| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
2,379 |
270 |
$432K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
2,343 |
230 |
$425K |
| 85018 |
|
944 |
345 |
$67K |
| 84520 |
|
707 |
339 |
$56K |
| 82310 |
|
560 |
337 |
$45K |
| 84100 |
|
540 |
332 |
$43K |
| A4657 |
Syringe, with or without needle, each |
2,459 |
294 |
$38K |
| 83540 |
|
335 |
334 |
$24K |
| 83970 |
|
339 |
336 |
$24K |
| 84132 |
|
212 |
98 |
$23K |
| 84460 |
|
306 |
304 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
328 |
327 |
$21K |
| 80051 |
|
232 |
231 |
$21K |
| 82565 |
|
250 |
235 |
$21K |
| 82040 |
|
242 |
241 |
$21K |
| 84155 |
|
262 |
260 |
$17K |
| 83550 |
|
147 |
146 |
$16K |
| 82728 |
|
165 |
165 |
$13K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
74 |
54 |
$12K |
| J1756 |
Injection, iron sucrose, 1 mg |
746 |
192 |
$11K |
| 87340 |
|
147 |
145 |
$9K |
| 84450 |
|
99 |
99 |
$9K |
| 84075 |
|
100 |
100 |
$9K |
| 84466 |
|
185 |
185 |
$8K |
| 82247 |
|
92 |
92 |
$8K |
| 83735 |
|
97 |
97 |
$5K |
| 82108 |
|
59 |
56 |
$5K |
| 86706 |
|
60 |
58 |
$3K |
| 82746 |
|
38 |
38 |
$3K |
| 80069 |
|
57 |
57 |
$2K |
| 80053 |
Comprehensive metabolic panel |
29 |
29 |
$1K |
| J1644 |
Injection, heparin sodium, per 1000 units |
215 |
12 |
$64.00 |
| J3490 |
Unclassified drugs |
363 |
67 |
$20.31 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
17 |
$0.00 |