| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
21,767 |
1,856 |
$1.17M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
2,874 |
853 |
$2K |
| 83970 |
|
1,164 |
1,081 |
$50.96 |
| A4657 |
Syringe, with or without needle, each |
14,305 |
1,680 |
$45.94 |
| 84520 |
|
3,634 |
1,825 |
$9.76 |
| 84460 |
|
1,402 |
1,286 |
$6.54 |
| 84450 |
|
1,397 |
1,283 |
$6.39 |
| 84075 |
|
1,403 |
1,288 |
$6.39 |
| 82310 |
|
602 |
513 |
$6.37 |
| 82565 |
|
1,040 |
725 |
$6.33 |
| 82247 |
|
1,403 |
1,288 |
$6.19 |
| 82040 |
|
593 |
512 |
$6.11 |
| 82374 |
|
560 |
501 |
$6.03 |
| 84295 |
|
560 |
501 |
$5.94 |
| 84100 |
|
551 |
512 |
$5.85 |
| 84132 |
|
637 |
513 |
$5.68 |
| 82435 |
|
560 |
501 |
$5.68 |
| 84155 |
|
1,402 |
1,288 |
$4.53 |
| 85014 |
|
1,353 |
1,236 |
$2.45 |
| 85018 |
|
1,353 |
1,236 |
$2.45 |
| J1644 |
Injection, heparin sodium, per 1000 units |
7,030 |
633 |
$0.00 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
5,023 |
1,319 |
$0.00 |
| 83540 |
|
720 |
662 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
37 |
29 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
13 |
12 |
$0.00 |
| 85027 |
|
1,503 |
1,391 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,362 |
697 |
$0.00 |
| 83735 |
|
693 |
643 |
$0.00 |
| 80069 |
|
1,242 |
1,119 |
$0.00 |
| J2501 |
Injection, paricalcitol, 1 mcg |
8,240 |
775 |
$0.00 |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
1,987 |
111 |
$0.00 |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
4,673 |
258 |
$0.00 |
| 83550 |
|
720 |
662 |
$0.00 |
| 87340 |
|
203 |
188 |
$0.00 |
| 82728 |
|
720 |
663 |
$0.00 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
45 |
41 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
32 |
$0.00 |
| 86317 |
|
125 |
112 |
$0.00 |
| 86803 |
|
26 |
25 |
$0.00 |
| 90686 |
|
37 |
34 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
16 |
16 |
$0.00 |