| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
35,517 |
2,956 |
$7.44M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,515 |
438 |
$816K |
| J1756 |
Injection, iron sucrose, 1 mg |
737 |
183 |
$190K |
| J2501 |
Injection, paricalcitol, 1 mcg |
3,621 |
381 |
$114K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
811 |
116 |
$20K |
| A4657 |
Syringe, with or without needle, each |
877 |
101 |
$9K |
| 83970 |
|
44 |
44 |
$59.51 |
| 87340 |
|
109 |
106 |
$58.57 |
| 84460 |
|
122 |
120 |
$49.05 |
| 83550 |
|
115 |
107 |
$46.86 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
109 |
108 |
$42.90 |
| 83540 |
|
117 |
108 |
$39.36 |
| 80069 |
|
88 |
87 |
$38.35 |
| 84520 |
|
151 |
108 |
$29.23 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
23 |
22 |
$22.48 |
| 82728 |
|
45 |
44 |
$21.69 |
| 82108 |
|
22 |
22 |
$16.07 |
| 85018 |
|
108 |
103 |
$12.80 |
| 82746 |
|
23 |
22 |
$11.99 |
| 86706 |
|
23 |
22 |
$8.62 |
| 84075 |
|
110 |
108 |
$7.06 |
| 85014 |
|
106 |
101 |
$3.23 |
| 84100 |
|
15 |
13 |
$1.92 |
| J1644 |
Injection, heparin sodium, per 1000 units |
2,401 |
102 |
$0.00 |
| 82310 |
|
16 |
14 |
$0.00 |