| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
54,080 |
4,798 |
$2.86M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
10,910 |
2,904 |
$250K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
9,836 |
1,033 |
$117K |
| J1756 |
Injection, iron sucrose, 1 mg |
4,930 |
2,355 |
$106K |
| A4657 |
Syringe, with or without needle, each |
23,092 |
2,449 |
$49K |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
1,365 |
103 |
$38K |
| 0250 |
|
14,270 |
885 |
$17K |
| 83970 |
|
1,256 |
1,224 |
$4K |
| 80051 |
|
2,213 |
2,174 |
$2K |
| 84520 |
|
4,928 |
2,274 |
$2K |
| 82728 |
|
1,256 |
1,203 |
$1K |
| J1644 |
Injection, heparin sodium, per 1000 units |
919 |
84 |
$1K |
| 84466 |
|
1,225 |
1,200 |
$1K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
611 |
38 |
$969.60 |
| 85045 |
|
2,920 |
2,839 |
$827.27 |
| 90694 |
|
88 |
88 |
$791.93 |
| 82040 |
|
2,480 |
2,217 |
$752.27 |
| 82310 |
|
2,537 |
2,175 |
$750.70 |
| 84100 |
|
2,356 |
2,193 |
$709.89 |
| 82565 |
|
2,246 |
2,206 |
$685.57 |
| 84075 |
|
2,327 |
2,287 |
$671.32 |
| 83540 |
|
1,228 |
1,204 |
$609.55 |
| 90732 |
|
12 |
12 |
$598.81 |
| 84155 |
|
2,285 |
2,245 |
$471.86 |
| 90688 |
|
94 |
94 |
$470.84 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
439 |
333 |
$370.19 |
| 87340 |
|
510 |
502 |
$195.99 |
| 90756 |
|
18 |
17 |
$181.46 |
| 86706 |
|
222 |
218 |
$158.81 |
| 84132 |
|
422 |
234 |
$145.19 |
| 84450 |
|
142 |
142 |
$142.23 |
| 90662 |
|
30 |
30 |
$107.23 |
| 90653 |
|
14 |
14 |
$92.65 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$44.28 |
| 80061 |
Lipid panel |
14 |
14 |
$34.62 |
| 85018 |
|
157 |
84 |
$34.20 |
| 86803 |
|
15 |
14 |
$25.14 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
41 |
40 |
$17.93 |
| 82435 |
|
94 |
91 |
$16.24 |
| 84295 |
|
72 |
69 |
$8.43 |
| G0008 |
Administration of influenza virus vaccine |
86 |
86 |
$7.77 |
| 82947 |
|
12 |
12 |
$6.60 |
| 82374 |
|
72 |
68 |
$3.04 |
| A4913 |
Miscellaneous dialysis supplies, not otherwise specified |
44 |
12 |
$0.00 |