| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
7,129 |
918 |
$448K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,363 |
1,227 |
$187K |
| 83970 |
|
1,481 |
1,427 |
$52K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
183 |
73 |
$5K |
| 82330 |
|
1,224 |
1,215 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
248 |
85 |
$1K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
12,407 |
1,334 |
$1K |
| A4657 |
Syringe, with or without needle, each |
22,155 |
1,921 |
$1K |
| 84520 |
|
4,680 |
1,862 |
$771.29 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
325 |
137 |
$468.30 |
| 87340 |
|
937 |
909 |
$0.00 |
| 84075 |
|
1,931 |
1,869 |
$0.00 |
| 82040 |
|
1,935 |
1,869 |
$0.00 |
| 84132 |
|
1,596 |
1,494 |
$0.00 |
| 82435 |
|
1,566 |
1,496 |
$0.00 |
| J2501 |
Injection, paricalcitol, 1 mcg |
535 |
77 |
$0.00 |
| 82728 |
|
655 |
635 |
$0.00 |
| 82746 |
|
183 |
181 |
$0.00 |
| 86706 |
|
172 |
170 |
$0.00 |
| 86704 |
|
155 |
153 |
$0.00 |
| 82607 |
|
183 |
181 |
$0.00 |
| 83540 |
|
1,942 |
1,868 |
$0.00 |
| 84466 |
|
1,938 |
1,863 |
$0.00 |
| 85045 |
|
1,905 |
1,843 |
$0.00 |
| 84100 |
|
2,163 |
1,867 |
$0.00 |
| 82310 |
|
2,155 |
1,866 |
$0.00 |
| 82374 |
|
1,566 |
1,496 |
$0.00 |
| 84295 |
|
1,562 |
1,492 |
$0.00 |
| 84155 |
|
1,929 |
1,867 |
$0.00 |
| 82565 |
|
1,971 |
1,867 |
$0.00 |
| 82108 |
|
179 |
177 |
$0.00 |