| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,004 |
269 |
$89K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
382 |
36 |
$51K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
399 |
34 |
$11K |
| 90688 |
|
13 |
12 |
$129.42 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$50.78 |
| 83970 |
|
35 |
34 |
$0.00 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
244 |
59 |
$0.00 |
| 83540 |
|
34 |
34 |
$0.00 |
| 82108 |
|
35 |
34 |
$0.00 |
| 84520 |
|
59 |
33 |
$0.00 |
| 85046 |
|
32 |
31 |
$0.00 |
| 84100 |
|
65 |
34 |
$0.00 |
| J2501 |
Injection, paricalcitol, 1 mcg |
1,210 |
111 |
$0.00 |
| 82728 |
|
34 |
34 |
$0.00 |
| 83550 |
|
34 |
34 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
35 |
34 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
1,504 |
110 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
34 |
34 |
$0.00 |
| G0307 |
Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) |
25 |
24 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
35 |
34 |
$0.00 |
| 83735 |
|
34 |
34 |
$0.00 |
| 87340 |
|
35 |
34 |
$0.00 |
| 86706 |
|
35 |
34 |
$0.00 |