| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
2,548 |
289 |
$147K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
353 |
188 |
$0.00 |
| 84155 |
|
100 |
100 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
681 |
199 |
$0.00 |
| 85041 |
|
184 |
184 |
$0.00 |
| 83540 |
|
113 |
100 |
$0.00 |
| 84100 |
|
131 |
64 |
$0.00 |
| 84466 |
|
100 |
100 |
$0.00 |
| 82108 |
|
16 |
16 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
308 |
308 |
$0.00 |
| J2501 |
Injection, paricalcitol, 1 mcg |
245 |
26 |
$0.00 |
| A4913 |
Miscellaneous dialysis supplies, not otherwise specified |
207 |
207 |
$0.00 |
| 83735 |
|
53 |
53 |
$0.00 |
| 82728 |
|
101 |
100 |
$0.00 |
| 82040 |
|
97 |
84 |
$0.00 |
| 86706 |
|
16 |
16 |
$0.00 |
| 82746 |
|
16 |
16 |
$0.00 |
| 87340 |
|
100 |
100 |
$0.00 |
| 85018 |
|
25 |
12 |
$0.00 |
| 86803 |
|
16 |
16 |
$0.00 |
| 82607 |
|
16 |
16 |
$0.00 |
| 84132 |
|
127 |
101 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
16 |
16 |
$0.00 |