| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
8,473 |
723 |
$336K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
3,013 |
772 |
$157K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
444 |
41 |
$21K |
| J1644 |
Injection, heparin sodium, per 1000 units |
9,962 |
560 |
$3K |
| J1756 |
Injection, iron sucrose, 1 mg |
423 |
154 |
$2K |
| J2501 |
Injection, paricalcitol, 1 mcg |
539 |
49 |
$2K |
| 83970 |
|
150 |
136 |
$486.56 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
426 |
385 |
$395.61 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
54 |
51 |
$223.24 |
| 82728 |
|
165 |
150 |
$202.58 |
| 83540 |
|
330 |
150 |
$192.36 |
| 84466 |
|
165 |
150 |
$189.63 |
| A4657 |
Syringe, with or without needle, each |
2,860 |
911 |
$138.19 |
| 83735 |
|
162 |
148 |
$91.75 |
| 90674 |
|
17 |
13 |
$44.02 |
| 84520 |
|
16 |
13 |
$0.00 |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
107 |
12 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
18 |
15 |
$0.00 |
| 85008 |
|
13 |
13 |
$0.00 |