| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
241 |
43 |
$6K |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
2,411 |
531 |
$162.00 |
| 85018 |
|
1,214 |
891 |
$7.96 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
271 |
270 |
$6.53 |
| 84520 |
|
2,022 |
1,213 |
$0.00 |
| 84155 |
|
1,320 |
1,261 |
$0.00 |
| 84295 |
|
392 |
370 |
$0.00 |
| 84460 |
|
1,256 |
1,208 |
$0.00 |
| 82565 |
|
396 |
372 |
$0.00 |
| 82310 |
|
208 |
195 |
$0.00 |
| 83540 |
|
321 |
315 |
$0.00 |
| 82374 |
|
208 |
196 |
$0.00 |
| 83970 |
|
447 |
437 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
501 |
115 |
$0.00 |
| 84100 |
|
236 |
224 |
$0.00 |
| 80061 |
Lipid panel |
54 |
53 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
41 |
17 |
$0.00 |
| 86803 |
|
29 |
27 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
902 |
897 |
$0.00 |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
1,379 |
222 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
98 |
95 |
$0.00 |
| 80069 |
|
952 |
915 |
$0.00 |
| 83550 |
|
433 |
425 |
$0.00 |
| 87340 |
|
564 |
553 |
$0.00 |
| 82728 |
|
431 |
424 |
$0.00 |
| 82040 |
|
398 |
373 |
$0.00 |
| 84075 |
|
1,135 |
1,090 |
$0.00 |
| 86706 |
|
107 |
102 |
$0.00 |
| 82435 |
|
207 |
195 |
$0.00 |
| 84132 |
|
463 |
373 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
2,165 |
286 |
$0.00 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
15 |
15 |
$0.00 |