| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
24,762 |
1,783 |
$1.93M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
3,236 |
1,505 |
$45K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
682 |
163 |
$24K |
| J1756 |
Injection, iron sucrose, 1 mg |
4,197 |
1,011 |
$21K |
| J2501 |
Injection, paricalcitol, 1 mcg |
20,174 |
1,555 |
$6K |
| 90747 |
|
31 |
26 |
$1K |
| 82040 |
|
1,161 |
834 |
$879.85 |
| 83970 |
|
989 |
731 |
$530.94 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
134 |
28 |
$427.45 |
| 82728 |
|
1,107 |
805 |
$291.25 |
| 84466 |
|
1,153 |
833 |
$270.75 |
| 84520 |
|
2,888 |
851 |
$208.64 |
| 0011A |
|
14 |
12 |
$173.04 |
| 83540 |
|
1,153 |
833 |
$141.02 |
| 84075 |
|
1,126 |
834 |
$112.37 |
| 82310 |
|
1,145 |
834 |
$111.99 |
| 82565 |
|
1,160 |
834 |
$111.65 |
| 82374 |
|
1,132 |
834 |
$106.19 |
| 84100 |
|
1,147 |
834 |
$102.99 |
| 84132 |
|
1,145 |
834 |
$100.33 |
| 82435 |
|
1,132 |
834 |
$99.89 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
63 |
54 |
$90.35 |
| 85045 |
|
1,176 |
847 |
$87.23 |
| 84295 |
|
562 |
425 |
$54.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
26 |
$51.80 |
| 84155 |
|
561 |
425 |
$41.15 |
| 87340 |
|
96 |
79 |
$20.66 |
| 86706 |
|
191 |
140 |
$17.20 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$16.53 |
| 91301 |
|
15 |
12 |
$0.04 |