| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
10,763 |
969 |
$946K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
1,509 |
223 |
$108K |
| J1756 |
Injection, iron sucrose, 1 mg |
773 |
246 |
$72K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
247 |
76 |
$15K |
| J0636 |
Injection, calcitriol, 0.1 mcg |
2,374 |
226 |
$10K |
| A4657 |
Syringe, with or without needle, each |
2,893 |
171 |
$8K |
| 0821 |
|
126 |
12 |
$5K |
| 83970 |
|
219 |
188 |
$3K |
| 82728 |
|
200 |
189 |
$1K |
| 84466 |
|
200 |
189 |
$927.57 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
74 |
64 |
$762.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
197 |
187 |
$562.00 |
| 83540 |
|
200 |
189 |
$481.94 |
| 84520 |
|
312 |
151 |
$432.07 |
| 84100 |
|
145 |
71 |
$392.58 |
| 84075 |
|
200 |
189 |
$344.16 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
121 |
12 |
$314.98 |
| 85045 |
|
198 |
187 |
$295.64 |
| 84155 |
|
200 |
189 |
$246.72 |
| 87340 |
|
50 |
50 |
$243.93 |
| 82310 |
|
40 |
26 |
$77.74 |
| 82565 |
|
20 |
12 |
$56.11 |
| 82040 |
|
33 |
24 |
$52.34 |
| 85018 |
|
69 |
55 |
$51.85 |