| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
23,911 |
1,997 |
$723K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
2,000 |
505 |
$213K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,673 |
835 |
$71K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
15 |
12 |
$8K |
| 83970 |
|
1,893 |
1,511 |
$5K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,196 |
330 |
$3K |
| J2501 |
Injection, paricalcitol, 1 mcg |
15,167 |
1,349 |
$2K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
1,572 |
524 |
$1K |
| 82728 |
|
1,226 |
1,023 |
$739.02 |
| 83550 |
|
1,240 |
1,033 |
$474.00 |
| 83735 |
|
1,787 |
1,474 |
$466.11 |
| 84520 |
|
3,226 |
1,782 |
$411.73 |
| 84460 |
|
2,184 |
1,793 |
$363.79 |
| A4657 |
Syringe, with or without needle, each |
23,726 |
1,798 |
$363.75 |
| 84075 |
|
2,184 |
1,793 |
$355.35 |
| 83540 |
|
1,242 |
1,035 |
$350.94 |
| 82247 |
|
1,762 |
1,448 |
$333.29 |
| 84100 |
|
844 |
655 |
$277.42 |
| 85045 |
|
2,157 |
1,774 |
$269.64 |
| 84132 |
|
964 |
650 |
$259.69 |
| 82310 |
|
820 |
661 |
$258.99 |
| 84155 |
|
2,186 |
1,793 |
$251.67 |
| 82607 |
|
319 |
235 |
$235.06 |
| 82565 |
|
531 |
511 |
$226.18 |
| 82040 |
|
552 |
525 |
$223.50 |
| 82374 |
|
669 |
604 |
$220.50 |
| 84295 |
|
546 |
525 |
$217.29 |
| 82947 |
|
551 |
524 |
$169.33 |
| 82746 |
|
116 |
115 |
$156.15 |
| 80069 |
|
1,438 |
1,112 |
$80.67 |
| 86704 |
|
118 |
107 |
$78.38 |
| 90674 |
|
37 |
19 |
$58.46 |
| G0008 |
Administration of influenza virus vaccine |
99 |
76 |
$9.96 |
| 87340 |
|
2,185 |
1,782 |
$0.00 |
| 85018 |
|
2,656 |
1,645 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,804 |
1,480 |
$0.00 |
| 86706 |
|
350 |
263 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
30 |
29 |
$0.00 |
| 85014 |
|
2,535 |
1,549 |
$0.00 |
| 90685 |
|
40 |
35 |
$0.00 |