| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
17,145 |
1,312 |
$349K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,913 |
980 |
$109K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
342 |
272 |
$44K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
2,659 |
799 |
$15K |
| J2501 |
Injection, paricalcitol, 1 mcg |
9,322 |
886 |
$7K |
| A4657 |
Syringe, with or without needle, each |
14,813 |
1,279 |
$270.00 |
| 82728 |
|
441 |
384 |
$0.00 |
| 85018 |
|
1,112 |
834 |
$0.00 |
| 87340 |
|
925 |
798 |
$0.00 |
| 80069 |
|
796 |
682 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
806 |
693 |
$0.00 |
| 84075 |
|
810 |
697 |
$0.00 |
| 83735 |
|
95 |
70 |
$0.00 |
| 83550 |
|
457 |
400 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
257 |
234 |
$0.00 |
| 86706 |
|
102 |
75 |
$0.00 |
| 85027 |
|
255 |
234 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
102 |
75 |
$0.00 |
| 90656 |
|
18 |
18 |
$0.00 |
| 85045 |
|
810 |
697 |
$0.00 |
| 83540 |
|
461 |
396 |
$0.00 |
| 84460 |
|
810 |
697 |
$0.00 |
| 84520 |
|
927 |
651 |
$0.00 |
| 84100 |
|
263 |
231 |
$0.00 |
| 84155 |
|
812 |
698 |
$0.00 |
| 83970 |
|
785 |
673 |
$0.00 |
| 82310 |
|
29 |
27 |
$0.00 |