| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
54,689 |
4,401 |
$7.31M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
3,828 |
1,197 |
$831K |
| Z6004 |
|
5,611 |
451 |
$713K |
| J1756 |
Injection, iron sucrose, 1 mg |
2,604 |
816 |
$182K |
| J2501 |
Injection, paricalcitol, 1 mcg |
9,803 |
903 |
$56K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
1,369 |
157 |
$31K |
| A4657 |
Syringe, with or without needle, each |
1,975 |
202 |
$4K |
| J1644 |
Injection, heparin sodium, per 1000 units |
5,668 |
198 |
$2K |
| 80069 |
|
135 |
134 |
$890.44 |
| 83550 |
|
205 |
200 |
$106.11 |
| 84520 |
|
255 |
201 |
$102.20 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
188 |
186 |
$99.79 |
| 83540 |
|
205 |
200 |
$96.33 |
| 83970 |
|
68 |
68 |
$93.10 |
| 87340 |
|
85 |
85 |
$92.17 |
| 84460 |
|
202 |
200 |
$89.96 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
15 |
15 |
$88.15 |
| 85018 |
|
282 |
183 |
$87.42 |
| 86706 |
|
53 |
53 |
$84.91 |
| 85014 |
|
269 |
182 |
$69.06 |
| 84075 |
|
202 |
200 |
$66.96 |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
131 |
12 |
$61.72 |
| 90674 |
|
41 |
38 |
$52.99 |
| 82728 |
|
68 |
68 |
$31.63 |
| 82108 |
|
15 |
15 |
$27.60 |
| 82746 |
|
15 |
15 |
$14.38 |
| 90658 |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
30 |
30 |
$0.00 |