| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
28,598 |
2,305 |
$2.70M |
| A4657 |
Syringe, with or without needle, each |
2,305 |
1,244 |
$441K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
21,012 |
1,180 |
$40K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
457 |
215 |
$18K |
| J1756 |
Injection, iron sucrose, 1 mg |
5,469 |
1,220 |
$5K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
39 |
37 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
29 |
29 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
15 |
15 |
$2K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
9,723 |
756 |
$2K |
| 80053 |
Comprehensive metabolic panel |
25 |
25 |
$437.68 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
33 |
33 |
$259.35 |
| 90674 |
|
29 |
26 |
$152.30 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
25 |
$141.16 |
| G0008 |
Administration of influenza virus vaccine |
67 |
53 |
$114.56 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
30 |
14 |
$26.43 |
| 85610 |
|
17 |
15 |
$19.97 |
| 82728 |
|
261 |
200 |
$7.95 |
| 83540 |
|
250 |
189 |
$3.97 |
| 85048 |
|
618 |
504 |
$0.00 |
| 85041 |
|
618 |
504 |
$0.00 |
| 82108 |
|
109 |
81 |
$0.00 |
| 85046 |
|
515 |
393 |
$0.00 |
| 83970 |
|
413 |
310 |
$0.00 |
| G0499 |
Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result |
314 |
182 |
$0.00 |
| 83550 |
|
249 |
188 |
$0.00 |
| 82746 |
|
65 |
54 |
$0.00 |
| 82607 |
|
70 |
53 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
65 |
49 |
$0.00 |