| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
18,775 |
1,432 |
$546K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
3,319 |
598 |
$77.60 |
| 84155 |
|
1,270 |
872 |
$0.00 |
| 83970 |
|
1,391 |
905 |
$0.00 |
| 84520 |
|
3,382 |
915 |
$0.00 |
| 84100 |
|
1,528 |
893 |
$0.00 |
| 82374 |
|
1,327 |
895 |
$0.00 |
| 82565 |
|
1,332 |
895 |
$0.00 |
| 83540 |
|
1,309 |
894 |
$0.00 |
| 82310 |
|
1,397 |
895 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
1,218 |
319 |
$0.00 |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
784 |
253 |
$0.00 |
| 84295 |
|
1,328 |
891 |
$0.00 |
| 84466 |
|
1,307 |
892 |
$0.00 |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,384 |
286 |
$0.00 |
| 82108 |
|
117 |
77 |
$0.00 |
| 87340 |
|
1,314 |
900 |
$0.00 |
| 85027 |
|
1,325 |
901 |
$0.00 |
| 86704 |
|
46 |
32 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
18,840 |
1,318 |
$0.00 |
| 82040 |
|
1,315 |
874 |
$0.00 |
| 84132 |
|
1,482 |
893 |
$0.00 |
| 84075 |
|
1,311 |
893 |
$0.00 |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
6,103 |
597 |
$0.00 |
| 82435 |
|
1,327 |
895 |
$0.00 |
| 82728 |
|
1,323 |
907 |
$0.00 |
| 86706 |
|
169 |
116 |
$0.00 |
| 82746 |
|
180 |
125 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
226 |
150 |
$0.00 |