| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
42,168 |
3,347 |
$8.23M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
2,266 |
844 |
$728K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
2,491 |
227 |
$480K |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
2,293 |
269 |
$157K |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
12,507 |
1,276 |
$100K |
| A4690 |
Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each |
29,041 |
2,509 |
$581.47 |
| 87340 |
|
818 |
785 |
$0.00 |
| 83550 |
|
2,972 |
2,944 |
$0.00 |
| 85018 |
|
8,378 |
2,911 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13,930 |
3,349 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
3,064 |
2,952 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
440 |
434 |
$0.00 |
| 82728 |
|
984 |
977 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,926 |
2,851 |
$0.00 |
| 90480 |
|
35 |
35 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
441 |
437 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
232 |
214 |
$0.00 |
| 86803 |
|
570 |
557 |
$0.00 |
| 83735 |
|
960 |
952 |
$0.00 |
| 84132 |
|
84 |
69 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
288 |
276 |
$0.00 |
| 86706 |
|
393 |
388 |
$0.00 |
| 86704 |
|
244 |
241 |
$0.00 |
| 0134A |
|
22 |
21 |
$0.00 |
| 90656 |
|
27 |
27 |
$0.00 |
| 0012A |
|
26 |
25 |
$0.00 |
| 90686 |
|
121 |
119 |
$0.00 |
| 90739 |
|
16 |
14 |
$0.00 |
| 83970 |
|
2,081 |
2,046 |
$0.00 |
| 84520 |
|
3,397 |
2,939 |
$0.00 |
| 85014 |
|
8,378 |
2,911 |
$0.00 |
| J1643 |
Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units |
1,647 |
159 |
$0.00 |
| 84100 |
|
4,161 |
2,946 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
20,994 |
1,497 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
3,213 |
1,290 |
$0.00 |
| 83540 |
|
2,972 |
2,944 |
$0.00 |
| A4640 |
Replacement pad for use with medically necessary alternating pressure pad owned by patient |
436 |
68 |
$0.00 |
| 82108 |
|
252 |
247 |
$0.00 |
| 82310 |
|
271 |
88 |
$0.00 |
| 86480 |
|
269 |
258 |
$0.00 |
| 0124A |
|
28 |
27 |
$0.00 |
| 91322 |
|
35 |
35 |
$0.00 |