| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
2,539 |
221 |
$105K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
1,511 |
171 |
$17K |
| 82040 |
|
81 |
78 |
$4K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
2,288 |
140 |
$4K |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,064 |
95 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
640 |
153 |
$2K |
| 83970 |
|
162 |
158 |
$2K |
| 85027 |
|
498 |
125 |
$1K |
| 84466 |
|
222 |
211 |
$629.78 |
| 86803 |
|
89 |
88 |
$627.91 |
| 87340 |
|
215 |
208 |
$590.94 |
| 80053 |
Comprehensive metabolic panel |
119 |
118 |
$520.07 |
| 82728 |
|
92 |
89 |
$418.51 |
| 83540 |
|
222 |
211 |
$272.75 |
| 84100 |
|
369 |
210 |
$234.58 |
| 86706 |
|
29 |
29 |
$183.97 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
49 |
48 |
$167.07 |
| 84450 |
|
80 |
78 |
$144.68 |
| 84460 |
|
80 |
78 |
$141.64 |
| 82247 |
|
80 |
78 |
$135.44 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
32 |
32 |
$131.96 |
| 84520 |
|
353 |
211 |
$117.81 |
| 82947 |
|
80 |
78 |
$63.24 |
| 84132 |
|
119 |
82 |
$18.76 |
| 86580 |
|
19 |
16 |
$17.62 |
| 84295 |
|
80 |
78 |
$15.32 |
| 82565 |
|
80 |
78 |
$12.28 |
| 82374 |
|
80 |
78 |
$12.28 |
| 82310 |
|
109 |
79 |
$12.28 |
| 84155 |
|
81 |
79 |
$12.28 |
| 84075 |
|
80 |
78 |
$12.28 |
| 82435 |
|
80 |
78 |
$12.28 |