| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
805 |
218 |
$277K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
4,320 |
269 |
$157K |
| J1756 |
Injection, iron sucrose, 1 mg |
817 |
169 |
$276.47 |
| 82310 |
|
280 |
156 |
$0.00 |
| 82947 |
|
126 |
76 |
$0.00 |
| 84460 |
|
225 |
131 |
$0.00 |
| 82565 |
|
244 |
152 |
$0.00 |
| 82108 |
|
41 |
30 |
$0.00 |
| 82374 |
|
227 |
135 |
$0.00 |
| 83970 |
|
166 |
118 |
$0.00 |
| 84520 |
|
616 |
213 |
$0.00 |
| 84450 |
|
226 |
131 |
$0.00 |
| 84100 |
|
255 |
156 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
2,380 |
148 |
$0.00 |
| 84295 |
|
227 |
135 |
$0.00 |
| 85014 |
|
513 |
211 |
$0.00 |
| 84155 |
|
312 |
211 |
$0.00 |
| 83540 |
|
473 |
211 |
$0.00 |
| 82040 |
|
262 |
152 |
$0.00 |
| 85018 |
|
513 |
211 |
$0.00 |
| 84132 |
|
236 |
137 |
$0.00 |
| 82728 |
|
131 |
91 |
$0.00 |
| 87340 |
|
181 |
128 |
$0.00 |
| 82435 |
|
227 |
135 |
$0.00 |
| 83550 |
|
301 |
208 |
$0.00 |
| J2501 |
Injection, paricalcitol, 1 mcg |
2,764 |
180 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
5,931 |
255 |
$0.00 |
| 86706 |
|
44 |
32 |
$0.00 |
| J3490 |
Unclassified drugs |
22 |
13 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
59 |
41 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
312 |
211 |
$0.00 |
| 82607 |
|
44 |
32 |
$0.00 |
| 82746 |
|
45 |
31 |
$0.00 |
| 84075 |
|
303 |
202 |
$0.00 |
| 83735 |
|
45 |
32 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
35 |
18 |
$0.00 |