| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
18,268 |
1,458 |
$533K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
477 |
297 |
$98K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
16,077 |
951 |
$85K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
8,675 |
769 |
$29K |
| 83970 |
|
1,206 |
1,079 |
$8K |
| J1756 |
Injection, iron sucrose, 1 mg |
2,903 |
761 |
$6K |
| A4657 |
Syringe, with or without needle, each |
1,899 |
1,418 |
$459.82 |
| G0499 |
Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result |
846 |
620 |
$0.00 |
| 83550 |
|
562 |
512 |
$0.00 |
| 82728 |
|
554 |
504 |
$0.00 |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
104 |
57 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
30 |
26 |
$0.00 |
| 90674 |
|
22 |
16 |
$0.00 |
| 83540 |
|
627 |
569 |
$0.00 |
| 85041 |
|
1,410 |
1,306 |
$0.00 |
| 85048 |
|
1,407 |
1,304 |
$0.00 |
| 82108 |
|
97 |
92 |
$0.00 |
| 85045 |
|
1,077 |
999 |
$0.00 |