| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
23,289 |
2,058 |
$2.24M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,899 |
945 |
$137K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
2,614 |
525 |
$122K |
| J2501 |
Injection, paricalcitol, 1 mcg |
15,789 |
1,644 |
$19K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
2,766 |
915 |
$16K |
| A4657 |
Syringe, with or without needle, each |
19,320 |
1,795 |
$2K |
| 90686 |
|
82 |
72 |
$478.50 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
9,534 |
884 |
$65.00 |
| 82310 |
|
507 |
390 |
$37.80 |
| 82108 |
|
60 |
57 |
$26.67 |
| 82040 |
|
413 |
389 |
$15.54 |
| 82374 |
|
376 |
330 |
$15.36 |
| 82435 |
|
376 |
330 |
$14.43 |
| 84295 |
|
373 |
329 |
$10.08 |
| 85045 |
|
410 |
388 |
$8.36 |
| 82565 |
|
293 |
267 |
$5.36 |
| 84100 |
|
286 |
268 |
$4.96 |
| 84132 |
|
322 |
268 |
$4.81 |
| 83970 |
|
423 |
352 |
$0.22 |
| 84466 |
|
393 |
328 |
$0.16 |
| 82728 |
|
390 |
325 |
$0.08 |
| 83540 |
|
392 |
328 |
$0.06 |
| 87340 |
|
106 |
97 |
$0.05 |
| 86706 |
|
107 |
98 |
$0.04 |
| 84075 |
|
269 |
268 |
$0.00 |
| 84540 |
|
983 |
387 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
60 |
49 |
$0.00 |
| 83550 |
|
164 |
133 |
$0.00 |
| 84155 |
|
269 |
268 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
8,564 |
577 |
$0.00 |