| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
18,926 |
1,225 |
$206K |
| J2501 |
Injection, paricalcitol, 1 mcg |
13,184 |
920 |
$12K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,217 |
568 |
$12K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
2,384 |
228 |
$10K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
1,237 |
317 |
$4K |
| J1756 |
Injection, iron sucrose, 1 mg |
961 |
168 |
$3K |
| 87340 |
|
1,637 |
1,268 |
$2K |
| 83540 |
|
1,492 |
1,134 |
$2K |
| 83550 |
|
1,003 |
868 |
$2K |
| 82728 |
|
1,317 |
984 |
$1K |
| 82310 |
|
1,664 |
1,269 |
$864.38 |
| 84466 |
|
689 |
403 |
$859.27 |
| 82565 |
|
1,503 |
1,132 |
$816.79 |
| 84100 |
|
1,653 |
1,268 |
$777.77 |
| 84295 |
|
1,641 |
1,269 |
$772.37 |
| 84132 |
|
1,654 |
1,269 |
$760.12 |
| 82040 |
|
1,733 |
1,339 |
$758.74 |
| 82374 |
|
1,640 |
1,269 |
$658.62 |
| 84155 |
|
1,489 |
1,131 |
$584.65 |
| 84520 |
|
919 |
733 |
$530.19 |
| 85049 |
|
640 |
394 |
$368.26 |
| 82435 |
|
1,059 |
788 |
$283.71 |
| 85041 |
|
641 |
394 |
$240.21 |
| 86706 |
|
181 |
97 |
$169.37 |
| 82652 |
|
209 |
118 |
$145.00 |
| 84075 |
|
416 |
306 |
$144.26 |
| 82108 |
|
150 |
91 |
$106.00 |
| 83735 |
|
188 |
101 |
$80.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
121 |
65 |
$76.97 |
| 90674 |
|
38 |
25 |
$45.85 |
| 85018 |
|
220 |
135 |
$37.37 |
| 85048 |
|
118 |
73 |
$33.02 |
| A4657 |
Syringe, with or without needle, each |
2,596 |
1,436 |
$24.83 |
| 86704 |
|
21 |
21 |
$20.00 |
| 85014 |
|
154 |
93 |
$18.96 |
| G0008 |
Administration of influenza virus vaccine |
82 |
67 |
$0.00 |