| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
6,898 |
710 |
$630K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
1,688 |
286 |
$71K |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
942 |
230 |
$70K |
| 0821 |
|
499 |
101 |
$60K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,672 |
544 |
$48K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
215 |
146 |
$24K |
| A4657 |
Syringe, with or without needle, each |
2,496 |
436 |
$10K |
| J1644 |
Injection, heparin sodium, per 1000 units |
4,517 |
275 |
$9K |
| 80051 |
|
139 |
138 |
$485.72 |
| 83970 |
|
105 |
103 |
$127.15 |
| 84466 |
|
154 |
152 |
$59.39 |
| 84520 |
|
324 |
156 |
$42.00 |
| 82728 |
|
92 |
90 |
$35.85 |
| 82310 |
|
182 |
153 |
$34.31 |
| A4913 |
Miscellaneous dialysis supplies, not otherwise specified |
1,010 |
364 |
$32.78 |
| 83540 |
|
158 |
153 |
$30.84 |
| 84100 |
|
221 |
154 |
$29.93 |
| 82565 |
|
153 |
152 |
$23.27 |
| 82040 |
|
178 |
153 |
$21.69 |
| 85045 |
|
153 |
152 |
$19.15 |
| 87340 |
|
60 |
59 |
$18.06 |
| 84155 |
|
152 |
151 |
$15.96 |
| 83735 |
|
58 |
58 |
$11.80 |
| 0250 |
|
88 |
12 |
$0.00 |