| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
41,209 |
3,833 |
$1.91M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
8,160 |
2,206 |
$248K |
| J1756 |
Injection, iron sucrose, 1 mg |
3,527 |
1,623 |
$49K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
8,161 |
877 |
$47K |
| 82040 |
|
1,870 |
1,671 |
$28K |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
1,454 |
121 |
$28K |
| A4657 |
Syringe, with or without needle, each |
16,905 |
1,816 |
$21K |
| 0250 |
|
3,182 |
197 |
$19K |
| 85018 |
|
353 |
232 |
$4K |
| J1644 |
Injection, heparin sodium, per 1000 units |
2,662 |
227 |
$3K |
| 85045 |
|
2,033 |
1,960 |
$3K |
| 83970 |
|
782 |
769 |
$2K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
3,637 |
244 |
$2K |
| 80051 |
|
1,663 |
1,645 |
$2K |
| 84466 |
|
946 |
928 |
$991.50 |
| 84520 |
|
3,757 |
1,763 |
$760.18 |
| 82728 |
|
730 |
716 |
$746.31 |
| 84075 |
|
1,825 |
1,792 |
$539.01 |
| 84100 |
|
1,724 |
1,624 |
$527.12 |
| 82310 |
|
1,859 |
1,616 |
$523.91 |
| 83540 |
|
947 |
929 |
$520.18 |
| 82565 |
|
1,725 |
1,676 |
$494.29 |
| 90688 |
|
96 |
96 |
$442.36 |
| 84155 |
|
1,772 |
1,743 |
$383.68 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
364 |
338 |
$342.33 |
| 87340 |
|
153 |
146 |
$230.01 |
| 90694 |
|
61 |
60 |
$217.39 |
| 86706 |
|
187 |
180 |
$160.41 |
| 90756 |
|
24 |
24 |
$137.97 |
| 90662 |
|
13 |
13 |
$114.47 |
| 84132 |
|
517 |
236 |
$81.66 |
| 84450 |
|
59 |
56 |
$53.94 |
| 82746 |
|
25 |
25 |
$40.91 |
| 82607 |
|
23 |
23 |
$26.77 |
| 83735 |
|
26 |
26 |
$19.70 |
| 80069 |
|
13 |
13 |
$15.20 |
| 82435 |
|
93 |
89 |
$14.72 |
| 84295 |
|
76 |
72 |
$14.04 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
33 |
33 |
$12.27 |
| G0008 |
Administration of influenza virus vaccine |
114 |
114 |
$7.91 |
| 82374 |
|
77 |
73 |
$6.80 |
| 84540 |
|
25 |
24 |
$1.85 |
| 90653 |
|
14 |
14 |
$0.00 |
| J3490 |
Unclassified drugs |
231 |
23 |
$0.00 |