| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
34,073 |
2,162 |
$1.21M |
| A4657 |
Syringe, with or without needle, each |
2,837 |
1,507 |
$433K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
30,916 |
1,446 |
$59K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
414 |
138 |
$6K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
34 |
33 |
$3K |
| J1756 |
Injection, iron sucrose, 1 mg |
4,336 |
910 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14 |
14 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16 |
16 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
15 |
15 |
$2K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
13,960 |
946 |
$636.53 |
| 80053 |
Comprehensive metabolic panel |
18 |
17 |
$370.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
23 |
21 |
$213.36 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
14 |
$90.16 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
16 |
$70.16 |
| 90674 |
|
61 |
43 |
$35.93 |
| G0008 |
Administration of influenza virus vaccine |
66 |
51 |
$26.56 |
| 85041 |
|
1,570 |
1,121 |
$0.00 |
| 83540 |
|
981 |
653 |
$0.00 |
| 85048 |
|
1,552 |
1,108 |
$0.00 |
| 83970 |
|
1,077 |
691 |
$0.00 |
| 82108 |
|
131 |
95 |
$0.00 |
| 90670 |
|
15 |
14 |
$0.00 |
| 83550 |
|
835 |
595 |
$0.00 |
| 82728 |
|
968 |
638 |
$0.00 |
| G0499 |
Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result |
494 |
186 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
28 |
20 |
$0.00 |