| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
14,619 |
907 |
$258K |
| 80051 |
|
889 |
588 |
$91K |
| 82040 |
|
1,158 |
835 |
$9K |
| 84520 |
|
2,876 |
855 |
$1K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
6,209 |
375 |
$962.66 |
| 82310 |
|
1,299 |
847 |
$537.32 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
82 |
58 |
$522.10 |
| J1644 |
Injection, heparin sodium, per 1000 units |
12,256 |
716 |
$266.49 |
| 85027 |
|
5,055 |
907 |
$142.30 |
| 82728 |
|
1,027 |
716 |
$0.00 |
| 83550 |
|
1,019 |
716 |
$0.00 |
| 84075 |
|
1,033 |
751 |
$0.00 |
| 84132 |
|
397 |
270 |
$0.00 |
| 86803 |
|
179 |
124 |
$0.00 |
| 83735 |
|
870 |
575 |
$0.00 |
| 87340 |
|
238 |
208 |
$0.00 |
| 86706 |
|
95 |
70 |
$0.00 |
| 82435 |
|
261 |
245 |
$0.00 |
| 82746 |
|
95 |
70 |
$0.00 |
| 82607 |
|
95 |
70 |
$0.00 |
| 90686 |
|
31 |
13 |
$0.00 |
| 86704 |
|
82 |
58 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
122 |
59 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
31 |
13 |
$0.00 |
| 84450 |
|
1,124 |
819 |
$0.00 |
| 84100 |
|
1,167 |
835 |
$0.00 |
| 83540 |
|
1,019 |
716 |
$0.00 |
| 84295 |
|
263 |
245 |
$0.00 |
| 83970 |
|
380 |
266 |
$0.00 |
| 82374 |
|
261 |
245 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
152 |
61 |
$0.00 |