| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
33,922 |
2,239 |
$1.61M |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
1,013 |
73 |
$15K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
2,885 |
1,617 |
$10K |
| J2501 |
Injection, paricalcitol, 1 mcg |
6,604 |
511 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,976 |
995 |
$2K |
| A4657 |
Syringe, with or without needle, each |
13,653 |
2,372 |
$1K |
| 83970 |
|
727 |
635 |
$866.14 |
| 84520 |
|
5,245 |
2,193 |
$743.86 |
| 85027 |
|
2,557 |
2,144 |
$461.10 |
| 82565 |
|
2,672 |
2,191 |
$424.14 |
| 84466 |
|
883 |
752 |
$402.56 |
| 82728 |
|
883 |
752 |
$400.47 |
| 82040 |
|
2,606 |
2,149 |
$373.62 |
| 84075 |
|
2,535 |
2,145 |
$368.02 |
| 82310 |
|
2,037 |
1,672 |
$322.89 |
| 84100 |
|
2,045 |
1,670 |
$298.63 |
| 84155 |
|
2,534 |
2,144 |
$275.84 |
| 82374 |
|
490 |
407 |
$238.66 |
| 84295 |
|
492 |
406 |
$235.08 |
| 84132 |
|
508 |
419 |
$225.67 |
| 82435 |
|
491 |
407 |
$225.52 |
| 87340 |
|
781 |
669 |
$193.58 |
| 83540 |
|
862 |
732 |
$191.09 |
| 80051 |
|
1,754 |
1,491 |
$170.27 |
| 86706 |
|
156 |
136 |
$63.38 |
| G0008 |
Administration of influenza virus vaccine |
122 |
108 |
$5.18 |
| A4913 |
Miscellaneous dialysis supplies, not otherwise specified |
1,086 |
113 |
$0.00 |
| 82607 |
|
36 |
36 |
$0.00 |
| 90662 |
|
122 |
108 |
$0.00 |