| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
13,291 |
1,034 |
$1.47M |
| A4657 |
Syringe, with or without needle, each |
11,484 |
773 |
$52K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
2,202 |
617 |
$25K |
| 0821 |
|
160 |
12 |
$8K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
445 |
163 |
$4K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
163 |
12 |
$2K |
| J1644 |
Injection, heparin sodium, per 1000 units |
8,861 |
744 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,133 |
358 |
$1K |
| 82728 |
|
533 |
514 |
$465.96 |
| 84466 |
|
566 |
544 |
$458.37 |
| 87350 |
|
695 |
640 |
$425.72 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
566 |
546 |
$280.83 |
| 90686 |
|
38 |
35 |
$202.82 |
| 84460 |
|
700 |
637 |
$190.59 |
| 82247 |
|
699 |
637 |
$170.79 |
| 82947 |
|
691 |
637 |
$137.68 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
166 |
153 |
$70.84 |
| 83615 |
|
715 |
652 |
$65.49 |
| 82108 |
|
39 |
38 |
$58.56 |
| 86803 |
|
43 |
42 |
$37.32 |
| 83735 |
|
102 |
92 |
$11.86 |
| G0008 |
Administration of influenza virus vaccine |
23 |
22 |
$0.00 |