| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
8,663 |
922 |
$783K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
946 |
607 |
$12K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,010 |
327 |
$509.62 |
| 84075 |
|
1,998 |
1,980 |
$0.00 |
| 82746 |
|
159 |
158 |
$0.00 |
| 82728 |
|
783 |
727 |
$0.00 |
| 82040 |
|
2,784 |
1,939 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
9,968 |
1,649 |
$0.00 |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
1,695 |
205 |
$0.00 |
| 82607 |
|
168 |
167 |
$0.00 |
| 80051 |
|
1,749 |
1,730 |
$0.00 |
| 90677 |
|
13 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,137 |
1,122 |
$0.00 |
| 85018 |
|
3,707 |
1,758 |
$0.00 |
| 87340 |
|
609 |
600 |
$0.00 |
| 83735 |
|
136 |
135 |
$0.00 |
| 82435 |
|
195 |
195 |
$0.00 |
| 84132 |
|
177 |
164 |
$0.00 |
| 86706 |
|
59 |
58 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
12 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
171 |
170 |
$0.00 |
| 83540 |
|
2,229 |
1,893 |
$0.00 |
| 82310 |
|
2,082 |
1,953 |
$0.00 |
| 84295 |
|
119 |
119 |
$0.00 |
| 84520 |
|
3,307 |
1,456 |
$0.00 |
| 83970 |
|
1,254 |
1,081 |
$0.00 |
| 84100 |
|
3,038 |
1,825 |
$0.00 |
| 84466 |
|
1,829 |
1,559 |
$0.00 |
| 85014 |
|
1,480 |
806 |
$0.00 |
| 82565 |
|
1,962 |
1,944 |
$0.00 |
| 82374 |
|
486 |
360 |
$0.00 |
| 82108 |
|
142 |
142 |
$0.00 |
| 84155 |
|
1,615 |
1,600 |
$0.00 |
| 84450 |
|
126 |
119 |
$0.00 |