| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
21,679 |
1,699 |
$507K |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
4,234 |
383 |
$4K |
| 83970 |
|
547 |
507 |
$2K |
| 84520 |
|
3,508 |
1,697 |
$1K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
93 |
33 |
$1K |
| 82728 |
|
921 |
829 |
$1K |
| 84132 |
|
2,128 |
1,689 |
$943.37 |
| 82310 |
|
2,049 |
1,689 |
$894.44 |
| 84460 |
|
1,836 |
1,688 |
$885.84 |
| 84100 |
|
2,076 |
1,689 |
$872.25 |
| 84075 |
|
1,837 |
1,688 |
$865.16 |
| 82565 |
|
1,836 |
1,688 |
$851.81 |
| 82374 |
|
1,837 |
1,688 |
$812.07 |
| 84295 |
|
1,836 |
1,688 |
$803.15 |
| 83550 |
|
923 |
829 |
$656.15 |
| 82040 |
|
1,838 |
1,688 |
$488.40 |
| 83540 |
|
923 |
829 |
$485.76 |
| 82947 |
|
910 |
808 |
$474.29 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
374 |
330 |
$320.19 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
93 |
33 |
$297.50 |
| 82962 |
|
998 |
90 |
$229.67 |
| G0008 |
Administration of influenza virus vaccine |
73 |
73 |
$120.85 |
| 85018 |
|
491 |
306 |
$97.66 |
| 90686 |
|
15 |
15 |
$57.09 |
| 87340 |
|
39 |
36 |
$41.78 |
| J2501 |
Injection, paricalcitol, 1 mcg |
7,732 |
638 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
1,699 |
1,499 |
$0.00 |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
12,175 |
1,064 |
$0.00 |
| 86704 |
|
13 |
12 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
1,801 |
709 |
$0.00 |