| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
5,804 |
434 |
$392K |
| J2997 |
Injection, alteplase recombinant, 1 mg |
3,299 |
382 |
$204K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
4,751 |
1,306 |
$161K |
| 90947 |
|
7,178 |
243 |
$155K |
| 83970 |
|
601 |
536 |
$3K |
| J2501 |
Injection, paricalcitol, 1 mcg |
4,477 |
377 |
$3K |
| 84520 |
|
2,750 |
1,334 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
963 |
175 |
$1K |
| 85027 |
|
1,433 |
1,195 |
$1K |
| J1644 |
Injection, heparin sodium, per 1000 units |
2,681 |
119 |
$874.61 |
| 82310 |
|
1,410 |
1,199 |
$863.86 |
| 84100 |
|
1,534 |
1,229 |
$853.93 |
| 82565 |
|
1,381 |
1,193 |
$848.95 |
| 84460 |
|
1,280 |
1,091 |
$839.01 |
| 82040 |
|
1,329 |
1,172 |
$783.42 |
| 84075 |
|
1,136 |
995 |
$731.74 |
| 82728 |
|
364 |
332 |
$652.62 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
161 |
149 |
$558.50 |
| 83615 |
|
856 |
775 |
$545.72 |
| 83550 |
|
384 |
347 |
$497.32 |
| 83540 |
|
398 |
360 |
$387.54 |
| 84155 |
|
833 |
759 |
$327.00 |
| 80051 |
|
1,506 |
1,212 |
$163.13 |
| J7050 |
Infusion, normal saline solution, 250 cc |
910 |
41 |
$55.04 |
| 82570 |
|
121 |
104 |
$44.09 |
| 86803 |
|
160 |
149 |
$8.23 |
| 86706 |
|
45 |
43 |
$5.65 |
| 87340 |
|
16 |
16 |
$5.15 |
| 36415 |
Collection of venous blood by venipuncture |
332 |
269 |
$0.68 |