| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
13,145 |
1,083 |
$2.03M |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
7,116 |
529 |
$306K |
| A4657 |
Syringe, with or without needle, each |
16,919 |
982 |
$75K |
| 85018 |
|
3,194 |
744 |
$2K |
| 80069 |
|
639 |
447 |
$2K |
| 83970 |
|
1,200 |
779 |
$179.08 |
| J1756 |
Injection, iron sucrose, 1 mg |
2,378 |
392 |
$69.77 |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,392 |
572 |
$42.25 |
| 83550 |
|
1,213 |
784 |
$38.70 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,159 |
754 |
$36.08 |
| OP250 |
|
12,387 |
554 |
$33.85 |
| 83540 |
|
1,218 |
786 |
$28.91 |
| J1644 |
Injection, heparin sodium, per 1000 units |
9,141 |
360 |
$25.88 |
| 84460 |
|
1,172 |
761 |
$23.86 |
| 82728 |
|
734 |
470 |
$18.90 |
| 84155 |
|
1,091 |
714 |
$15.68 |
| 82607 |
|
78 |
52 |
$15.08 |
| 82746 |
|
85 |
54 |
$14.70 |
| 86803 |
|
34 |
29 |
$14.27 |
| 86706 |
|
100 |
62 |
$10.74 |
| 87340 |
|
178 |
115 |
$10.33 |
| 83735 |
|
381 |
231 |
$6.70 |
| 84075 |
|
393 |
240 |
$5.18 |
| 84520 |
|
1,689 |
774 |
$2.24 |
| 84132 |
|
377 |
88 |
$0.00 |
| 86704 |
|
77 |
52 |
$0.00 |
| 82040 |
|
39 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
13 |
$0.00 |
| 84100 |
|
463 |
165 |
$0.00 |
| 82108 |
|
101 |
61 |
$0.00 |
| 82310 |
|
152 |
41 |
$0.00 |