| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
21,339 |
1,911 |
$2.64M |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
2,077 |
206 |
$88K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,061 |
324 |
$63K |
| J1756 |
Injection, iron sucrose, 1 mg |
715 |
216 |
$52K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
3,407 |
394 |
$25K |
| J0636 |
Injection, calcitriol, 0.1 mcg |
2,083 |
226 |
$17K |
| A4657 |
Syringe, with or without needle, each |
4,396 |
237 |
$8K |
| 83970 |
|
321 |
306 |
$5K |
| 82728 |
|
310 |
306 |
$2K |
| 84466 |
|
311 |
307 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
112 |
111 |
$1K |
| 87340 |
|
312 |
306 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
309 |
306 |
$953.46 |
| 83540 |
|
310 |
306 |
$833.48 |
| 84520 |
|
375 |
307 |
$762.51 |
| 84075 |
|
310 |
306 |
$630.94 |
| 85045 |
|
309 |
305 |
$574.34 |
| 82108 |
|
56 |
55 |
$557.77 |
| 84155 |
|
311 |
307 |
$497.52 |
| 85018 |
|
251 |
247 |
$349.03 |
| 90677 |
|
12 |
12 |
$290.19 |
| 86704 |
|
30 |
29 |
$200.62 |
| 86706 |
|
30 |
29 |
$187.03 |
| 90688 |
|
31 |
30 |
$41.76 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$0.00 |