| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
2,024 |
165 |
$7K |
| A4657 |
Syringe, with or without needle, each |
579 |
86 |
$6.64 |
| 84155 |
|
179 |
177 |
$0.00 |
| 82310 |
|
183 |
176 |
$0.00 |
| 84295 |
|
176 |
174 |
$0.00 |
| 84100 |
|
179 |
175 |
$0.00 |
| 82374 |
|
177 |
175 |
$0.00 |
| 82565 |
|
183 |
176 |
$0.00 |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
532 |
195 |
$0.00 |
| 83540 |
|
186 |
177 |
$0.00 |
| 84520 |
|
486 |
176 |
$0.00 |
| 83970 |
|
60 |
59 |
$0.00 |
| 82108 |
|
12 |
12 |
$0.00 |
| 84466 |
|
39 |
39 |
$0.00 |
| 83550 |
|
146 |
137 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
138 |
136 |
$0.00 |
| 82728 |
|
59 |
58 |
$0.00 |
| 82040 |
|
178 |
175 |
$0.00 |
| 83735 |
|
54 |
53 |
$0.00 |
| 84075 |
|
178 |
177 |
$0.00 |
| 87340 |
|
61 |
61 |
$0.00 |
| 82435 |
|
41 |
40 |
$0.00 |
| 84132 |
|
177 |
175 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$0.00 |
| 86704 |
|
12 |
12 |
$0.00 |
| 86706 |
|
24 |
24 |
$0.00 |