| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
71,097 |
6,284 |
$12.42M |
| 0821 |
|
7,310 |
2,028 |
$7.50M |
| S9339 |
Home therapy; peritoneal dialysis, administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
2,874 |
886 |
$3.36M |
| 90945 |
|
23,770 |
1,258 |
$2.75M |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
10,096 |
2,250 |
$186K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
7,643 |
1,167 |
$101K |
| J1756 |
Injection, iron sucrose, 1 mg |
2,882 |
1,239 |
$41K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,686 |
1,162 |
$16K |
| 0250 |
|
3,303 |
332 |
$14K |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
142 |
15 |
$12K |
| 85041 |
|
1,938 |
1,910 |
$6K |
| A4657 |
Syringe, with or without needle, each |
5,258 |
2,339 |
$5K |
| 90674 |
|
325 |
320 |
$5K |
| 83970 |
|
2,033 |
1,962 |
$4K |
| 90670 |
|
36 |
36 |
$3K |
| 83550 |
|
1,463 |
1,446 |
$3K |
| 90662 |
|
113 |
113 |
$3K |
| 83540 |
|
1,668 |
1,647 |
$2K |
| 0302 |
|
182 |
148 |
$1K |
| 85048 |
|
1,980 |
1,951 |
$595.19 |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
132 |
98 |
$270.41 |
| 82728 |
|
464 |
460 |
$231.26 |
| 90661 |
|
29 |
29 |
$173.53 |
| G0008 |
Administration of influenza virus vaccine |
65 |
62 |
$135.02 |
| G0499 |
Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result |
16 |
12 |
$1.51 |
| 0851 |
|
354 |
348 |
$0.00 |
| 82570 |
|
20 |
12 |
$0.00 |
| 85045 |
|
28 |
25 |
$0.00 |
| 0771 |
|
15 |
15 |
$0.00 |