| Code | Description | Claims | Beneficiaries | Total Paid |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
24,641 |
2,199 |
$3.85M |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
19,177 |
1,340 |
$269K |
| A4657 |
Syringe, with or without needle, each |
23,171 |
1,996 |
$125K |
| 85018 |
|
9,252 |
2,316 |
$70K |
| 84520 |
|
4,850 |
2,288 |
$43K |
| J1756 |
Injection, iron sucrose, 1 mg |
9,192 |
1,480 |
$34K |
| 83970 |
|
3,044 |
2,259 |
$24K |
| 84155 |
|
2,495 |
1,918 |
$23K |
| 83540 |
|
2,995 |
2,245 |
$23K |
| 82310 |
|
2,474 |
1,022 |
$23K |
| 84460 |
|
2,775 |
2,111 |
$21K |
| 82728 |
|
2,417 |
1,793 |
$20K |
| 84075 |
|
2,003 |
1,611 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,377 |
1,871 |
$19K |
| 84450 |
|
539 |
535 |
$17K |
| 80069 |
|
1,736 |
1,393 |
$16K |
| 84100 |
|
1,625 |
912 |
$15K |
| 87340 |
|
1,768 |
1,277 |
$15K |
| 84466 |
|
869 |
861 |
$14K |
| 83550 |
|
2,044 |
1,314 |
$6K |
| 82108 |
|
447 |
302 |
$6K |
| 83735 |
|
709 |
453 |
$5K |
| 86706 |
|
443 |
301 |
$5K |
| 82040 |
|
1,443 |
793 |
$5K |
| J3490 |
Unclassified drugs |
821 |
133 |
$4K |
| 82565 |
|
978 |
553 |
$4K |
| 80051 |
|
841 |
489 |
$3K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
2,353 |
913 |
$2K |
| 86704 |
|
71 |
68 |
$2K |
| 86803 |
|
187 |
170 |
$514.32 |
| OP250 |
|
30,409 |
1,504 |
$93.35 |
| 82746 |
|
138 |
74 |
$5.28 |
| 90688 |
|
12 |
12 |
$2.06 |
| G0008 |
Administration of influenza virus vaccine |
132 |
92 |
$1.25 |
| J1644 |
Injection, heparin sodium, per 1000 units |
7,439 |
319 |
$0.00 |
| 85014 |
|
84 |
37 |
$0.00 |
| 85046 |
|
38 |
26 |
$0.00 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
155 |
13 |
$0.00 |
| 0002A |
|
14 |
14 |
$0.00 |
| 84132 |
|
82 |
51 |
$0.00 |
| 90686 |
|
76 |
46 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
62 |
43 |
$0.00 |