| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
6,580 |
539 |
$400K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
4,070 |
347 |
$239K |
| 82728 |
|
1,145 |
935 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,092 |
897 |
$0.00 |
| 87340 |
|
188 |
175 |
$0.00 |
| 86704 |
|
115 |
113 |
$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 |
296 |
290 |
$0.00 |
| 84132 |
|
2,694 |
932 |
$0.00 |
| 86769 |
|
13 |
13 |
$0.00 |
| 82040 |
|
973 |
897 |
$0.00 |
| 82962 |
|
129 |
12 |
$0.00 |
| 85018 |
|
364 |
155 |
$0.00 |
| 86706 |
|
115 |
113 |
$0.00 |
| 86803 |
|
115 |
113 |
$0.00 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
25 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
40 |
40 |
$0.00 |
| 83550 |
|
12 |
12 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
13 |
$0.00 |
| 82310 |
|
2,444 |
907 |
$0.00 |
| 84460 |
|
976 |
934 |
$0.00 |
| 84295 |
|
1,049 |
898 |
$0.00 |
| 84100 |
|
1,333 |
937 |
$0.00 |
| 84466 |
|
1,145 |
935 |
$0.00 |
| 85014 |
|
364 |
155 |
$0.00 |
| 82374 |
|
1,050 |
898 |
$0.00 |
| 82565 |
|
990 |
896 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
7,624 |
599 |
$0.00 |
| 84520 |
|
2,598 |
914 |
$0.00 |
| 83970 |
|
394 |
386 |
$0.00 |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
729 |
223 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
715 |
247 |
$0.00 |
| 83540 |
|
1,152 |
935 |
$0.00 |
| 86709 |
|
115 |
113 |
$0.00 |