| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
15,568 |
1,343 |
$2.63M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
228 |
77 |
$8K |
| A4657 |
Syringe, with or without needle, each |
399 |
57 |
$6K |
| J2501 |
Injection, paricalcitol, 1 mcg |
621 |
81 |
$2K |
| 87340 |
|
70 |
69 |
$18.87 |
| 84520 |
|
84 |
69 |
$16.61 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
70 |
69 |
$14.15 |
| 83550 |
|
70 |
69 |
$13.69 |
| 83540 |
|
70 |
69 |
$11.82 |
| 84460 |
|
70 |
69 |
$9.61 |
| 84075 |
|
70 |
69 |
$7.06 |
| 83970 |
|
30 |
29 |
$4.33 |
| 85018 |
|
60 |
56 |
$3.90 |
| 85014 |
|
57 |
56 |
$3.23 |
| 82728 |
|
30 |
29 |
$1.50 |
| 82108 |
|
17 |
16 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,276 |
72 |
$0.00 |
| 86706 |
|
17 |
16 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
17 |
16 |
$0.00 |
| 82746 |
|
17 |
16 |
$0.00 |