| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
6,305 |
497 |
$32K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
507 |
302 |
$3K |
| J1756 |
Injection, iron sucrose, 1 mg |
524 |
130 |
$899.00 |
| 83970 |
|
436 |
366 |
$195.12 |
| A4657 |
Syringe, with or without needle, each |
500 |
412 |
$166.35 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
64 |
40 |
$118.40 |
| 82728 |
|
392 |
333 |
$79.52 |
| 84466 |
|
64 |
40 |
$51.04 |
| 83540 |
|
428 |
366 |
$50.00 |
| 84132 |
|
108 |
39 |
$33.32 |
| 84460 |
|
444 |
360 |
$26.04 |
| 87340 |
|
438 |
325 |
$25.00 |
| 82310 |
|
456 |
331 |
$20.48 |
| 82565 |
|
424 |
361 |
$20.36 |
| 82040 |
|
455 |
364 |
$19.85 |
| 84075 |
|
63 |
39 |
$15.54 |
| 84100 |
|
72 |
39 |
$14.22 |
| 82374 |
|
69 |
39 |
$14.10 |
| 82435 |
|
68 |
39 |
$13.80 |
| 84155 |
|
63 |
39 |
$11.01 |
| 84520 |
|
357 |
321 |
$4.39 |
| 85018 |
|
185 |
87 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 86706 |
|
12 |
12 |
$0.00 |
| 85014 |
|
173 |
86 |
$0.00 |
| 85048 |
|
12 |
12 |
$0.00 |
| 90756 |
|
13 |
13 |
$0.00 |
| 85049 |
|
41 |
27 |
$0.00 |
| 85041 |
|
41 |
27 |
$0.00 |
| 85004 |
|
29 |
15 |
$0.00 |