| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
61,235 |
5,055 |
$5.55M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
12,646 |
3,416 |
$2.53M |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
15,696 |
1,320 |
$1.93M |
| J1756 |
Injection, iron sucrose, 1 mg |
7,744 |
1,495 |
$292K |
| J1644 |
Injection, heparin sodium, per 1000 units |
26,936 |
2,764 |
$283K |
| 0250 |
|
77,438 |
3,577 |
$228K |
| 82728 |
|
4,541 |
4,354 |
$35K |
| J3490 |
Unclassified drugs |
3,935 |
264 |
$35K |
| 85027 |
|
8,796 |
4,332 |
$34K |
| 83970 |
|
1,838 |
1,762 |
$28K |
| 80069 |
|
3,582 |
3,218 |
$22K |
| 83550 |
|
4,532 |
4,347 |
$21K |
| 86803 |
|
779 |
745 |
$6K |
| 80061 |
Lipid panel |
769 |
739 |
$6K |
| 87340 |
|
1,009 |
958 |
$6K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
76 |
44 |
$5K |
| 86706 |
|
837 |
802 |
$5K |
| 86481 |
|
112 |
86 |
$4K |
| 90686 |
|
182 |
180 |
$4K |
| 84520 |
|
2,996 |
2,305 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
989 |
909 |
$4K |
| 82948 |
|
1,551 |
236 |
$3K |
| 90746 |
|
12 |
12 |
$2K |
| 84100 |
|
489 |
421 |
$2K |
| 82565 |
|
415 |
281 |
$1K |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
153 |
14 |
$1K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
207 |
20 |
$1K |
| 85045 |
|
378 |
342 |
$923.33 |
| 82310 |
|
207 |
190 |
$731.31 |
| 85610 |
|
215 |
177 |
$599.89 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
88 |
77 |
$541.24 |
| 87521 |
Neg quan hep c or qual rna |
12 |
12 |
$374.31 |
| 83540 |
|
253 |
242 |
$314.48 |
| 84132 |
|
92 |
86 |
$271.36 |
| 85730 |
|
15 |
12 |
$64.14 |
| 90656 |
|
25 |
25 |
$58.99 |
| 83721 |
|
27 |
27 |
$40.15 |