| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
12,076 |
1,163 |
$1.37M |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
5,432 |
504 |
$267K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
352 |
224 |
$6K |
| J1756 |
Injection, iron sucrose, 1 mg |
755 |
198 |
$2K |
| 83970 |
|
504 |
463 |
$14.22 |
| 84466 |
|
913 |
818 |
$5.69 |
| 87340 |
|
899 |
806 |
$4.74 |
| 82728 |
|
511 |
472 |
$4.01 |
| 84520 |
|
1,169 |
826 |
$3.64 |
| 83540 |
|
914 |
818 |
$2.83 |
| 82310 |
|
931 |
820 |
$2.37 |
| 82374 |
|
915 |
819 |
$2.25 |
| 84100 |
|
964 |
820 |
$2.19 |
| 84295 |
|
915 |
819 |
$2.17 |
| 82565 |
|
920 |
819 |
$2.13 |
| 84075 |
|
914 |
819 |
$2.13 |
| 84132 |
|
954 |
819 |
$2.11 |
| 82435 |
|
915 |
819 |
$2.11 |
| 84155 |
|
914 |
819 |
$1.56 |
| 85045 |
|
916 |
818 |
$1.50 |
| 82040 |
|
925 |
820 |
$1.22 |
| 82108 |
|
16 |
15 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
5,252 |
1,012 |
$0.00 |
| 86706 |
|
92 |
88 |
$0.00 |
| 82607 |
|
93 |
89 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
25 |
24 |
$0.00 |
| 86704 |
|
56 |
45 |
$0.00 |