| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
6,702 |
558 |
$354K |
| 90945 |
|
430 |
36 |
$84K |
| J2501 |
Injection, paricalcitol, 1 mcg |
2,879 |
419 |
$20K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
898 |
216 |
$9K |
| A4657 |
Syringe, with or without needle, each |
443 |
55 |
$4K |
| 82040 |
|
143 |
134 |
$970.43 |
| 83970 |
|
58 |
56 |
$631.82 |
| 82728 |
|
142 |
139 |
$485.32 |
| 84466 |
|
186 |
182 |
$456.25 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
187 |
186 |
$442.31 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
223 |
218 |
$327.24 |
| 90686 |
|
15 |
14 |
$305.37 |
| 83735 |
|
142 |
139 |
$263.93 |
| 84520 |
|
299 |
181 |
$255.08 |
| 83540 |
|
145 |
141 |
$236.31 |
| 82310 |
|
140 |
134 |
$167.45 |
| 82947 |
|
189 |
182 |
$156.06 |
| 84132 |
|
176 |
161 |
$155.22 |
| 84100 |
|
153 |
146 |
$151.37 |
| 84295 |
|
167 |
162 |
$151.00 |
| 82565 |
|
142 |
134 |
$147.17 |
| 82435 |
|
138 |
134 |
$146.47 |
| 82374 |
|
138 |
134 |
$145.57 |
| 86803 |
|
48 |
48 |
$106.96 |
| 83718 |
|
38 |
38 |
$102.48 |
| 84460 |
|
118 |
115 |
$72.90 |
| 84478 |
|
38 |
38 |
$64.17 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
35 |
35 |
$62.90 |
| 82465 |
|
38 |
38 |
$39.98 |
| 85018 |
|
50 |
40 |
$35.87 |
| 85014 |
|
50 |
40 |
$35.87 |
| 83550 |
|
144 |
141 |
$31.84 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
15 |
15 |
$0.00 |