| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
19,671 |
1,664 |
$1.78M |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
5,939 |
1,037 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
312 |
244 |
$52K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
230 |
218 |
$45K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
1,971 |
439 |
$37K |
| J1756 |
Injection, iron sucrose, 1 mg |
2,622 |
995 |
$31K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
136 |
125 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
133 |
80 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
73 |
68 |
$14K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
53 |
48 |
$12K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
708 |
62 |
$9K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
41 |
41 |
$7K |
| 83970 |
|
597 |
568 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,528 |
1,379 |
$3K |
| J1750 |
Injection, iron dextran, 50 mg |
178 |
98 |
$3K |
| 80053 |
Comprehensive metabolic panel |
109 |
105 |
$1K |
| 82728 |
|
594 |
547 |
$959.36 |
| 82108 |
|
290 |
280 |
$950.07 |
| 84466 |
|
527 |
464 |
$860.61 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
15 |
12 |
$812.10 |
| J1644 |
Injection, heparin sodium, per 1000 units |
6,946 |
592 |
$693.99 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
178 |
174 |
$580.36 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,341 |
1,252 |
$538.71 |
| 85018 |
|
1,539 |
1,075 |
$448.45 |
| 83735 |
|
553 |
530 |
$446.04 |
| 83540 |
|
575 |
542 |
$437.71 |
| 86803 |
|
261 |
253 |
$408.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,689 |
1,051 |
$280.53 |
| 86706 |
|
189 |
141 |
$240.15 |
| 87340 |
|
162 |
158 |
$230.73 |
| 84520 |
|
1,522 |
1,151 |
$229.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
13 |
$206.25 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
48 |
45 |
$159.95 |
| 0013A |
|
15 |
14 |
$91.74 |
| 81025 |
|
12 |
12 |
$63.60 |
| 84100 |
|
1,464 |
1,180 |
$61.85 |
| 83550 |
|
78 |
68 |
$36.08 |
| 90732 |
|
20 |
19 |
$35.21 |
| 90662 |
|
13 |
13 |
$33.68 |
| 82040 |
|
1,286 |
1,178 |
$4.51 |
| 84075 |
|
371 |
364 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
36 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
30 |
30 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
267 |
235 |
$0.00 |
| 84132 |
|
37 |
25 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
19 |
19 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
16 |
12 |
$0.00 |
| 91301 |
|
16 |
15 |
$0.00 |
| 84155 |
|
1,182 |
1,160 |
$0.00 |
| 84460 |
|
1,612 |
1,561 |
$0.00 |
| 80061 |
Lipid panel |
196 |
190 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
18 |
13 |
$0.00 |
| 82310 |
|
15 |
14 |
$0.00 |