| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
6,589 |
765 |
$843K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
12,786 |
903 |
$14K |
| 82728 |
|
435 |
359 |
$0.00 |
| 83550 |
|
392 |
323 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
3,818 |
1,022 |
$0.00 |
| G0499 |
Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result |
109 |
46 |
$0.00 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
305 |
37 |
$0.00 |
| 83540 |
|
392 |
323 |
$0.00 |
| 85048 |
|
604 |
525 |
$0.00 |
| 85041 |
|
650 |
553 |
$0.00 |
| 83970 |
|
642 |
518 |
$0.00 |
| 85045 |
|
561 |
491 |
$0.00 |
| 82108 |
|
207 |
168 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
38 |
12 |
$0.00 |