| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
26,156 |
2,113 |
$1.47M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
3,465 |
1,064 |
$103K |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
8,773 |
830 |
$26K |
| J1756 |
Injection, iron sucrose, 1 mg |
2,498 |
922 |
$18K |
| 83970 |
|
1,763 |
1,733 |
$13K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
370 |
191 |
$12K |
| J2501 |
Injection, paricalcitol, 1 mcg |
12,851 |
1,224 |
$12K |
| 82728 |
|
1,082 |
1,060 |
$4K |
| 84520 |
|
4,566 |
1,788 |
$4K |
| 84466 |
|
1,082 |
1,061 |
$3K |
| 82310 |
|
2,504 |
1,788 |
$2K |
| 84132 |
|
2,560 |
1,788 |
$2K |
| 84155 |
|
1,797 |
1,768 |
$2K |
| 84075 |
|
1,819 |
1,788 |
$2K |
| 82565 |
|
1,819 |
1,788 |
$2K |
| 83540 |
|
1,082 |
1,061 |
$2K |
| 82040 |
|
1,920 |
1,788 |
$2K |
| 84295 |
|
1,815 |
1,784 |
$2K |
| 82374 |
|
1,823 |
1,788 |
$2K |
| 84100 |
|
2,661 |
1,788 |
$2K |
| 82435 |
|
1,817 |
1,786 |
$2K |
| 82108 |
|
165 |
163 |
$539.98 |
| 87340 |
|
256 |
252 |
$381.30 |
| 86706 |
|
164 |
162 |
$265.20 |
| 90688 |
|
89 |
89 |
$173.16 |
| G0008 |
Administration of influenza virus vaccine |
81 |
81 |
$3.38 |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
1,313 |
181 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
1,559 |
1,535 |
$0.00 |