| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
9,662 |
829 |
$932K |
| 82040 |
|
101 |
83 |
$162K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,041 |
504 |
$33K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
649 |
187 |
$29K |
| 83970 |
|
273 |
250 |
$2K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
703 |
168 |
$2K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
4,092 |
360 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
87 |
83 |
$830.70 |
| 82728 |
|
272 |
249 |
$680.32 |
| 84460 |
|
679 |
606 |
$672.90 |
| J1644 |
Injection, heparin sodium, per 1000 units |
668 |
61 |
$430.66 |
| 86803 |
|
112 |
99 |
$265.02 |
| 84520 |
|
163 |
83 |
$228.48 |
| 85027 |
|
104 |
83 |
$173.94 |
| 86706 |
|
68 |
64 |
$144.30 |
| 84295 |
|
856 |
727 |
$144.13 |
| 87340 |
|
69 |
64 |
$138.71 |
| 82310 |
|
101 |
83 |
$133.25 |
| 82565 |
|
101 |
83 |
$132.25 |
| 84100 |
|
101 |
83 |
$122.50 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
17 |
17 |
$91.77 |
| 83550 |
|
56 |
51 |
$71.66 |
| 83540 |
|
56 |
51 |
$53.08 |
| 85018 |
|
37 |
24 |
$46.55 |
| 84075 |
|
25 |
23 |
$10.70 |
| 84132 |
|
49 |
45 |
$4.92 |
| 82435 |
|
47 |
45 |
$0.00 |
| 82374 |
|
47 |
45 |
$0.00 |