| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
19,755 |
1,716 |
$3.00M |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
915 |
184 |
$45K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
419 |
131 |
$22K |
| J1756 |
Injection, iron sucrose, 1 mg |
434 |
139 |
$15K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
992 |
135 |
$8K |
| 83970 |
|
214 |
184 |
$2K |
| 82728 |
|
214 |
184 |
$1K |
| A4657 |
Syringe, with or without needle, each |
1,271 |
102 |
$1K |
| 84466 |
|
213 |
184 |
$485.48 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
59 |
45 |
$391.36 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
200 |
172 |
$297.86 |
| 83540 |
|
214 |
184 |
$294.00 |
| 84075 |
|
214 |
184 |
$222.45 |
| 85045 |
|
200 |
171 |
$197.35 |
| 84155 |
|
215 |
185 |
$184.07 |
| 84520 |
|
121 |
74 |
$168.06 |
| J0636 |
Injection, calcitriol, 0.1 mcg |
112 |
13 |
$103.00 |
| 85018 |
|
80 |
59 |
$97.64 |
| 82108 |
|
27 |
18 |
$90.35 |
| 86704 |
|
27 |
18 |
$45.62 |
| 86706 |
|
27 |
18 |
$44.94 |
| 87340 |
|
27 |
18 |
$44.73 |