| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
61,965 |
4,786 |
$5.54M |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
9,721 |
1,435 |
$654K |
| Z6004 |
|
3,287 |
260 |
$381K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
4,903 |
936 |
$268K |
| J1644 |
Injection, heparin sodium, per 1000 units |
37,210 |
1,758 |
$125K |
| A4657 |
Syringe, with or without needle, each |
26,629 |
1,382 |
$116K |
| J1756 |
Injection, iron sucrose, 1 mg |
4,225 |
1,137 |
$76K |
| 80069 |
|
3,690 |
3,558 |
$33K |
| 83970 |
|
2,619 |
2,520 |
$24K |
| 85027 |
|
8,142 |
2,775 |
$15K |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
298 |
39 |
$14K |
| 82728 |
|
2,304 |
2,193 |
$13K |
| 83550 |
|
2,930 |
2,773 |
$6K |
| 83540 |
|
2,855 |
2,749 |
$4K |
| 84075 |
|
3,103 |
3,059 |
$3K |
| 87340 |
|
899 |
863 |
$2K |
| 84520 |
|
2,804 |
2,179 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
308 |
12 |
$2K |
| 83735 |
|
741 |
727 |
$2K |
| 90686 |
|
113 |
107 |
$751.51 |
| 90658 |
|
27 |
27 |
$455.40 |
| 86706 |
|
238 |
229 |
$353.16 |
| 0270 |
|
509 |
23 |
$293.26 |
| G0008 |
Administration of influenza virus vaccine |
184 |
175 |
$218.09 |
| 90662 |
|
14 |
14 |
$82.53 |