| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
16,204 |
1,215 |
$811K |
| 90945 |
|
6,361 |
197 |
$541K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
4,538 |
1,163 |
$21K |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
1,370 |
97 |
$10K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
2,905 |
718 |
$6K |
| J2501 |
Injection, paricalcitol, 1 mcg |
12,105 |
854 |
$2K |
| A4657 |
Syringe, with or without needle, each |
13,587 |
1,347 |
$228.45 |
| 82565 |
|
189 |
172 |
$0.00 |
| 84155 |
|
182 |
171 |
$0.00 |
| 84520 |
|
1,521 |
737 |
$0.00 |
| 84100 |
|
1,084 |
843 |
$0.00 |
| 83540 |
|
287 |
238 |
$0.00 |
| 82310 |
|
1,079 |
373 |
$0.00 |
| 83970 |
|
846 |
757 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
291 |
50 |
$0.00 |
| 84466 |
|
91 |
83 |
$0.00 |
| 84295 |
|
184 |
171 |
$0.00 |
| 82374 |
|
182 |
171 |
$0.00 |
| 82108 |
|
20 |
13 |
$0.00 |
| 85018 |
|
1,774 |
708 |
$0.00 |
| 82435 |
|
183 |
171 |
$0.00 |
| 85027 |
|
701 |
615 |
$0.00 |
| 87340 |
|
861 |
764 |
$0.00 |
| 82040 |
|
665 |
530 |
$0.00 |
| 83550 |
|
195 |
155 |
$0.00 |
| 82728 |
|
288 |
238 |
$0.00 |
| 84075 |
|
182 |
171 |
$0.00 |
| 86704 |
|
59 |
51 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
632 |
553 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
81 |
71 |
$0.00 |
| 84132 |
|
218 |
171 |
$0.00 |
| 86706 |
|
64 |
56 |
$0.00 |
| 90686 |
|
90 |
80 |
$0.00 |
| 86803 |
|
135 |
119 |
$0.00 |