| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
28,545 |
2,496 |
$3.28M |
| A4657 |
Syringe, with or without needle, each |
17,305 |
1,364 |
$109K |
| 0250 |
|
8,692 |
827 |
$60K |
| 85018 |
|
6,125 |
1,884 |
$41K |
| J3490 |
Unclassified drugs |
2,142 |
172 |
$38K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
2,284 |
1,389 |
$34K |
| J1756 |
Injection, iron sucrose, 1 mg |
4,084 |
1,098 |
$33K |
| 80051 |
|
1,520 |
1,486 |
$30K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,298 |
109 |
$28K |
| 84520 |
|
4,010 |
1,773 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,605 |
1,545 |
$14K |
| 84155 |
|
1,002 |
966 |
$7K |
| J1644 |
Injection, heparin sodium, per 1000 units |
4,745 |
235 |
$5K |
| 82310 |
|
2,099 |
1,615 |
$5K |
| 84100 |
|
2,525 |
1,674 |
$4K |
| 82040 |
|
1,861 |
1,587 |
$2K |
| 86706 |
|
162 |
158 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
91 |
91 |
$2K |
| 83540 |
|
1,743 |
1,702 |
$1K |
| 82565 |
|
1,652 |
1,570 |
$1K |
| 83970 |
|
1,113 |
1,094 |
$1K |
| 82728 |
|
1,243 |
1,226 |
$1K |
| 90688 |
|
35 |
35 |
$788.02 |
| 87340 |
|
170 |
164 |
$745.83 |
| 83550 |
|
1,728 |
1,686 |
$282.23 |
| 84132 |
|
196 |
101 |
$231.97 |
| 90686 |
|
30 |
30 |
$79.73 |
| 83735 |
|
384 |
373 |
$60.37 |
| 82108 |
|
238 |
228 |
$53.66 |
| 84075 |
|
535 |
522 |
$50.91 |
| 84460 |
|
97 |
97 |
$10.56 |
| 82607 |
|
12 |
12 |
$0.00 |
| 82746 |
|
42 |
42 |
$0.00 |
| 0304 |
|
354 |
22 |
$0.00 |
| 0636 |
|
68 |
19 |
$0.00 |
| 86803 |
|
26 |
26 |
$0.00 |
| 0270 |
|
242 |
18 |
$0.00 |