| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90945 |
|
11,550 |
1,850 |
$2.48M |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
4,789 |
402 |
$307K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
2,386 |
236 |
$84K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
10,728 |
1,171 |
$46K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,477 |
585 |
$17K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
4,793 |
487 |
$15K |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
802 |
84 |
$3K |
| J1644 |
Injection, heparin sodium, per 1000 units |
7,578 |
507 |
$515.79 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
8,616 |
717 |
$303.84 |
| 90686 |
|
14 |
14 |
$294.91 |
| 90662 |
|
12 |
12 |
$103.80 |
| 86580 |
|
25 |
25 |
$33.60 |
| 82108 |
|
249 |
247 |
$19.72 |
| 82728 |
|
809 |
803 |
$5.45 |
| 82565 |
|
851 |
805 |
$4.10 |
| 82310 |
|
778 |
717 |
$4.10 |
| 82040 |
|
893 |
823 |
$3.96 |
| 83540 |
|
810 |
802 |
$2.59 |
| 84100 |
|
793 |
668 |
$1.90 |
| 84466 |
|
774 |
766 |
$0.00 |
| 82374 |
|
393 |
381 |
$0.00 |
| 84155 |
|
768 |
759 |
$0.00 |
| 84520 |
|
1,786 |
815 |
$0.00 |
| 84295 |
|
395 |
377 |
$0.00 |
| 84075 |
|
357 |
348 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
307 |
25 |
$0.00 |
| 86706 |
|
47 |
47 |
$0.00 |
| 84132 |
|
568 |
396 |
$0.00 |
| 82435 |
|
393 |
381 |
$0.00 |
| 83735 |
|
273 |
272 |
$0.00 |
| 80051 |
|
279 |
279 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
15 |
15 |
$0.00 |
| 87340 |
|
59 |
59 |
$0.00 |