| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
25,734 |
2,430 |
$9.36M |
| 99512 |
|
2,080 |
218 |
$607K |
| 90947 |
|
8,470 |
294 |
$461K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
2,303 |
222 |
$136K |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
15,997 |
1,727 |
$128K |
| A4657 |
Syringe, with or without needle, each |
4,375 |
471 |
$22K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
2,510 |
586 |
$7K |
| J1756 |
Injection, iron sucrose, 1 mg |
729 |
216 |
$6K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
224 |
186 |
$4K |