| Code | Description | Total Paid |
|---|---|---|
| 90999 | Unlisted dialysis procedure, inpatient or outpatient | $2.00M |
| 90945 | $436K | |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | $79K |
| J1756 | Injection, iron sucrose, 1 mg | $23K |
| A4657 | Syringe, with or without needle, each | $16K |
| 82040 | $2K | |
| J0887 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | $188.93 |
| 83970 | $127.95 | |
| 84520 | $51.90 | |
| 87340 | $46.54 |
| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | BELOIT HEALTH SYSTEM INC | BELOIT, WI | 101,009 | $2.01M |
| 2 | ANTHEM DIALYSIS LLC | KAYSVILLE, UT | 2,506 | $528K |
| 3 | BEECHNUT DIALYSIS CENTER LLC | HOUSTON, TX | 1,143 | $16K |
| 4 | CAMERON REGIONAL MEDICAL CENTER INC | CAMERON, MO | 9,118 | $30.60 |