| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
5,291 |
390 |
$1.38M |
| 90945 |
|
4,116 |
144 |
$656K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
8,891 |
970 |
$249K |
| J2997 |
Injection, alteplase recombinant, 1 mg |
795 |
103 |
$140K |
| 80053 |
Comprehensive metabolic panel |
1,147 |
968 |
$211.03 |
| 82728 |
|
1,579 |
1,340 |
$0.00 |
| 85027 |
|
1,417 |
1,190 |
$0.00 |
| 83550 |
|
1,571 |
1,334 |
$0.00 |
| 83735 |
|
1,149 |
971 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
418 |
363 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
3,181 |
361 |
$0.00 |
| 82607 |
|
99 |
87 |
$0.00 |
| 82040 |
|
165 |
121 |
$0.00 |
| 86706 |
|
146 |
122 |
$0.00 |
| 84132 |
|
224 |
175 |
$0.00 |
| 85018 |
|
1,348 |
636 |
$0.00 |
| 87340 |
|
94 |
82 |
$0.00 |
| 82746 |
|
96 |
86 |
$0.00 |
| 86803 |
|
95 |
84 |
$0.00 |
| 84075 |
|
126 |
108 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
15 |
12 |
$0.00 |
| 83540 |
|
1,574 |
1,337 |
$0.00 |
| 84520 |
|
1,456 |
1,013 |
$0.00 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
2,600 |
248 |
$0.00 |
| 83970 |
|
1,310 |
1,026 |
$0.00 |
| 85014 |
|
1,347 |
635 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
612 |
132 |
$0.00 |
| 82947 |
|
138 |
109 |
$0.00 |
| 84100 |
|
1,774 |
1,295 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,778 |
136 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
829 |
75 |
$0.00 |
| 82310 |
|
174 |
122 |
$0.00 |
| 82374 |
|
138 |
109 |
$0.00 |
| 82565 |
|
139 |
109 |
$0.00 |
| 84295 |
|
150 |
120 |
$0.00 |
| 82108 |
|
83 |
74 |
$0.00 |
| 82570 |
|
12 |
12 |
$0.00 |
| 80061 |
Lipid panel |
19 |
16 |
$0.00 |