| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
13,605 |
1,226 |
$1.35M |
| A4657 |
Syringe, with or without needle, each |
2,844 |
493 |
$40K |
| 90937 |
|
94 |
12 |
$20K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
387 |
242 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
946 |
266 |
$1K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
232 |
81 |
$285.85 |
| 84520 |
|
12 |
12 |
$3.00 |
| 87340 |
|
43 |
39 |
$0.00 |
| 83615 |
|
27 |
25 |
$0.00 |
| 84132 |
|
28 |
25 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
42 |
39 |
$0.00 |
| 84075 |
|
27 |
25 |
$0.00 |
| 84450 |
|
27 |
25 |
$0.00 |
| 83970 |
|
43 |
39 |
$0.00 |
| J0636 |
Injection, calcitriol, 0.1 mcg |
783 |
78 |
$0.00 |
| 84460 |
|
27 |
25 |
$0.00 |
| 82374 |
|
43 |
39 |
$0.00 |
| 82565 |
|
43 |
39 |
$0.00 |
| 84295 |
|
27 |
25 |
$0.00 |
| 82947 |
|
27 |
25 |
$0.00 |