| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4657 |
Syringe, with or without needle, each |
2,434 |
208 |
$97K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
549 |
158 |
$19K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
4,960 |
463 |
$13K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
359 |
214 |
$10K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
262 |
65 |
$6K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
1,144 |
115 |
$3K |
| 83970 |
|
107 |
107 |
$2K |
| 82728 |
|
234 |
233 |
$1K |
| 82108 |
|
80 |
80 |
$1K |
| 84466 |
|
235 |
234 |
$807.30 |
| 83540 |
|
235 |
234 |
$667.01 |
| 82565 |
|
235 |
234 |
$621.60 |
| 82310 |
|
190 |
188 |
$493.44 |
| 82040 |
|
187 |
187 |
$491.98 |
| 84295 |
|
235 |
234 |
$327.27 |
| 84132 |
|
234 |
233 |
$303.01 |
| 85027 |
|
234 |
233 |
$231.28 |
| 82374 |
|
59 |
58 |
$204.00 |
| 85045 |
|
234 |
233 |
$132.14 |
| 87340 |
|
44 |
43 |
$100.34 |
| 86706 |
|
43 |
41 |
$66.90 |
| 86704 |
|
31 |
30 |
$45.89 |
| 84100 |
|
13 |
13 |
$17.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
53 |
14 |
$0.00 |