| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
9,236 |
898 |
$2.09M |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,224 |
633 |
$438K |
| 0821 |
|
1,108 |
105 |
$158K |
| J1756 |
Injection, iron sucrose, 1 mg |
561 |
339 |
$132K |
| J2501 |
Injection, paricalcitol, 1 mcg |
2,007 |
472 |
$89K |
| A4657 |
Syringe, with or without needle, each |
640 |
583 |
$35K |
| Z6004 |
|
150 |
24 |
$34K |
| 82728 |
|
229 |
197 |
$6K |
| 83970 |
|
230 |
200 |
$5K |
| 82040 |
|
371 |
319 |
$4K |
| 84100 |
|
425 |
325 |
$3K |
| 83540 |
|
368 |
324 |
$3K |
| 84520 |
|
621 |
324 |
$3K |
| 82310 |
|
388 |
319 |
$3K |
| 83735 |
|
138 |
126 |
$3K |
| A4913 |
Miscellaneous dialysis supplies, not otherwise specified |
16 |
15 |
$2K |
| 84466 |
|
368 |
324 |
$2K |
| 84132 |
|
456 |
319 |
$2K |
| 82565 |
|
363 |
319 |
$1K |
| 84075 |
|
363 |
319 |
$1K |
| 84295 |
|
363 |
319 |
$1K |
| 84155 |
|
362 |
318 |
$1K |
| 82435 |
|
363 |
319 |
$1K |
| 82374 |
|
363 |
319 |
$1K |
| 87340 |
|
56 |
49 |
$313.42 |
| 82108 |
|
38 |
38 |
$262.46 |
| 86706 |
|
37 |
37 |
$228.60 |
| 86580 |
|
18 |
18 |
$6.72 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |