| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
6,473 |
503 |
$225K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
730 |
377 |
$33K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
239 |
80 |
$526.80 |
| J2501 |
Injection, paricalcitol, 1 mcg |
571 |
61 |
$441.18 |
| A4657 |
Syringe, with or without needle, each |
5,470 |
536 |
$240.38 |
| 83970 |
|
34 |
24 |
$40.07 |
| 80053 |
Comprehensive metabolic panel |
39 |
37 |
$10.25 |
| 85027 |
|
39 |
37 |
$6.28 |
| 84100 |
|
40 |
37 |
$4.60 |
| 84155 |
|
59 |
42 |
$0.00 |
| 85045 |
|
59 |
42 |
$0.00 |
| 84460 |
|
59 |
42 |
$0.00 |
| 84520 |
|
16 |
14 |
$0.00 |
| 83540 |
|
18 |
13 |
$0.00 |
| 87340 |
|
59 |
42 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
18 |
13 |
$0.00 |
| 83550 |
|
30 |
25 |
$0.00 |
| 85018 |
|
18 |
14 |
$0.00 |
| 84075 |
|
59 |
42 |
$0.00 |
| 82728 |
|
30 |
25 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
40 |
25 |
$0.00 |
| 86706 |
|
18 |
13 |
$0.00 |
| 80069 |
|
59 |
42 |
$0.00 |
| 83735 |
|
18 |
13 |
$0.00 |