| Code | Description | Total Paid |
|---|---|---|
| 90999 | Unlisted dialysis procedure, inpatient or outpatient | $94K |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | $10K |
| Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) | $9K |
| A4657 | Syringe, with or without needle, each | $911.51 |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | $626.58 |
| J2501 | Injection, paricalcitol, 1 mcg | $497.77 |
| 83970 | $258.99 | |
| 82728 | $59.38 | |
| 84466 | $50.43 | |
| 80069 | $40.78 |
| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | ADVANCED DIALYSIS CENTER, LLC | ARLINGTON, VA | 16,008 | $99K |
| 2 | ADVANCED DIALYSIS CENTER, LLC | EASTON, MD | 1,876 | $16K |