| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
11,120 |
899 |
$1.17M |
| A4657 |
Syringe, with or without needle, each |
5,580 |
416 |
$1K |
| 83970 |
|
279 |
259 |
$8.35 |
| 82728 |
|
275 |
257 |
$2.76 |
| 86706 |
|
28 |
28 |
$1.83 |
| 83550 |
|
764 |
708 |
$1.77 |
| 87340 |
|
46 |
41 |
$1.76 |
| 84520 |
|
1,743 |
712 |
$1.59 |
| 83540 |
|
762 |
706 |
$1.31 |
| 85018 |
|
2,208 |
670 |
$1.23 |
| 83735 |
|
85 |
79 |
$1.14 |
| 82310 |
|
899 |
721 |
$1.05 |
| 82565 |
|
791 |
709 |
$1.03 |
| G0307 |
Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) |
147 |
124 |
$1.02 |
| 82040 |
|
806 |
745 |
$1.00 |
| 82374 |
|
518 |
449 |
$0.99 |
| 84100 |
|
836 |
721 |
$0.96 |
| 84132 |
|
869 |
504 |
$0.93 |
| 84295 |
|
394 |
344 |
$0.88 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
212 |
124 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
307 |
61 |
$0.00 |