| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
23,347 |
2,501 |
$1.52M |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
7,287 |
1,369 |
$476K |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
3,416 |
480 |
$87K |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
5,892 |
595 |
$64K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
101 |
101 |
$47K |
| A4657 |
Syringe, with or without needle, each |
23,034 |
2,335 |
$47K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
1,339 |
363 |
$13K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
12,249 |
1,568 |
$8K |
| 83970 |
|
627 |
573 |
$3K |
| 90686 |
|
15 |
15 |
$342.60 |
| 82247 |
|
1,484 |
1,479 |
$20.00 |
| 84460 |
|
1,485 |
1,480 |
$20.00 |
| 87340 |
|
164 |
164 |
$0.00 |
| 85018 |
|
1,307 |
1,142 |
$0.00 |
| 84075 |
|
1,483 |
1,478 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,445 |
1,442 |
$0.00 |
| 82040 |
|
1,565 |
1,481 |
$0.00 |
| 82728 |
|
543 |
542 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
97 |
97 |
$0.00 |
| 82330 |
|
544 |
543 |
$0.00 |
| 80051 |
|
1,483 |
1,478 |
$0.00 |
| 83550 |
|
120 |
110 |
$0.00 |
| 86706 |
|
91 |
91 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 84100 |
|
1,924 |
1,503 |
$0.00 |
| 84466 |
|
544 |
543 |
$0.00 |
| 84155 |
|
1,484 |
1,479 |
$0.00 |
| 84520 |
|
3,221 |
1,486 |
$0.00 |
| 82310 |
|
1,637 |
1,482 |
$0.00 |
| 84450 |
|
1,484 |
1,479 |
$0.00 |
| 82565 |
|
1,488 |
1,479 |
$0.00 |
| 83540 |
|
556 |
555 |
$0.00 |
| 85014 |
|
1,179 |
1,128 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
176 |
49 |
$0.00 |