| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
23,005 |
1,871 |
$1.00M |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
23,969 |
1,787 |
$999K |
| 90937 |
|
4,760 |
445 |
$547K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,250 |
365 |
$160K |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
21,463 |
1,427 |
$127K |
| 84520 |
|
7,257 |
2,804 |
$105K |
| A4913 |
Miscellaneous dialysis supplies, not otherwise specified |
1,671 |
192 |
$105K |
| 82040 |
|
4,170 |
2,717 |
$83K |
| 82310 |
|
3,456 |
2,068 |
$82K |
| 84100 |
|
5,620 |
2,948 |
$76K |
| 83540 |
|
4,384 |
2,927 |
$64K |
| 85027 |
|
4,852 |
3,143 |
$58K |
| 85014 |
|
8,373 |
2,626 |
$56K |
| 83970 |
|
1,550 |
1,018 |
$54K |
| 84155 |
|
4,204 |
2,767 |
$50K |
| 85018 |
|
9,012 |
2,531 |
$49K |
| 84450 |
|
4,160 |
2,733 |
$44K |
| 82374 |
|
2,132 |
1,736 |
$44K |
| 82565 |
|
2,259 |
1,756 |
$41K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,380 |
1,306 |
$40K |
| 82435 |
|
2,146 |
1,736 |
$40K |
| 84460 |
|
4,115 |
2,662 |
$40K |
| 84132 |
|
2,248 |
1,763 |
$39K |
| 84295 |
|
2,109 |
1,705 |
$36K |
| 87340 |
|
3,895 |
2,469 |
$28K |
| 82947 |
|
1,856 |
1,586 |
$24K |
| 82728 |
|
1,519 |
1,018 |
$24K |
| OP250 |
|
22,329 |
1,381 |
$22K |
| 82465 |
|
1,487 |
1,004 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
841 |
504 |
$12K |
| 86803 |
|
758 |
491 |
$9K |
| 86706 |
|
266 |
197 |
$8K |
| 82108 |
|
372 |
242 |
$7K |
| 82652 |
|
340 |
207 |
$5K |
| 86705 |
|
538 |
338 |
$5K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
4,336 |
483 |
$3K |
| J1644 |
Injection, heparin sodium, per 1000 units |
34,646 |
1,368 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,074 |
1,590 |
$3K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
524 |
73 |
$569.16 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
7,865 |
478 |
$219.66 |