| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
6,965 |
492 |
$1.40M |
| 85018 |
|
1,198 |
282 |
$162K |
| 84520 |
|
761 |
295 |
$114K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
536 |
316 |
$79K |
| 83540 |
|
482 |
281 |
$67K |
| A4657 |
Syringe, with or without needle, each |
334 |
38 |
$60K |
| 80069 |
|
330 |
204 |
$57K |
| 83550 |
|
352 |
209 |
$52K |
| 84155 |
|
123 |
72 |
$16K |
| 83970 |
|
96 |
50 |
$14K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
108 |
36 |
$14K |
| 87340 |
|
84 |
51 |
$11K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
30 |
29 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
39 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$661.73 |