| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 84295 |
|
297 |
278 |
$0.00 |
| 82310 |
|
333 |
299 |
$0.00 |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
9,039 |
1,118 |
$0.00 |
| 84155 |
|
441 |
402 |
$0.00 |
| 84520 |
|
863 |
389 |
$0.00 |
| 82565 |
|
499 |
402 |
$0.00 |
| 84466 |
|
430 |
388 |
$0.00 |
| 90662 |
|
24 |
24 |
$0.00 |
| 84100 |
|
333 |
299 |
$0.00 |
| 82374 |
|
297 |
278 |
$0.00 |
| 82108 |
|
25 |
24 |
$0.00 |
| 83540 |
|
145 |
144 |
$0.00 |
| 83970 |
|
287 |
259 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
105 |
12 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
57 |
24 |
$0.00 |
| 87340 |
|
343 |
306 |
$0.00 |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
5,874 |
794 |
$0.00 |
| 82728 |
|
145 |
144 |
$0.00 |
| 84075 |
|
441 |
402 |
$0.00 |
| 84132 |
|
297 |
278 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
5,652 |
627 |
$0.00 |
| 85027 |
|
406 |
368 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
67 |
66 |
$0.00 |
| 84134 |
|
439 |
401 |
$0.00 |
| 82040 |
|
333 |
299 |
$0.00 |
| 82435 |
|
297 |
278 |
$0.00 |
| 80051 |
|
83 |
73 |
$0.00 |
| 83735 |
|
26 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
24 |
24 |
$0.00 |
| 86706 |
|
25 |
24 |
$0.00 |