| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
9,151 |
726 |
$417K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
418 |
133 |
$15K |
| A4657 |
Syringe, with or without needle, each |
1,838 |
286 |
$2K |
| 84520 |
|
735 |
486 |
$1K |
| 86706 |
|
34 |
32 |
$338.77 |
| 84100 |
|
561 |
529 |
$235.65 |
| 85018 |
|
358 |
131 |
$140.48 |
| 83970 |
|
152 |
146 |
$137.00 |
| 82728 |
|
152 |
146 |
$137.00 |
| 84466 |
|
147 |
142 |
$126.00 |
| 83540 |
|
153 |
146 |
$78.71 |
| 85014 |
|
198 |
76 |
$76.80 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
62 |
58 |
$64.00 |
| 80053 |
Comprehensive metabolic panel |
319 |
305 |
$63.48 |
| 87340 |
|
32 |
30 |
$9.40 |
| 86705 |
|
14 |
14 |
$0.00 |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
261 |
251 |
$0.00 |
| 86580 |
|
17 |
17 |
$0.00 |