| Code | Description | Claims | Beneficiaries | Total Paid |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
15,220 |
1,378 |
$3.33M |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
2,891 |
248 |
$341K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
5,088 |
1,537 |
$317K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
1,060 |
125 |
$18K |
| J2501 |
Injection, paricalcitol, 1 mcg |
13,148 |
1,194 |
$707.20 |
| 90688 |
|
16 |
16 |
$71.36 |
| G0008 |
Administration of influenza virus vaccine |
19 |
19 |
$56.00 |
| 84100 |
|
12 |
12 |
$0.00 |
| 85046 |
|
105 |
102 |
$0.00 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
2,807 |
787 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
1,603 |
413 |
$0.00 |
| 83540 |
|
94 |
93 |
$0.00 |
| 84460 |
|
92 |
91 |
$0.00 |
| 84450 |
|
99 |
97 |
$0.00 |
| 83970 |
|
26 |
23 |
$0.00 |
| 84520 |
|
23 |
12 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
14,158 |
1,229 |
$0.00 |
| 87340 |
|
91 |
90 |
$0.00 |
| 80069 |
|
98 |
96 |
$0.00 |
| 82728 |
|
23 |
23 |
$0.00 |
| 83550 |
|
113 |
111 |
$0.00 |
| 86706 |
|
22 |
22 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
95 |
93 |
$0.00 |
| 84075 |
|
100 |
98 |
$0.00 |