| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
5,310 |
620 |
$267K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,121 |
670 |
$152K |
| 83970 |
|
448 |
435 |
$15K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,188 |
304 |
$8K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
3,665 |
423 |
$2K |
| A4657 |
Syringe, with or without needle, each |
9,015 |
776 |
$1K |
| 82728 |
|
556 |
532 |
$849.68 |
| 82310 |
|
651 |
570 |
$0.00 |
| 84155 |
|
690 |
686 |
$0.00 |
| 84100 |
|
756 |
586 |
$0.00 |
| 83540 |
|
743 |
730 |
$0.00 |
| 84520 |
|
1,749 |
735 |
$0.00 |
| 84466 |
|
223 |
218 |
$0.00 |
| 82565 |
|
566 |
535 |
$0.00 |
| 82108 |
|
101 |
101 |
$0.00 |
| 85046 |
|
12 |
12 |
$0.00 |
| 87340 |
|
435 |
427 |
$0.00 |
| 82040 |
|
569 |
559 |
$0.00 |
| 85018 |
|
1,911 |
694 |
$0.00 |
| 84075 |
|
262 |
261 |
$0.00 |
| 83735 |
|
262 |
260 |
$0.00 |
| 82746 |
|
59 |
59 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
703 |
700 |
$0.00 |
| 83550 |
|
298 |
295 |
$0.00 |
| 86706 |
|
104 |
104 |
$0.00 |
| 80051 |
|
561 |
555 |
$0.00 |
| 86704 |
|
20 |
20 |
$0.00 |
| 80069 |
|
12 |
12 |
$0.00 |
| 84132 |
|
101 |
40 |
$0.00 |