| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
27,027 |
2,204 |
$5.36M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
746 |
209 |
$156K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
304 |
78 |
$25K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
329 |
49 |
$17K |
| J2501 |
Injection, paricalcitol, 1 mcg |
1,785 |
78 |
$3K |
| A4657 |
Syringe, with or without needle, each |
3,186 |
337 |
$2K |
| 90688 |
|
12 |
12 |
$180.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$107.58 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$0.00 |
| 90694 |
|
13 |
12 |
$0.00 |