| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
24,256 |
2,226 |
$5.39M |
| J3490 |
Unclassified drugs |
43,362 |
2,161 |
$369K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
2,590 |
1,454 |
$6K |
| J1756 |
Injection, iron sucrose, 1 mg |
7,299 |
1,557 |
$3K |
| S0169 |
Calcitrol, 0.25 microgram |
545 |
98 |
$2K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
2,168 |
209 |
$1K |
| A4657 |
Syringe, with or without needle, each |
9,591 |
1,887 |
$990.66 |
| J1644 |
Injection, heparin sodium, per 1000 units |
14,839 |
1,431 |
$586.77 |
| 90662 |
|
75 |
75 |
$171.08 |
| G0008 |
Administration of influenza virus vaccine |
74 |
74 |
$42.09 |