| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
19,321 |
1,619 |
$1.04M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
2,673 |
745 |
$106K |
| J2501 |
Injection, paricalcitol, 1 mcg |
9,155 |
876 |
$8K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
339 |
180 |
$7K |
| 83970 |
|
1,309 |
1,266 |
$4K |
| 82728 |
|
1,248 |
1,217 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
212 |
57 |
$1K |
| 82040 |
|
2,748 |
1,327 |
$1K |
| 82310 |
|
2,558 |
1,327 |
$1K |
| 84520 |
|
3,188 |
1,326 |
$1K |
| 84466 |
|
1,245 |
1,213 |
$1K |
| 84100 |
|
2,505 |
1,327 |
$925.34 |
| 84132 |
|
1,634 |
1,326 |
$766.08 |
| 83540 |
|
1,245 |
1,214 |
$751.55 |
| 84155 |
|
1,353 |
1,324 |
$626.50 |
| 84075 |
|
1,355 |
1,326 |
$626.50 |
| 82565 |
|
1,355 |
1,326 |
$624.29 |
| 82374 |
|
1,357 |
1,326 |
$579.50 |
| 84295 |
|
1,349 |
1,320 |
$575.47 |
| 82435 |
|
1,349 |
1,321 |
$529.01 |
| 87340 |
|
451 |
436 |
$254.20 |
| 86706 |
|
93 |
89 |
$93.60 |
| 90688 |
|
67 |
67 |
$76.96 |
| 82108 |
|
35 |
34 |
$56.84 |
| G0008 |
Administration of influenza virus vaccine |
63 |
63 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
1,222 |
1,207 |
$0.00 |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
3,394 |
311 |
$0.00 |