| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
45,126 |
2,871 |
$4.07M |
| A4657 |
Syringe, with or without needle, each |
41,595 |
3,303 |
$595K |
| 82040 |
|
14,009 |
1,206 |
$158K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
4,398 |
2,100 |
$69K |
| J1756 |
Injection, iron sucrose, 1 mg |
11,901 |
1,990 |
$60K |
| 82310 |
|
2,986 |
1,515 |
$55K |
| 90945 |
|
802 |
24 |
$25K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
138 |
47 |
$23K |
| 84460 |
|
2,806 |
1,643 |
$8K |
| 83970 |
|
2,192 |
1,638 |
$3K |
| 87340 |
|
1,933 |
1,457 |
$3K |
| 84520 |
|
1,098 |
829 |
$2K |
| 83540 |
|
2,130 |
1,622 |
$2K |
| 90632 |
|
102 |
31 |
$1K |
| 86580 |
|
43 |
20 |
$1K |
| 84132 |
|
1,746 |
849 |
$988.56 |
| 82728 |
|
1,933 |
1,478 |
$839.74 |
| 82565 |
|
2,226 |
1,638 |
$813.95 |
| 90756 |
|
260 |
58 |
$669.50 |
| 85014 |
|
1,231 |
249 |
$526.47 |
| 85049 |
|
1,061 |
814 |
$476.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
18 |
$460.00 |
| 85018 |
|
1,236 |
325 |
$417.53 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
393 |
314 |
$408.48 |
| 86706 |
|
182 |
136 |
$347.91 |
| 84466 |
|
756 |
519 |
$343.28 |
| 84100 |
|
1,333 |
803 |
$337.58 |
| 84075 |
|
1,043 |
808 |
$273.32 |
| 82374 |
|
1,134 |
821 |
$266.36 |
| 82435 |
|
1,133 |
821 |
$251.16 |
| 85004 |
|
237 |
196 |
$220.06 |
| 84155 |
|
1,067 |
820 |
$197.50 |
| 85041 |
|
1,059 |
816 |
$116.87 |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
2,064 |
161 |
$100.48 |
| 82108 |
|
104 |
68 |
$60.00 |
| 86704 |
|
37 |
24 |
$15.00 |
| 85048 |
|
307 |
224 |
$7.36 |
| G0008 |
Administration of influenza virus vaccine |
68 |
53 |
$0.00 |
| 84295 |
|
18 |
12 |
$0.00 |