| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
44,355 |
3,904 |
$2.75M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
5,328 |
2,517 |
$408K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
3,193 |
591 |
$82K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
6,218 |
2,310 |
$24K |
| J2501 |
Injection, paricalcitol, 1 mcg |
27,785 |
2,825 |
$16K |
| A4657 |
Syringe, with or without needle, each |
36,129 |
3,440 |
$2K |
| 90686 |
|
97 |
86 |
$494.07 |
| 90747 |
|
15 |
13 |
$260.50 |
| 90732 |
|
12 |
12 |
$215.50 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
1,127 |
136 |
$193.53 |
| 85027 |
|
132 |
108 |
$83.76 |
| 84100 |
|
1,343 |
1,199 |
$79.38 |
| 80053 |
Comprehensive metabolic panel |
108 |
84 |
$75.20 |
| 0012A |
|
24 |
20 |
$40.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
30,062 |
1,894 |
$1.92 |
| 83735 |
|
119 |
113 |
$0.00 |
| 82728 |
|
969 |
835 |
$0.00 |
| 82435 |
|
1,291 |
1,172 |
$0.00 |
| 84132 |
|
1,330 |
1,077 |
$0.00 |
| 84540 |
|
3,662 |
1,293 |
$0.00 |
| 82040 |
|
1,397 |
1,272 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
108 |
93 |
$0.00 |
| 84075 |
|
1,167 |
1,082 |
$0.00 |
| 83550 |
|
269 |
222 |
$0.00 |
| 86706 |
|
212 |
202 |
$0.00 |
| 87340 |
|
206 |
198 |
$0.00 |
| 90677 |
|
16 |
15 |
$0.00 |
| 86803 |
|
25 |
20 |
$0.00 |
| 83540 |
|
983 |
846 |
$0.00 |
| 84295 |
|
1,277 |
1,158 |
$0.00 |
| 82310 |
|
1,613 |
1,300 |
$0.00 |
| 82374 |
|
1,293 |
1,172 |
$0.00 |
| 84155 |
|
1,114 |
1,032 |
$0.00 |
| 83970 |
|
1,236 |
1,098 |
$0.00 |
| 82565 |
|
1,156 |
1,073 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
24,466 |
2,167 |
$0.00 |
| 84466 |
|
964 |
832 |
$0.00 |
| 85045 |
|
1,422 |
1,286 |
$0.00 |
| 82108 |
|
193 |
186 |
$0.00 |