| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
19,028 |
1,465 |
$1.00M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,907 |
627 |
$35K |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
4,451 |
375 |
$14K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
197 |
111 |
$1K |
| 82728 |
|
828 |
821 |
$401.58 |
| J1756 |
Injection, iron sucrose, 1 mg |
282 |
69 |
$396.00 |
| 84520 |
|
1,979 |
864 |
$336.44 |
| 84466 |
|
828 |
821 |
$306.72 |
| 83735 |
|
876 |
849 |
$250.93 |
| 83540 |
|
827 |
821 |
$190.62 |
| 84132 |
|
1,331 |
1,037 |
$156.24 |
| 84155 |
|
1,037 |
1,030 |
$152.46 |
| 84075 |
|
1,038 |
1,031 |
$152.46 |
| 82565 |
|
853 |
847 |
$151.92 |
| 82310 |
|
1,357 |
1,035 |
$150.86 |
| 84100 |
|
1,742 |
1,036 |
$150.25 |
| 84295 |
|
1,039 |
1,032 |
$140.04 |
| 82040 |
|
1,040 |
1,033 |
$138.42 |
| 82435 |
|
1,040 |
1,033 |
$130.50 |
| 82374 |
|
981 |
975 |
$115.95 |
| 83970 |
|
952 |
943 |
$113.96 |
| 82108 |
|
78 |
77 |
$28.42 |
| 86706 |
|
85 |
84 |
$15.60 |
| 87340 |
|
85 |
84 |
$12.71 |
| J2501 |
Injection, paricalcitol, 1 mcg |
5,362 |
516 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
994 |
975 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |