| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
42,442 |
3,784 |
$5.95M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
3,955 |
1,310 |
$291K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
9,456 |
1,299 |
$84K |
| J1756 |
Injection, iron sucrose, 1 mg |
9,232 |
2,779 |
$45K |
| 99070 |
|
17,104 |
1,510 |
$22K |
| Z6004 |
|
158 |
13 |
$18K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
10,567 |
1,092 |
$9K |
| A4657 |
Syringe, with or without needle, each |
21,050 |
1,428 |
$9K |
| J0636 |
Injection, calcitriol, 0.1 mcg |
8,610 |
924 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
445 |
437 |
$1K |
| 83970 |
|
1,803 |
1,363 |
$455.94 |
| 84520 |
|
1,664 |
1,313 |
$272.08 |
| 82728 |
|
1,362 |
1,323 |
$130.27 |
| 84466 |
|
1,391 |
1,358 |
$109.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,356 |
1,322 |
$66.80 |
| 83540 |
|
1,396 |
1,358 |
$56.59 |
| 87340 |
|
1,178 |
1,151 |
$53.35 |
| 90688 |
|
29 |
29 |
$41.76 |
| 85018 |
|
2,983 |
1,236 |
$37.74 |
| 85045 |
|
1,353 |
1,320 |
$35.20 |
| 84100 |
|
1,413 |
772 |
$33.93 |
| 84075 |
|
1,392 |
1,358 |
$33.04 |
| 84155 |
|
1,398 |
1,360 |
$23.68 |
| 82108 |
|
132 |
127 |
$23.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$22.30 |
| 82310 |
|
607 |
463 |
$20.68 |
| 86704 |
|
106 |
102 |
$12.55 |
| 82040 |
|
564 |
464 |
$12.23 |
| 86706 |
|
112 |
108 |
$11.13 |
| 84132 |
|
445 |
252 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
29 |
29 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
12 |
12 |
$0.00 |
| 82565 |
|
275 |
271 |
$0.00 |
| 84295 |
|
89 |
88 |
$0.00 |
| 82374 |
|
89 |
88 |
$0.00 |
| 82947 |
|
89 |
88 |
$0.00 |