| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
42,098 |
3,843 |
$5.06M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
4,229 |
1,285 |
$955K |
| 0821 |
|
6,682 |
888 |
$825K |
| J1756 |
Injection, iron sucrose, 1 mg |
3,129 |
949 |
$445K |
| J2501 |
Injection, paricalcitol, 1 mcg |
13,880 |
1,468 |
$164K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
739 |
483 |
$31K |
| A4657 |
Syringe, with or without needle, each |
11,147 |
909 |
$19K |
| J1644 |
Injection, heparin sodium, per 1000 units |
7,594 |
623 |
$16K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,238 |
132 |
$13K |
| 90732 |
|
16 |
16 |
$1K |
| 83970 |
|
116 |
114 |
$374.35 |
| 82728 |
|
180 |
180 |
$203.05 |
| 84466 |
|
179 |
179 |
$185.25 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
68 |
68 |
$155.95 |
| 84520 |
|
278 |
180 |
$128.36 |
| 90656 |
|
14 |
14 |
$120.19 |
| 84100 |
|
223 |
180 |
$118.28 |
| 87340 |
|
130 |
130 |
$114.37 |
| 80051 |
|
167 |
164 |
$110.85 |
| 83540 |
|
180 |
180 |
$96.17 |
| 86706 |
|
71 |
71 |
$63.63 |
| G0008 |
Administration of influenza virus vaccine |
27 |
25 |
$39.60 |
| 82435 |
|
13 |
13 |
$1.63 |
| 82310 |
|
201 |
180 |
$0.00 |
| 84155 |
|
183 |
180 |
$0.00 |
| 82565 |
|
183 |
180 |
$0.00 |
| 82374 |
|
13 |
13 |
$0.00 |
| 84295 |
|
13 |
13 |
$0.00 |
| 84132 |
|
65 |
39 |
$0.00 |
| 84075 |
|
183 |
180 |
$0.00 |
| 82040 |
|
196 |
180 |
$0.00 |
| A4913 |
Miscellaneous dialysis supplies, not otherwise specified |
130 |
93 |
$0.00 |
| 0270 |
|
2,217 |
171 |
$0.00 |
| 83735 |
|
24 |
24 |
$0.00 |