| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
50,354 |
4,735 |
$2.89M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
10,207 |
2,660 |
$278K |
| J1756 |
Injection, iron sucrose, 1 mg |
4,823 |
2,140 |
$125K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
8,578 |
875 |
$104K |
| A4657 |
Syringe, with or without needle, each |
21,299 |
2,126 |
$51K |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
977 |
80 |
$34K |
| 0250 |
|
4,120 |
219 |
$6K |
| 83970 |
|
881 |
851 |
$3K |
| 82310 |
|
2,495 |
1,917 |
$2K |
| J1644 |
Injection, heparin sodium, per 1000 units |
2,002 |
179 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
484 |
450 |
$2K |
| 84466 |
|
1,086 |
1,059 |
$1K |
| 84520 |
|
4,355 |
2,005 |
$1K |
| 82728 |
|
858 |
842 |
$1K |
| 90677 |
|
26 |
26 |
$897.55 |
| 80051 |
|
1,829 |
1,779 |
$890.23 |
| 84075 |
|
2,136 |
2,077 |
$884.55 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
1,264 |
84 |
$871.93 |
| 85045 |
|
2,436 |
2,360 |
$807.55 |
| 83540 |
|
1,089 |
1,062 |
$772.95 |
| 84100 |
|
2,216 |
1,901 |
$744.85 |
| 82040 |
|
2,229 |
1,955 |
$696.65 |
| 82565 |
|
2,015 |
1,947 |
$675.13 |
| 90688 |
|
124 |
123 |
$629.56 |
| 84155 |
|
2,098 |
2,040 |
$621.23 |
| 84450 |
|
211 |
202 |
$380.61 |
| 86706 |
|
219 |
211 |
$249.32 |
| 87340 |
|
164 |
157 |
$215.89 |
| 90662 |
|
12 |
12 |
$199.03 |
| G0008 |
Administration of influenza virus vaccine |
69 |
69 |
$192.94 |
| 85018 |
|
428 |
239 |
$189.51 |
| 90756 |
|
21 |
21 |
$161.96 |
| 86803 |
|
35 |
27 |
$150.84 |
| 90694 |
|
13 |
13 |
$140.35 |
| 84443 |
Thyroid stimulating hormone (TSH) |
27 |
26 |
$132.84 |
| 84132 |
|
305 |
182 |
$128.61 |
| 80061 |
Lipid panel |
25 |
25 |
$92.32 |
| 82746 |
|
32 |
31 |
$87.52 |
| 83735 |
|
32 |
31 |
$39.90 |
| 82607 |
|
28 |
27 |
$22.62 |
| 84295 |
|
114 |
111 |
$18.28 |
| 82435 |
|
122 |
119 |
$17.86 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
37 |
33 |
$10.90 |
| 82374 |
|
113 |
110 |
$6.85 |