| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
17,325 |
1,019 |
$4.51M |
| A4657 |
Syringe, with or without needle, each |
6,721 |
518 |
$1.16M |
| 85018 |
|
1,604 |
471 |
$207K |
| J1644 |
Injection, heparin sodium, per 1000 units |
631 |
36 |
$109K |
| 84520 |
|
1,006 |
582 |
$96K |
| 83540 |
|
852 |
680 |
$96K |
| 83550 |
|
822 |
651 |
$96K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
799 |
625 |
$91K |
| 84155 |
|
733 |
594 |
$86K |
| 80069 |
|
842 |
694 |
$84K |
| J1756 |
Injection, iron sucrose, 1 mg |
449 |
79 |
$63K |
| 83970 |
|
390 |
316 |
$40K |
| 87340 |
|
327 |
241 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
567 |
493 |
$30K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
119 |
64 |
$19K |
| 82728 |
|
164 |
131 |
$18K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
88 |
86 |
$16K |
| 84075 |
|
120 |
96 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
169 |
151 |
$7K |
| 84100 |
|
62 |
48 |
$5K |
| 82565 |
|
79 |
52 |
$2K |
| 86706 |
|
27 |
17 |
$2K |
| 80051 |
|
46 |
28 |
$2K |
| 82310 |
|
23 |
14 |
$1K |
| 86803 |
|
18 |
13 |
$876.88 |
| 1036F |
|
106 |
85 |
$0.14 |