| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
4,664 |
449 |
$161K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,384 |
403 |
$58K |
| A4657 |
Syringe, with or without needle, each |
3,228 |
447 |
$216.88 |
| J2501 |
Injection, paricalcitol, 1 mcg |
95 |
12 |
$13.26 |
| 83540 |
|
333 |
306 |
$0.00 |
| 84520 |
|
490 |
306 |
$0.00 |
| 83970 |
|
334 |
305 |
$0.00 |
| 84466 |
|
333 |
306 |
$0.00 |
| 86705 |
|
173 |
167 |
$0.00 |
| 84100 |
|
243 |
204 |
$0.00 |
| 85045 |
|
326 |
301 |
$0.00 |
| 84155 |
|
334 |
306 |
$0.00 |
| 85014 |
|
215 |
190 |
$0.00 |
| 82310 |
|
237 |
192 |
$0.00 |
| 82108 |
|
17 |
14 |
$0.00 |
| 87340 |
|
333 |
306 |
$0.00 |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
173 |
165 |
$0.00 |
| 80069 |
|
332 |
306 |
$0.00 |
| 86706 |
|
206 |
197 |
$0.00 |
| 82728 |
|
333 |
306 |
$0.00 |
| 83735 |
|
333 |
306 |
$0.00 |
| 86803 |
|
20 |
16 |
$0.00 |
| 85018 |
|
406 |
244 |
$0.00 |
| 84075 |
|
333 |
306 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
13 |
$0.00 |
| 84132 |
|
138 |
54 |
$0.00 |
| 84134 |
|
16 |
13 |
$0.00 |