| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
7,045 |
720 |
$281K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,740 |
582 |
$70K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
1,271 |
156 |
$31K |
| 83970 |
|
895 |
854 |
$12K |
| A4657 |
Syringe, with or without needle, each |
7,724 |
937 |
$332.00 |
| J2501 |
Injection, paricalcitol, 1 mcg |
199 |
26 |
$167.20 |
| 82728 |
|
885 |
840 |
$2.11 |
| 87340 |
|
887 |
840 |
$1.60 |
| 80069 |
|
882 |
828 |
$1.35 |
| 84520 |
|
1,076 |
852 |
$1.22 |
| 86706 |
|
730 |
687 |
$1.20 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
871 |
823 |
$1.18 |
| 82108 |
|
352 |
322 |
$1.18 |
| 83540 |
|
885 |
840 |
$1.00 |
| 84134 |
|
806 |
751 |
$0.94 |
| 84466 |
|
883 |
840 |
$0.82 |
| 84075 |
|
895 |
840 |
$0.80 |
| 82310 |
|
528 |
363 |
$0.80 |
| 84100 |
|
475 |
415 |
$0.73 |
| 85045 |
|
874 |
836 |
$0.60 |
| 84155 |
|
914 |
853 |
$0.57 |
| 85018 |
|
1,001 |
497 |
$0.37 |
| 85014 |
|
714 |
484 |
$0.37 |
| 86704 |
|
632 |
595 |
$0.00 |
| 84450 |
|
458 |
426 |
$0.00 |
| 86705 |
|
608 |
577 |
$0.00 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
48 |
12 |
$0.00 |