| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
4,672 |
418 |
$266K |
| A4657 |
Syringe, with or without needle, each |
5,410 |
392 |
$4K |
| 85018 |
|
1,115 |
349 |
$673.60 |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
14 |
12 |
$48.60 |
| 84520 |
|
945 |
344 |
$7.02 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
418 |
337 |
$6.90 |
| 80051 |
|
123 |
103 |
$6.23 |
| 84075 |
|
131 |
110 |
$4.60 |
| 82310 |
|
135 |
107 |
$4.58 |
| 82565 |
|
122 |
101 |
$4.55 |
| 82040 |
|
125 |
104 |
$3.90 |
| 84155 |
|
414 |
336 |
$3.25 |
| 87340 |
|
376 |
295 |
$0.00 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
1,116 |
101 |
$0.00 |
| 83735 |
|
137 |
116 |
$0.00 |
| 82728 |
|
398 |
308 |
$0.00 |
| 86706 |
|
129 |
112 |
$0.00 |
| 86704 |
|
17 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
33 |
26 |
$0.00 |
| 80069 |
|
75 |
48 |
$0.00 |
| 82746 |
|
18 |
16 |
$0.00 |
| 84100 |
|
146 |
119 |
$0.00 |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
210 |
108 |
$0.00 |
| 83540 |
|
433 |
338 |
$0.00 |
| 84466 |
|
184 |
127 |
$0.00 |
| 83970 |
|
146 |
121 |
$0.00 |
| 82108 |
|
62 |
57 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
242 |
52 |
$0.00 |