| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
25,117 |
921 |
$586K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
430 |
239 |
$3K |
| 83970 |
|
466 |
312 |
$1K |
| 83550 |
|
1,119 |
732 |
$545.55 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,032 |
681 |
$442.84 |
| 83540 |
|
1,117 |
732 |
$403.68 |
| 82652 |
|
137 |
100 |
$346.50 |
| 82728 |
|
362 |
244 |
$294.48 |
| 85046 |
|
1,046 |
692 |
$292.26 |
| 82108 |
|
147 |
103 |
$275.16 |
| 84155 |
|
1,045 |
689 |
$199.08 |
| 80069 |
|
390 |
258 |
$187.44 |
| 83735 |
|
336 |
229 |
$144.72 |
| 84520 |
|
670 |
292 |
$135.28 |
| 84075 |
|
361 |
244 |
$111.84 |
| 82310 |
|
183 |
120 |
$55.68 |
| 80051 |
|
145 |
91 |
$44.17 |
| 87340 |
|
105 |
81 |
$37.20 |
| 82040 |
|
157 |
97 |
$35.68 |
| 82565 |
|
153 |
101 |
$32.27 |
| 84100 |
|
173 |
110 |
$21.35 |
| A4657 |
Syringe, with or without needle, each |
722 |
51 |
$0.00 |
| 86706 |
|
58 |
44 |
$0.00 |
| 90686 |
|
21 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
46 |
30 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
371 |
115 |
$0.00 |