| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
30,750 |
2,439 |
$4.65M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,752 |
442 |
$661.80 |
| 84075 |
|
955 |
788 |
$0.00 |
| 82435 |
|
961 |
791 |
$0.00 |
| 82040 |
|
943 |
775 |
$0.00 |
| 84132 |
|
962 |
791 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
2,266 |
938 |
$0.00 |
| 90688 |
|
19 |
18 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
115 |
86 |
$0.00 |
| 82728 |
|
332 |
275 |
$0.00 |
| 86704 |
|
25 |
25 |
$0.00 |
| 87340 |
|
25 |
25 |
$0.00 |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
227 |
25 |
$0.00 |
| 86706 |
|
25 |
25 |
$0.00 |
| 84466 |
|
954 |
788 |
$0.00 |
| 82374 |
|
959 |
791 |
$0.00 |
| 84100 |
|
913 |
744 |
$0.00 |
| 83970 |
|
309 |
253 |
$0.00 |
| 83540 |
|
956 |
788 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
257 |
24 |
$0.00 |
| 84295 |
|
957 |
790 |
$0.00 |
| 82310 |
|
930 |
745 |
$0.00 |
| 84155 |
|
944 |
776 |
$0.00 |
| 84520 |
|
1,886 |
788 |
$0.00 |
| 82565 |
|
958 |
789 |
$0.00 |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
36 |
13 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
49 |
12 |
$0.00 |
| 82108 |
|
93 |
67 |
$0.00 |