| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
4,966 |
414 |
$26K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
112 |
79 |
$4K |
| 83970 |
|
167 |
154 |
$3K |
| 82310 |
|
849 |
408 |
$2K |
| 84100 |
|
852 |
406 |
$2K |
| 83550 |
|
411 |
403 |
$2K |
| 84520 |
|
928 |
406 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
510 |
118 |
$1K |
| 85018 |
|
1,203 |
387 |
$1K |
| 83540 |
|
411 |
403 |
$1K |
| 82040 |
|
451 |
406 |
$1K |
| 82565 |
|
409 |
401 |
$929.35 |
| 82374 |
|
406 |
397 |
$886.41 |
| 82728 |
|
145 |
142 |
$884.07 |
| 84132 |
|
434 |
398 |
$873.81 |
| 84295 |
|
401 |
394 |
$818.72 |
| 86704 |
|
21 |
18 |
$66.95 |
| 86706 |
|
21 |
18 |
$55.69 |
| 86803 |
|
20 |
17 |
$47.55 |
| 87340 |
|
21 |
18 |
$45.92 |
| A4657 |
Syringe, with or without needle, each |
1,357 |
216 |
$0.00 |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
397 |
390 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
31 |
31 |
$0.00 |