| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
11,277 |
895 |
$391K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,397 |
392 |
$144K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
470 |
240 |
$20K |
| A4657 |
Syringe, with or without needle, each |
9,096 |
765 |
$5K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
16 |
15 |
$2K |
| 83970 |
|
794 |
648 |
$596.44 |
| J2501 |
Injection, paricalcitol, 1 mcg |
4,196 |
365 |
$576.94 |
| J1756 |
Injection, iron sucrose, 1 mg |
356 |
104 |
$413.50 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
117 |
62 |
$389.80 |
| 80053 |
|
15 |
13 |
$310.84 |
| 85025 |
|
79 |
61 |
$200.56 |
| 82728 |
|
636 |
512 |
$127.71 |
| 83550 |
|
685 |
548 |
$76.80 |
| 83735 |
|
755 |
643 |
$75.11 |
| 84520 |
|
1,287 |
708 |
$61.48 |
| 83540 |
|
688 |
550 |
$60.84 |
| 82607 |
|
130 |
103 |
$49.82 |
| 84460 |
|
913 |
767 |
$46.55 |
| 84075 |
|
913 |
767 |
$45.46 |
| 82247 |
|
736 |
624 |
$41.75 |
| 84132 |
|
671 |
334 |
$41.52 |
| 86704 |
|
50 |
48 |
$39.81 |
| 85045 |
|
885 |
750 |
$35.09 |
| 82746 |
|
49 |
46 |
$33.20 |
| 84155 |
|
916 |
769 |
$32.19 |
| 82310 |
|
345 |
268 |
$29.15 |
| 82565 |
|
225 |
214 |
$28.95 |
| 82040 |
|
226 |
214 |
$27.95 |
| 82374 |
|
241 |
227 |
$27.55 |
| 84295 |
|
224 |
213 |
$27.15 |
| 84100 |
|
423 |
317 |
$26.75 |
| 82947 |
|
203 |
192 |
$22.20 |
| 85014 |
|
909 |
649 |
$0.00 |
| 85018 |
|
914 |
653 |
$0.00 |
| 87340 |
|
917 |
770 |
$0.00 |
| 86706 |
|
149 |
121 |
$0.00 |
| 80069 |
|
226 |
162 |
$0.00 |
| 82306 |
|
17 |
16 |
$0.00 |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
12 |
12 |
$0.00 |