| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
43,380 |
3,674 |
$5.69M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
3,878 |
1,067 |
$342K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
5,582 |
660 |
$90K |
| J1756 |
Injection, iron sucrose, 1 mg |
2,907 |
1,218 |
$63K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
51 |
51 |
$53K |
| 90945 |
|
314 |
24 |
$40K |
| A4657 |
Syringe, with or without needle, each |
5,536 |
563 |
$14K |
| 90688 |
|
89 |
81 |
$7K |
| 83970 |
|
350 |
339 |
$3K |
| 90677 |
|
45 |
44 |
$3K |
| 0250 |
|
586 |
40 |
$3K |
| 85018 |
|
280 |
226 |
$2K |
| 84520 |
|
1,847 |
837 |
$1K |
| 84466 |
|
548 |
528 |
$1K |
| 84075 |
|
980 |
949 |
$966.87 |
| 82310 |
|
966 |
869 |
$950.09 |
| 82040 |
|
884 |
822 |
$900.38 |
| 84100 |
|
825 |
777 |
$851.13 |
| 82565 |
|
787 |
757 |
$837.28 |
| 85045 |
|
890 |
864 |
$799.33 |
| 82728 |
|
352 |
335 |
$789.00 |
| 80051 |
|
504 |
487 |
$707.35 |
| 84155 |
|
967 |
937 |
$693.58 |
| 83540 |
|
550 |
529 |
$655.85 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
300 |
291 |
$587.70 |
| 84450 |
|
166 |
160 |
$366.03 |
| J1644 |
Injection, heparin sodium, per 1000 units |
96 |
14 |
$362.28 |
| 90756 |
|
21 |
21 |
$358.88 |
| 87340 |
|
154 |
151 |
$340.09 |
| G0008 |
Administration of influenza virus vaccine |
30 |
28 |
$193.77 |
| 90661 |
|
14 |
14 |
$183.98 |
| 90694 |
|
14 |
14 |
$147.82 |
| 84443 |
Thyroid stimulating hormone (TSH) |
27 |
27 |
$96.84 |
| 84132 |
|
62 |
46 |
$82.56 |
| 83718 |
|
30 |
29 |
$81.00 |
| 80069 |
|
56 |
56 |
$60.80 |
| 84478 |
|
30 |
29 |
$60.24 |
| 86706 |
|
109 |
106 |
$59.05 |
| 82465 |
|
30 |
29 |
$46.44 |
| 84295 |
|
36 |
34 |
$38.61 |
| 82435 |
|
36 |
34 |
$33.11 |
| 86803 |
|
15 |
15 |
$25.14 |
| 82374 |
|
36 |
34 |
$14.96 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$14.56 |
| 82947 |
|
12 |
12 |
$13.20 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
17 |
16 |
$8.22 |