| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2501 |
Injection, paricalcitol, 1 mcg |
1,836 |
233 |
$178K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,919 |
135 |
$125K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
6,380 |
509 |
$34K |
| A4913 |
Miscellaneous dialysis supplies, not otherwise specified |
1,680 |
148 |
$22K |
| 82040 |
|
176 |
170 |
$3K |
| 0450 |
Emergency room services |
1,466 |
1,352 |
$1K |
| 80051 |
|
69 |
69 |
$892.72 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
282 |
274 |
$249.10 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
221 |
207 |
$127.72 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
250 |
244 |
$91.84 |
| 80053 |
Comprehensive metabolic panel |
514 |
496 |
$83.48 |
| 71045 |
Radiologic examination, chest; single view |
179 |
176 |
$67.97 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
613 |
587 |
$60.75 |
| 84484 |
|
131 |
117 |
$47.46 |
| 83690 |
|
228 |
218 |
$35.24 |
| 84702 |
|
90 |
88 |
$31.77 |
| 81025 |
|
185 |
181 |
$8.40 |
| 81003 |
|
201 |
197 |
$8.24 |
| 81001 |
|
211 |
205 |
$4.44 |
| 0258 |
|
186 |
183 |
$0.00 |
| 0250 |
|
384 |
307 |
$0.00 |
| 84075 |
|
170 |
170 |
$0.00 |
| 84132 |
|
14 |
13 |
$0.00 |
| 0270 |
|
163 |
90 |
$0.00 |
| 0305 |
|
224 |
215 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
108 |
108 |
$0.00 |
| 0710 |
|
41 |
41 |
$0.00 |
| 87340 |
|
60 |
60 |
$0.00 |
| 0301 |
|
222 |
211 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$0.00 |
| 0636 |
|
233 |
216 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
29 |
26 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
93 |
88 |
$0.00 |
| 0324 |
|
26 |
25 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
13 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
31 |
29 |
$0.00 |
| 0307 |
|
66 |
65 |
$0.00 |
| 86706 |
|
27 |
26 |
$0.00 |
| 0206 |
|
27 |
25 |
$0.00 |
| 82728 |
|
72 |
72 |
$0.00 |
| J3490 |
Unclassified drugs |
47 |
41 |
$0.00 |
| 0306 |
|
56 |
53 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
17 |
15 |
$0.00 |
| 96376 |
|
21 |
14 |
$0.00 |
| 83970 |
|
60 |
60 |
$0.00 |
| 83540 |
|
72 |
72 |
$0.00 |
| 84155 |
|
170 |
170 |
$0.00 |
| 85045 |
|
171 |
170 |
$0.00 |
| 0302 |
|
44 |
40 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
149 |
144 |
$0.00 |
| 84520 |
|
334 |
170 |
$0.00 |
| 84466 |
|
72 |
72 |
$0.00 |
| 82310 |
|
131 |
127 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
54 |
52 |
$0.00 |
| 82565 |
|
170 |
170 |
$0.00 |
| 0260 |
|
14 |
14 |
$0.00 |
| 0730 |
|
31 |
30 |
$0.00 |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
544 |
124 |
$0.00 |
| 82947 |
|
45 |
33 |
$0.00 |
| 87631 |
|
55 |
55 |
$0.00 |
| 0402 |
|
38 |
38 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
107 |
68 |
$0.00 |
| 0300 |
|
157 |
142 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
183 |
163 |
$0.00 |
| 84100 |
|
132 |
127 |
$0.00 |
| 0762 |
|
27 |
27 |
$0.00 |
| 0121 |
|
45 |
43 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
14 |
$0.00 |
| 0424 |
|
13 |
13 |
$0.00 |
| 0111 |
|
14 |
14 |
$0.00 |