| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
18,016 |
1,342 |
$1.38M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
794 |
474 |
$63K |
| A4657 |
Syringe, with or without needle, each |
20,657 |
962 |
$6K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,607 |
364 |
$5K |
| 83970 |
|
1,059 |
908 |
$852.48 |
| 84520 |
|
1,904 |
788 |
$204.24 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
782 |
706 |
$193.92 |
| 83540 |
|
1,003 |
903 |
$32.99 |
| 83550 |
|
934 |
837 |
$24.25 |
| 85018 |
|
2,004 |
677 |
$4.10 |
| J1644 |
Injection, heparin sodium, per 1000 units |
9,269 |
378 |
$2.60 |
| 82728 |
|
393 |
336 |
$2.16 |
| 82040 |
|
702 |
598 |
$0.00 |
| 84075 |
|
346 |
297 |
$0.00 |
| 80051 |
|
612 |
549 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
68 |
60 |
$0.00 |
| 87340 |
|
251 |
215 |
$0.00 |
| 83735 |
|
355 |
308 |
$0.00 |
| J3490 |
Unclassified drugs |
350 |
108 |
$0.00 |
| 86706 |
|
115 |
99 |
$0.00 |
| 80069 |
|
29 |
25 |
$0.00 |
| 82607 |
|
54 |
42 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
56 |
44 |
$0.00 |
| 82310 |
|
923 |
632 |
$0.00 |
| 82565 |
|
624 |
554 |
$0.00 |
| 84100 |
|
960 |
661 |
$0.00 |
| 84155 |
|
924 |
828 |
$0.00 |
| 82947 |
|
214 |
192 |
$0.00 |
| 82108 |
|
119 |
103 |
$0.00 |
| 90682 |
|
26 |
23 |
$0.00 |