| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
4,492 |
1,582 |
$1.52M |
| J1756 |
Injection, iron sucrose, 1 mg |
806 |
616 |
$120K |
| A4657 |
Syringe, with or without needle, each |
2,668 |
1,512 |
$118K |
| J2501 |
Injection, paricalcitol, 1 mcg |
1,694 |
957 |
$2K |
| 82728 |
|
1,005 |
834 |
$416.00 |
| 84466 |
|
1,132 |
956 |
$390.00 |
| 86706 |
|
1,467 |
1,263 |
$312.00 |
| 87340 |
|
1,467 |
1,263 |
$299.00 |
| 84520 |
|
2,942 |
1,264 |
$270.00 |
| 86704 |
|
132 |
114 |
$224.00 |
| 83540 |
|
1,132 |
956 |
$195.00 |
| 82040 |
|
1,399 |
1,207 |
$156.00 |
| 84075 |
|
1,467 |
1,263 |
$156.00 |
| 84100 |
|
1,399 |
1,207 |
$156.00 |
| 82374 |
|
1,466 |
1,262 |
$156.00 |
| 82310 |
|
1,399 |
1,207 |
$156.00 |
| 82565 |
|
1,467 |
1,263 |
$156.00 |
| 82435 |
|
1,467 |
1,263 |
$143.00 |
| 84132 |
|
1,469 |
1,263 |
$143.00 |
| 84295 |
|
1,467 |
1,263 |
$143.00 |
| 84155 |
|
1,467 |
1,263 |
$104.00 |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
868 |
704 |
$0.00 |
| 90686 |
|
34 |
19 |
$0.00 |
| 86580 |
|
38 |
21 |
$0.00 |
| 85027 |
|
37 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
34 |
19 |
$0.00 |
| 83970 |
|
516 |
411 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,957 |
1,260 |
$0.00 |
| 82108 |
|
99 |
81 |
$0.00 |