| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
481 |
400 |
$509K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
2,423 |
244 |
$464K |
| 0821 |
|
2,925 |
303 |
$435K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,078 |
438 |
$265K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
640 |
388 |
$128K |
| J2501 |
Injection, paricalcitol, 1 mcg |
504 |
290 |
$64K |
| A4657 |
Syringe, with or without needle, each |
786 |
616 |
$12K |
| 90674 |
|
25 |
25 |
$567.57 |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
122 |
16 |
$455.21 |
| A4913 |
Miscellaneous dialysis supplies, not otherwise specified |
91 |
63 |
$232.75 |
| 84450 |
|
349 |
308 |
$140.05 |