| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
9,274 |
734 |
$701K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
528 |
247 |
$29K |
| A4657 |
Syringe, with or without needle, each |
8,798 |
578 |
$17K |
| 83970 |
|
196 |
160 |
$696.98 |
| J1756 |
Injection, iron sucrose, 1 mg |
932 |
217 |
$550.00 |
| 82108 |
|
28 |
26 |
$130.64 |
| 85018 |
|
612 |
176 |
$92.22 |
| 84520 |
|
515 |
182 |
$51.76 |
| 83550 |
|
215 |
177 |
$45.27 |
| 82728 |
|
48 |
43 |
$44.62 |
| G0307 |
Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) |
18 |
14 |
$39.07 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
197 |
163 |
$37.86 |
| 83540 |
|
217 |
179 |
$31.77 |
| 82310 |
|
310 |
179 |
$31.76 |
| 84155 |
|
203 |
166 |
$25.41 |
| 84100 |
|
317 |
179 |
$24.04 |
| 84132 |
|
178 |
130 |
$22.32 |
| 83735 |
|
62 |
54 |
$21.82 |
| 82565 |
|
191 |
153 |
$16.88 |
| 86706 |
|
14 |
13 |
$15.60 |
| 87340 |
|
14 |
13 |
$12.71 |
| 84295 |
|
105 |
85 |
$7.78 |
| 82374 |
|
105 |
85 |
$7.73 |
| 82435 |
|
103 |
85 |
$7.25 |
| 86580 |
|
18 |
12 |
$5.86 |
| J2501 |
Injection, paricalcitol, 1 mcg |
1,102 |
89 |
$0.00 |
| 82040 |
|
218 |
177 |
$0.00 |
| 85027 |
|
17 |
13 |
$0.00 |
| 80051 |
|
41 |
33 |
$0.00 |
| 84075 |
|
65 |
58 |
$0.00 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
594 |
63 |
$0.00 |
| 82746 |
|
13 |
12 |
$0.00 |