| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
6,537 |
654 |
$292K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
554 |
369 |
$13K |
| J1756 |
Injection, iron sucrose, 1 mg |
690 |
200 |
$171.00 |
| 84075 |
|
950 |
933 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
4,929 |
869 |
$0.00 |
| 85018 |
|
1,801 |
910 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
628 |
622 |
$0.00 |
| 80051 |
|
877 |
862 |
$0.00 |
| 82040 |
|
914 |
898 |
$0.00 |
| 82607 |
|
96 |
96 |
$0.00 |
| 84132 |
|
48 |
42 |
$0.00 |
| 87340 |
|
126 |
126 |
$0.00 |
| 82728 |
|
329 |
327 |
$0.00 |
| 86706 |
|
45 |
45 |
$0.00 |
| 82746 |
|
82 |
82 |
$0.00 |
| 83735 |
|
71 |
71 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
100 |
100 |
$0.00 |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
95 |
13 |
$0.00 |
| 82435 |
|
32 |
30 |
$0.00 |
| 84466 |
|
945 |
796 |
$0.00 |
| 82565 |
|
929 |
913 |
$0.00 |
| 82310 |
|
1,048 |
913 |
$0.00 |
| 83540 |
|
1,023 |
876 |
$0.00 |
| 84100 |
|
1,178 |
841 |
$0.00 |
| 85014 |
|
646 |
640 |
$0.00 |
| 83970 |
|
398 |
396 |
$0.00 |
| 84520 |
|
1,717 |
762 |
$0.00 |
| 84155 |
|
811 |
797 |
$0.00 |
| 84295 |
|
27 |
25 |
$0.00 |
| 82374 |
|
72 |
57 |
$0.00 |
| 82108 |
|
100 |
100 |
$0.00 |