| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
6,249 |
512 |
$546K |
| 80053 |
Comprehensive metabolic panel |
65 |
64 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
335 |
318 |
$0.00 |
| 82728 |
|
192 |
173 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |
| 87340 |
|
38 |
38 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
83 |
81 |
$0.00 |
| 86706 |
|
38 |
38 |
$0.00 |
| 83970 |
|
566 |
532 |
$0.00 |
| 84466 |
|
558 |
534 |
$0.00 |
| 84100 |
|
592 |
534 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
5,212 |
435 |
$0.00 |
| 83540 |
|
559 |
534 |
$0.00 |
| 84520 |
|
782 |
459 |
$0.00 |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
121 |
49 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
1,720 |
174 |
$0.00 |
| 85045 |
|
189 |
171 |
$0.00 |
| 82108 |
|
87 |
85 |
$0.00 |
| 90756 |
|
25 |
25 |
$0.00 |