| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
2,390 |
291 |
$171K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
479 |
280 |
$32K |
| A4657 |
Syringe, with or without needle, each |
3,495 |
308 |
$1K |
| J1756 |
Injection, iron sucrose, 1 mg |
109 |
29 |
$741.00 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
1,376 |
140 |
$483.88 |
| 84100 |
|
257 |
164 |
$0.00 |
| 84155 |
|
165 |
164 |
$0.00 |
| 84520 |
|
392 |
165 |
$0.00 |
| 83970 |
|
163 |
161 |
$0.00 |
| 83540 |
|
165 |
164 |
$0.00 |
| 82565 |
|
179 |
163 |
$0.00 |
| 82310 |
|
237 |
164 |
$0.00 |
| 82108 |
|
16 |
15 |
$0.00 |
| 83550 |
|
165 |
164 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
164 |
163 |
$0.00 |
| 85018 |
|
431 |
148 |
$0.00 |
| 82040 |
|
164 |
163 |
$0.00 |
| 80051 |
|
163 |
162 |
$0.00 |
| 84075 |
|
30 |
29 |
$0.00 |
| 82728 |
|
150 |
147 |
$0.00 |
| 82746 |
|
16 |
15 |
$0.00 |
| 83735 |
|
30 |
29 |
$0.00 |