| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
12,495 |
1,051 |
$546K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,553 |
455 |
$52K |
| 83970 |
|
862 |
838 |
$4K |
| J1756 |
Injection, iron sucrose, 1 mg |
574 |
225 |
$3K |
| 82728 |
|
860 |
839 |
$1K |
| 84466 |
|
861 |
840 |
$1K |
| 84520 |
|
2,203 |
853 |
$996.38 |
| 83540 |
|
860 |
839 |
$688.35 |
| 84132 |
|
1,136 |
841 |
$677.04 |
| 84100 |
|
1,225 |
841 |
$667.11 |
| 82310 |
|
1,316 |
852 |
$563.74 |
| 84155 |
|
861 |
841 |
$559.02 |
| 84075 |
|
861 |
841 |
$559.02 |
| 82565 |
|
861 |
841 |
$557.04 |
| 82040 |
|
1,153 |
853 |
$530.61 |
| 84295 |
|
856 |
837 |
$513.48 |
| 82374 |
|
875 |
841 |
$510.18 |
| 82435 |
|
860 |
841 |
$478.50 |
| 90670 |
|
13 |
13 |
$442.62 |
| 82108 |
|
76 |
75 |
$142.10 |
| J2501 |
Injection, paricalcitol, 1 mcg |
108 |
12 |
$134.16 |
| 86706 |
|
77 |
76 |
$78.00 |
| 87340 |
|
77 |
76 |
$63.55 |
| 90688 |
|
29 |
28 |
$57.72 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
13 |
$6.76 |
| A4657 |
Syringe, with or without needle, each |
743 |
740 |
$0.00 |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
1,350 |
115 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
24 |
24 |
$0.00 |