| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
736 |
231 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
419 |
108 |
$2K |
| A4657 |
Syringe, with or without needle, each |
815 |
356 |
$439.90 |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
1,888 |
204 |
$141.59 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,370 |
136 |
$41.60 |
| 80053 |
Comprehensive metabolic panel |
284 |
279 |
$0.00 |
| 87340 |
|
155 |
151 |
$0.00 |
| 86803 |
|
12 |
12 |
$0.00 |
| 82728 |
|
100 |
96 |
$0.00 |
| 86706 |
|
30 |
29 |
$0.00 |
| 84100 |
|
398 |
280 |
$0.00 |
| 84520 |
|
368 |
280 |
$0.00 |
| 85045 |
|
266 |
258 |
$0.00 |
| 83540 |
|
288 |
279 |
$0.00 |
| 84466 |
|
267 |
260 |
$0.00 |
| 83970 |
|
119 |
112 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
171 |
15 |
$0.00 |
| 82108 |
|
50 |
48 |
$0.00 |