| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
10,307 |
747 |
$467K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
2,717 |
588 |
$211K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
341 |
18 |
$21K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
1,741 |
347 |
$6K |
| 83970 |
|
344 |
296 |
$3K |
| A4657 |
Syringe, with or without needle, each |
10,001 |
778 |
$2K |
| 83550 |
|
906 |
774 |
$2K |
| 84520 |
|
1,279 |
779 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
304 |
266 |
$2K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
7,210 |
583 |
$2K |
| 83540 |
|
905 |
773 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
899 |
745 |
$2K |
| 83735 |
|
903 |
774 |
$1K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
6,966 |
502 |
$1K |
| 82728 |
|
323 |
268 |
$974.17 |
| 84132 |
|
257 |
163 |
$739.41 |
| 82947 |
|
566 |
478 |
$613.46 |
| 84450 |
|
124 |
98 |
$520.76 |
| 87340 |
|
447 |
386 |
$519.85 |
| 82247 |
|
124 |
98 |
$513.61 |
| 85027 |
|
907 |
774 |
$502.90 |
| 82565 |
|
125 |
98 |
$497.76 |
| 84295 |
|
125 |
98 |
$447.25 |
| 84100 |
|
125 |
99 |
$440.64 |
| 82435 |
|
125 |
98 |
$431.39 |
| 82607 |
|
124 |
115 |
$407.89 |
| 84155 |
|
124 |
98 |
$351.64 |
| 80061 |
Lipid panel |
102 |
77 |
$222.49 |
| 82310 |
|
162 |
125 |
$219.75 |
| 84460 |
|
124 |
98 |
$193.07 |
| 84075 |
|
124 |
98 |
$190.79 |
| 90686 |
|
29 |
29 |
$173.17 |
| 82374 |
|
125 |
98 |
$152.90 |
| 86706 |
|
45 |
41 |
$140.66 |
| 82040 |
|
124 |
98 |
$140.23 |
| 82746 |
|
43 |
35 |
$116.20 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,050 |
251 |
$77.92 |
| 86803 |
|
125 |
116 |
$74.50 |
| A9270 |
Non-covered item or service |
1,841 |
385 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
37 |
37 |
$0.00 |