| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
25,150 |
1,958 |
$4.64M |
| A4657 |
Syringe, with or without needle, each |
3,125 |
575 |
$332K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
7,553 |
910 |
$242K |
| J2501 |
Injection, paricalcitol, 1 mcg |
10,346 |
846 |
$90K |
| J1756 |
Injection, iron sucrose, 1 mg |
4,264 |
744 |
$63K |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
774 |
95 |
$16K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
344 |
193 |
$13K |
| 80053 |
Comprehensive metabolic panel |
517 |
340 |
$9K |
| 84075 |
|
212 |
206 |
$2K |
| 83970 |
|
588 |
418 |
$2K |
| 82310 |
|
741 |
464 |
$1K |
| 84134 |
|
655 |
475 |
$641.33 |
| 82728 |
|
586 |
408 |
$572.93 |
| 84100 |
|
1,504 |
661 |
$497.43 |
| 87340 |
|
627 |
446 |
$458.10 |
| 83540 |
|
726 |
544 |
$319.51 |
| 83550 |
|
517 |
340 |
$306.77 |
| 84466 |
|
209 |
204 |
$131.18 |
| 84132 |
|
470 |
347 |
$125.72 |
| 86706 |
|
189 |
130 |
$112.87 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
200 |
193 |
$87.62 |
| 84520 |
|
462 |
205 |
$67.80 |
| 80051 |
|
200 |
191 |
$66.28 |
| 82040 |
|
379 |
208 |
$61.49 |
| 82565 |
|
212 |
206 |
$32.19 |
| 85018 |
|
251 |
199 |
$29.18 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
39 |
32 |
$27.86 |
| 82108 |
|
20 |
20 |
$23.12 |
| 84155 |
|
192 |
187 |
$20.36 |
| 85014 |
|
215 |
196 |
$17.17 |
| 82746 |
|
20 |
20 |
$13.90 |
| 82607 |
|
13 |
13 |
$4.42 |
| 83735 |
|
20 |
20 |
$1.96 |
| 86803 |
|
19 |
12 |
$0.00 |
| 84478 |
|
19 |
12 |
$0.00 |
| 82465 |
|
19 |
12 |
$0.00 |