
45,377 |
3,764 |
$3.45M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
6,293 |
3,024 |
$360K |
| J2501 |
Injection, paricalcitol, 1 mcg |
25,238 |
2,469 |
$23K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
4,190 |
1,829 |
$22K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
743 |
186 |
$22K |
| A4657 |
Syringe, with or without needle, each |
31,682 |
3,007 |
$2K |
| 90686 |
|
103 |
90 |
$809.02 |
| 90747 |
|
14 |
14 |
$422.25 |
| 80053 |
Comprehensive metabolic panel |
182 |
159 |
$253.80 |
| 85027 |
|
227 |
201 |
$224.60 |
| 84100 |
|
1,708 |
1,614 |
$164.54 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
1,779 |
177 |
$106.12 |
| 90662 |
|
13 |
12 |
$60.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
53 |
46 |
$60.48 |
| 83970 |
|
1,034 |
972 |
$46.60 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
23,667 |
2,066 |
$30.84 |
| J1644 |
Injection, heparin sodium, per 1000 units |
21,735 |
1,303 |
$22.88 |
| 82728 |
|
803 |
747 |
$15.39 |
| 84466 |
|
761 |
710 |
$14.41 |
| 83735 |
|
457 |
430 |
$7.56 |
| 83540 |
|
807 |
747 |
$7.31 |
| 84540 |
|
3,763 |
1,590 |
$0.00 |
| 82040 |
|
1,688 |
1,584 |
$0.00 |
| 87340 |
|
272 |
259 |
$0.00 |
| 84075 |
|
1,461 |
1,396 |
$0.00 |
| 83550 |
|
139 |
128 |
$0.00 |
| 82435 |
|
1,622 |
1,515 |
$0.00 |
| 84132 |
|
1,669 |
1,421 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
90 |
77 |
$0.00 |
| 86706 |
|
176 |
172 |
$0.00 |
| 90673 |
|
17 |
17 |
$0.00 |
| 85018 |
|
32 |
17 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |
| 86803 |
|
51 |
43 |
$0.00 |
| 82310 |
|
1,911 |
1,610 |
$0.00 |
| 84295 |
|
1,586 |
1,490 |
$0.00 |
| 84155 |
|
1,460 |
1,393 |
$0.00 |
| 82374 |
|
1,624 |
1,515 |
$0.00 |
| 82565 |
|
1,535 |
1,421 |
$0.00 |
| 85045 |
|
1,665 |
1,583 |
$0.00 |
| 82108 |
|
169 |
165 |
$0.00 |