| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
25,175 |
2,242 |
$3.40M |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
3,674 |
518 |
$57K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,843 |
523 |
$45K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
1,849 |
251 |
$4K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
26 |
12 |
$2K |
| J0636 |
Injection, calcitriol, 0.1 mcg |
2,940 |
281 |
$2K |
| 90688 |
|
17 |
17 |
$150.79 |
| 83970 |
|
26 |
25 |
$102.95 |
| 99070 |
|
820 |
74 |
$36.00 |
| 82728 |
|
26 |
25 |
$35.69 |
| 84466 |
|
26 |
25 |
$32.56 |
| 87340 |
|
26 |
25 |
$26.95 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
26 |
25 |
$19.95 |
| 83540 |
|
26 |
25 |
$16.90 |
| 84075 |
|
26 |
25 |
$12.23 |
| 85045 |
|
26 |
25 |
$10.63 |
| 84520 |
|
29 |
25 |
$9.31 |
| 84155 |
|
26 |
25 |
$8.75 |
| 85018 |
|
14 |
13 |
$4.07 |
| A4657 |
Syringe, with or without needle, each |
1,298 |
85 |
$0.00 |