| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
9,601 |
886 |
$1.75M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
4,930 |
1,242 |
$390K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
1,905 |
196 |
$48K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
168 |
13 |
$6K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
4,519 |
1,068 |
$266.20 |
| 90688 |
|
25 |
25 |
$144.38 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$78.32 |
| A4657 |
Syringe, with or without needle, each |
14,648 |
1,083 |
$1.80 |
| J2501 |
Injection, paricalcitol, 1 mcg |
13,188 |
1,246 |
$0.00 |
| 82728 |
|
12 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$0.00 |
| 83550 |
|
12 |
12 |
$0.00 |
| 87340 |
|
12 |
12 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
608 |
147 |
$0.00 |
| 84100 |
|
15 |
12 |
$0.00 |
| 85046 |
|
12 |
12 |
$0.00 |
| 83540 |
|
12 |
12 |
$0.00 |