| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
18,672 |
1,378 |
$738K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
3,945 |
259 |
$340K |
| A4657 |
Syringe, with or without needle, each |
49,876 |
1,749 |
$327K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
14,300 |
432 |
$169K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
4,684 |
900 |
$126K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
15,879 |
1,263 |
$82K |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
11,873 |
989 |
$33K |
| 80053 |
Comprehensive metabolic panel |
1,815 |
1,432 |
$13K |
| 83970 |
|
722 |
537 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,693 |
1,595 |
$13K |
| J1644 |
Injection, heparin sodium, per 1000 units |
21,345 |
1,065 |
$9K |
| 87340 |
|
1,150 |
892 |
$5K |
| 84100 |
|
2,196 |
1,485 |
$4K |
| 84520 |
|
2,044 |
1,299 |
$1K |
| 87350 |
|
350 |
343 |
$1K |
| 80061 |
Lipid panel |
189 |
151 |
$1K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
1,285 |
93 |
$934.08 |
| 86803 |
|
154 |
140 |
$794.52 |
| 86317 |
|
130 |
98 |
$764.52 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
149 |
87 |
$741.74 |
| 82728 |
|
89 |
87 |
$530.40 |
| 83540 |
|
110 |
109 |
$262.78 |
| G0008 |
Administration of influenza virus vaccine |
75 |
57 |
$243.21 |
| 90658 |
|
73 |
57 |
$137.80 |
| 86580 |
|
117 |
99 |
$115.27 |
| 86706 |
|
25 |
25 |
$87.79 |
| 83690 |
|
18 |
18 |
$23.19 |
| 82310 |
|
32 |
27 |
$21.85 |