| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
241 |
192 |
$173K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
2,540 |
354 |
$140K |
| J1756 |
Injection, iron sucrose, 1 mg |
47 |
39 |
$21K |
| J1644 |
Injection, heparin sodium, per 1000 units |
26 |
26 |
$21K |
| A4657 |
Syringe, with or without needle, each |
248 |
237 |
$0.00 |
| 83550 |
|
331 |
323 |
$0.00 |
| 86706 |
|
38 |
35 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
332 |
324 |
$0.00 |
| 82728 |
|
119 |
116 |
$0.00 |
| 85018 |
|
332 |
324 |
$0.00 |
| 80051 |
|
129 |
126 |
$0.00 |
| J3490 |
Unclassified drugs |
83 |
55 |
$0.00 |
| 87340 |
|
37 |
35 |
$0.00 |
| 82040 |
|
129 |
126 |
$0.00 |
| 83735 |
|
113 |
110 |
$0.00 |
| 84075 |
|
117 |
114 |
$0.00 |
| 80069 |
|
13 |
12 |
$0.00 |
| 84100 |
|
131 |
128 |
$0.00 |
| 84450 |
|
279 |
274 |
$0.00 |
| 84155 |
|
334 |
327 |
$0.00 |
| 84520 |
|
404 |
325 |
$0.00 |
| 83970 |
|
119 |
116 |
$0.00 |
| 83540 |
|
336 |
328 |
$0.00 |
| 82310 |
|
142 |
139 |
$0.00 |
| 82565 |
|
122 |
119 |
$0.00 |