| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
37,332 |
3,271 |
$4.42M |
| 0821 |
|
5,399 |
440 |
$1.35M |
| S9339 |
Home therapy; peritoneal dialysis, administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
3,199 |
110 |
$206K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
3,311 |
2,020 |
$98K |
| Z6004 |
|
459 |
49 |
$58K |
| 85018 |
|
2,878 |
1,074 |
$43K |
| J1756 |
Injection, iron sucrose, 1 mg |
5,781 |
1,319 |
$41K |
| 84520 |
|
1,526 |
946 |
$32K |
| 84155 |
|
724 |
695 |
$25K |
| 84100 |
|
329 |
256 |
$22K |
| 84132 |
|
134 |
62 |
$21K |
| 83970 |
|
387 |
348 |
$17K |
| 83550 |
|
722 |
693 |
$15K |
| 83735 |
|
374 |
362 |
$12K |
| 84075 |
|
302 |
291 |
$12K |
| 84460 |
|
182 |
176 |
$11K |
| 0250 |
|
18,087 |
1,560 |
$10K |
| 83540 |
|
964 |
923 |
$9K |
| A4657 |
Syringe, with or without needle, each |
15,442 |
1,376 |
$5K |
| J1644 |
Injection, heparin sodium, per 1000 units |
14,641 |
661 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
927 |
896 |
$3K |
| 80069 |
|
349 |
336 |
$2K |
| 82728 |
|
313 |
303 |
$2K |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
1,426 |
192 |
$728.86 |
| J3490 |
Unclassified drugs |
121 |
49 |
$573.17 |
| 90732 |
|
13 |
13 |
$237.10 |
| 82108 |
|
64 |
61 |
$213.46 |
| 87340 |
|
103 |
100 |
$190.64 |
| 86706 |
|
90 |
87 |
$110.35 |
| 90688 |
|
29 |
27 |
$69.21 |
| 84466 |
|
93 |
89 |
$45.55 |
| 82746 |
|
15 |
15 |
$15.81 |
| 82310 |
|
174 |
147 |
$5.00 |
| 86704 |
|
17 |
16 |
$3.45 |
| 82565 |
|
71 |
64 |
$0.00 |
| 90661 |
|
30 |
30 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
72 |
68 |
$0.00 |
| 82040 |
|
89 |
83 |
$0.00 |
| 80051 |
|
55 |
51 |
$0.00 |
| 90747 |
|
12 |
12 |
$0.00 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
105 |
12 |
$0.00 |
| 90686 |
|
19 |
19 |
$0.00 |