| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
14,624 |
1,327 |
$2.90M |
| J3490 |
Unclassified drugs |
43,667 |
1,079 |
$504K |
| A4657 |
Syringe, with or without needle, each |
11,335 |
1,130 |
$82K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,107 |
575 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
2,624 |
507 |
$518.40 |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
230 |
24 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
4,736 |
440 |
$0.00 |