| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,049 |
327 |
$69K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
298 |
25 |
$6K |
| A4657 |
Syringe, with or without needle, each |
4,059 |
288 |
$533.12 |
| 84450 |
|
103 |
99 |
$19.68 |
| 84460 |
|
103 |
99 |
$19.56 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
210 |
66 |
$6.42 |
| 82947 |
|
21 |
21 |
$6.11 |
| J2501 |
Injection, paricalcitol, 1 mcg |
1,014 |
88 |
$3.84 |
| 83970 |
|
103 |
99 |
$2.62 |
| 82728 |
|
103 |
99 |
$0.86 |
| 87340 |
|
104 |
99 |
$0.65 |
| 82310 |
|
94 |
46 |
$0.60 |
| 83550 |
|
103 |
99 |
$0.55 |
| 84100 |
|
73 |
45 |
$0.52 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
109 |
98 |
$0.49 |
| 84520 |
|
116 |
46 |
$0.49 |
| 83540 |
|
103 |
99 |
$0.41 |
| 84075 |
|
103 |
99 |
$0.33 |
| 85045 |
|
102 |
98 |
$0.25 |
| 84155 |
|
103 |
99 |
$0.23 |
| 86706 |
|
41 |
38 |
$0.00 |
| 83735 |
|
53 |
51 |
$0.00 |
| 84132 |
|
48 |
33 |
$0.00 |
| 85018 |
|
29 |
26 |
$0.00 |
| 82435 |
|
34 |
33 |
$0.00 |
| 82040 |
|
40 |
33 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
56 |
13 |
$0.00 |
| 85014 |
|
27 |
26 |
$0.00 |
| 82565 |
|
34 |
33 |
$0.00 |
| 82108 |
|
53 |
51 |
$0.00 |
| 82374 |
|
35 |
33 |
$0.00 |