| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
687 |
118 |
$8K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
70 |
12 |
$4K |
| 80053 |
Comprehensive metabolic panel |
951 |
901 |
$163.86 |
| 84520 |
|
706 |
508 |
$42.38 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
327 |
315 |
$42.00 |
| 84100 |
|
680 |
621 |
$34.80 |
| 85018 |
|
468 |
266 |
$25.60 |
| 85014 |
|
583 |
321 |
$25.60 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
10,197 |
999 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
8,191 |
898 |
$0.00 |
| 82728 |
|
293 |
277 |
$0.00 |
| 86706 |
|
37 |
36 |
$0.00 |
| 83550 |
|
244 |
228 |
$0.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
21 |
21 |
$0.00 |
| 96376 |
|
71 |
41 |
$0.00 |
| 87340 |
|
25 |
25 |
$0.00 |
| 86803 |
|
42 |
40 |
$0.00 |
| 83970 |
|
179 |
168 |
$0.00 |
| 83540 |
|
277 |
260 |
$0.00 |