| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
39,488 |
3,018 |
$2.92M |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
26,920 |
2,410 |
$101K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
537 |
144 |
$12K |
| A4657 |
Syringe, with or without needle, each |
49,897 |
2,936 |
$5K |
| J1756 |
Injection, iron sucrose, 1 mg |
6,525 |
1,490 |
$5K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
3,830 |
621 |
$4K |
| 83970 |
|
3,183 |
2,335 |
$3K |
| 84132 |
|
3,678 |
2,351 |
$1K |
| 82728 |
|
3,188 |
2,340 |
$1K |
| 84466 |
|
3,195 |
2,338 |
$936.68 |
| 87340 |
|
3,167 |
2,325 |
$707.57 |
| 83540 |
|
3,191 |
2,334 |
$474.01 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
889 |
651 |
$457.50 |
| 90747 |
|
19 |
12 |
$312.33 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
138 |
14 |
$300.00 |
| 82746 |
|
835 |
621 |
$278.31 |
| J2501 |
Injection, paricalcitol, 1 mcg |
5,268 |
395 |
$188.84 |
| 86706 |
|
793 |
583 |
$173.56 |
| 86704 |
|
610 |
463 |
$112.67 |
| 82108 |
|
655 |
478 |
$100.19 |
| 84295 |
|
3,255 |
2,343 |
$67.67 |
| 84520 |
|
8,199 |
2,370 |
$54.92 |
| 84075 |
|
3,181 |
2,332 |
$54.16 |
| 82310 |
|
3,506 |
2,357 |
$46.98 |
| 82565 |
|
3,262 |
2,335 |
$34.13 |
| 82374 |
|
3,245 |
2,336 |
$29.63 |
| 84100 |
|
3,970 |
2,357 |
$28.48 |
| 82435 |
|
3,245 |
2,336 |
$27.28 |
| 85027 |
|
3,200 |
2,312 |
$23.72 |
| 82607 |
|
105 |
98 |
$18.10 |
| G0010 |
Administration of hepatitis b vaccine |
21 |
13 |
$17.24 |
| 82040 |
|
3,338 |
2,326 |
$11.45 |
| 84155 |
|
3,123 |
2,303 |
$8.78 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
136 |
14 |
$0.00 |
| J2997 |
Injection, alteplase recombinant, 1 mg |
31 |
13 |
$0.00 |