| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
12,062 |
994 |
$1.08M |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
5,564 |
715 |
$215K |
| J2501 |
Injection, paricalcitol, 1 mcg |
5,935 |
593 |
$13K |
| A4657 |
Syringe, with or without needle, each |
8,803 |
834 |
$6K |
| 83540 |
|
224 |
218 |
$0.00 |
| 84450 |
|
232 |
231 |
$0.00 |
| 84466 |
|
237 |
231 |
$0.00 |
| 84460 |
|
232 |
231 |
$0.00 |
| 84100 |
|
318 |
243 |
$0.00 |
| 83970 |
|
120 |
105 |
$0.00 |
| 84520 |
|
195 |
165 |
$0.00 |
| 82465 |
|
31 |
31 |
$0.00 |
| 80061 |
Lipid panel |
59 |
59 |
$0.00 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
127 |
34 |
$0.00 |
| 82108 |
|
15 |
15 |
$0.00 |
| 87340 |
|
63 |
62 |
$0.00 |
| 82040 |
|
234 |
231 |
$0.00 |
| 84075 |
|
220 |
219 |
$0.00 |
| 86704 |
|
60 |
60 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
228 |
227 |
$0.00 |
| 85018 |
|
320 |
165 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
234 |
231 |
$0.00 |
| 82728 |
|
77 |
75 |
$0.00 |
| 83550 |
|
111 |
106 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
12 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
60 |
60 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
43 |
24 |
$0.00 |
| 86803 |
|
29 |
29 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
43 |
24 |
$0.00 |
| 86706 |
|
62 |
62 |
$0.00 |