| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
92,101 |
7,514 |
$5.94M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
12,363 |
5,875 |
$877K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
4,999 |
961 |
$157K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
3,899 |
3,592 |
$147K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
10,422 |
4,024 |
$38K |
| J2501 |
Injection, paricalcitol, 1 mcg |
46,905 |
4,639 |
$28K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
603 |
127 |
$22K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
5,372 |
4,077 |
$9K |
| A4657 |
Syringe, with or without needle, each |
64,913 |
6,361 |
$7K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
260 |
151 |
$3K |
| J1756 |
Injection, iron sucrose, 1 mg |
61 |
43 |
$3K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
215 |
198 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
51,525 |
4,360 |
$846.80 |
| 90747 |
|
56 |
47 |
$829.59 |
| 90686 |
|
164 |
155 |
$792.35 |
| J7515 |
Cyclosporine, oral, 25 mg |
406 |
353 |
$732.53 |
| 83970 |
|
3,181 |
2,892 |
$668.66 |
| 80053 |
Comprehensive metabolic panel |
407 |
357 |
$564.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
68,035 |
3,561 |
$475.21 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
3,980 |
393 |
$426.77 |
| 85027 |
|
489 |
433 |
$408.40 |
| 84100 |
|
3,369 |
3,159 |
$331.52 |
| 82728 |
|
2,304 |
2,019 |
$219.85 |
| 84466 |
|
2,207 |
1,934 |
$138.92 |
| 83540 |
|
2,324 |
2,032 |
$112.13 |
| 83550 |
|
744 |
636 |
$96.70 |
| 82108 |
|
473 |
439 |
$54.12 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
81 |
71 |
$43.20 |
| 90480 |
|
27 |
27 |
$40.00 |
| 82310 |
|
3,788 |
3,191 |
$35.20 |
| 82565 |
|
2,994 |
2,708 |
$34.92 |
| 82040 |
|
3,350 |
3,127 |
$33.79 |
| 82374 |
|
3,145 |
2,936 |
$33.30 |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
16,495 |
6,146 |
$32.56 |
| 84132 |
|
3,268 |
2,715 |
$32.46 |
| 82435 |
|
3,138 |
2,936 |
$31.40 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
4,564 |
4,178 |
$30.76 |
| 83735 |
|
1,062 |
969 |
$17.88 |
| 84075 |
|
2,830 |
2,708 |
$5.16 |
| 84155 |
|
2,773 |
2,652 |
$3.66 |
| G0008 |
Administration of influenza virus vaccine |
245 |
221 |
$0.00 |
| 87340 |
|
791 |
746 |
$0.00 |
| 84540 |
|
7,616 |
3,182 |
$0.00 |
| 85018 |
|
226 |
112 |
$0.00 |
| 86706 |
|
492 |
460 |
$0.00 |
| 0012A |
|
53 |
52 |
$0.00 |
| G0010 |
Administration of hepatitis b vaccine |
38 |
32 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
31 |
31 |
$0.00 |
| 90677 |
|
41 |
41 |
$0.00 |
| 90673 |
|
20 |
20 |
$0.00 |
| 86803 |
|
93 |
76 |
$0.00 |
| 0134A |
|
24 |
24 |
$0.00 |
| 0064A |
|
23 |
23 |
$0.00 |
| 84295 |
|
3,122 |
2,914 |
$0.00 |
| 85045 |
|
3,369 |
3,160 |
$0.00 |
| 90662 |
|
94 |
81 |
$0.00 |