| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
32,818 |
2,518 |
$1.59M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
2,519 |
1,273 |
$126K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
2,157 |
415 |
$108K |
| J2501 |
Injection, paricalcitol, 1 mcg |
19,515 |
1,763 |
$12K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
3,243 |
1,127 |
$10K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
1,369 |
103 |
$5K |
| A4657 |
Syringe, with or without needle, each |
4,142 |
2,196 |
$1K |
| 83970 |
|
1,031 |
863 |
$120.21 |
| 90674 |
|
16 |
14 |
$72.15 |
| 80053 |
Comprehensive metabolic panel |
25 |
25 |
$51.25 |
| 85027 |
|
25 |
25 |
$31.40 |
| 84100 |
|
26 |
25 |
$27.60 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
340 |
54 |
$21.75 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
998 |
184 |
$21.24 |
| 83540 |
|
1,016 |
895 |
$0.00 |
| 84155 |
|
1,807 |
1,696 |
$0.00 |
| 85045 |
|
318 |
282 |
$0.00 |
| 84466 |
|
1,016 |
895 |
$0.00 |
| 84520 |
|
525 |
423 |
$0.00 |
| 82310 |
|
80 |
52 |
$0.00 |
| 87340 |
|
1,808 |
1,696 |
$0.00 |
| 83550 |
|
1,016 |
895 |
$0.00 |
| 84075 |
|
1,819 |
1,701 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
171 |
165 |
$0.00 |
| 82728 |
|
1,016 |
895 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
83 |
78 |
$0.00 |
| 83735 |
|
131 |
122 |
$0.00 |
| 86706 |
|
169 |
163 |
$0.00 |
| 85018 |
|
20 |
12 |
$0.00 |
| 90688 |
|
67 |
64 |
$0.00 |
| 84132 |
|
26 |
12 |
$0.00 |