| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
38,471 |
4,383 |
$7.75M |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
348 |
222 |
$288K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,494 |
1,149 |
$123K |
| A4657 |
Syringe, with or without needle, each |
5,585 |
4,014 |
$53K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
2,936 |
2,520 |
$37K |
| J1756 |
Injection, iron sucrose, 1 mg |
3,145 |
1,708 |
$33K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
6,038 |
2,371 |
$16K |
| A4913 |
Miscellaneous dialysis supplies, not otherwise specified |
1,362 |
901 |
$1K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
643 |
473 |
$1K |
| 84100 |
|
2,278 |
1,707 |
$851.16 |
| 82040 |
|
1,831 |
1,708 |
$845.86 |
| 84155 |
|
861 |
857 |
$426.96 |
| 90747 |
|
14 |
14 |
$426.88 |
| 0012A |
|
15 |
15 |
$300.00 |
| 83970 |
|
1,254 |
1,243 |
$296.49 |
| 82108 |
|
204 |
204 |
$173.35 |
| 84466 |
|
1,835 |
1,706 |
$100.39 |
| 82728 |
|
1,229 |
1,220 |
$98.03 |
| 84132 |
|
264 |
262 |
$93.90 |
| 86706 |
|
485 |
482 |
$75.01 |
| 87340 |
|
1,168 |
1,159 |
$74.32 |
| 84520 |
|
2,396 |
1,703 |
$66.69 |
| 90653 |
|
25 |
24 |
$63.35 |
| 83540 |
|
1,836 |
1,708 |
$51.05 |
| 83735 |
|
107 |
107 |
$45.50 |
| 85027 |
|
320 |
318 |
$44.10 |
| 84075 |
|
1,324 |
1,318 |
$35.20 |
| 82310 |
|
1,875 |
1,709 |
$35.10 |
| 82565 |
|
1,711 |
1,703 |
$34.85 |
| 82374 |
|
313 |
300 |
$33.25 |
| 84295 |
|
261 |
261 |
$32.75 |
| 82435 |
|
263 |
263 |
$31.30 |
| 86580 |
|
39 |
38 |
$3.33 |
| 80051 |
|
1,442 |
1,435 |
$2.76 |
| 85045 |
|
863 |
859 |
$0.85 |
| 0250 |
|
682 |
176 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
49 |
48 |
$0.00 |