| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
971 |
258 |
$26K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
3,636 |
285 |
$1K |
| 82040 |
|
314 |
288 |
$0.00 |
| 84075 |
|
315 |
291 |
$0.00 |
| 86706 |
|
112 |
97 |
$0.00 |
| 85018 |
|
997 |
285 |
$0.00 |
| 84132 |
|
375 |
291 |
$0.00 |
| 82728 |
|
112 |
98 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
318 |
291 |
$0.00 |
| 82435 |
|
316 |
291 |
$0.00 |
| 87340 |
|
319 |
290 |
$0.00 |
| 86803 |
|
21 |
21 |
$0.00 |
| 83550 |
|
112 |
98 |
$0.00 |
| 86704 |
|
35 |
27 |
$0.00 |
| 84460 |
|
308 |
284 |
$0.00 |
| 84450 |
|
312 |
288 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,809 |
147 |
$0.00 |
| 84295 |
|
316 |
291 |
$0.00 |
| 85014 |
|
993 |
285 |
$0.00 |
| 84520 |
|
653 |
291 |
$0.00 |
| 84100 |
|
549 |
292 |
$0.00 |
| 82310 |
|
671 |
292 |
$0.00 |
| 82565 |
|
315 |
291 |
$0.00 |
| 82374 |
|
316 |
291 |
$0.00 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
155 |
37 |
$0.00 |
| 83540 |
|
112 |
98 |
$0.00 |
| 83970 |
|
134 |
110 |
$0.00 |