| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
2,328 |
278 |
$81K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
810 |
519 |
$79K |
| 83970 |
|
441 |
428 |
$19K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
4,351 |
491 |
$5K |
| J1756 |
Injection, iron sucrose, 1 mg |
681 |
180 |
$3K |
| 87340 |
|
664 |
655 |
$1K |
| 82728 |
|
307 |
297 |
$837.76 |
| A4657 |
Syringe, with or without needle, each |
11,680 |
838 |
$516.88 |
| 83550 |
|
816 |
808 |
$1.87 |
| 84520 |
|
2,027 |
828 |
$1.68 |
| 85018 |
|
2,354 |
788 |
$1.53 |
| 83540 |
|
823 |
811 |
$1.38 |
| 84460 |
|
790 |
782 |
$1.13 |
| 84075 |
|
429 |
422 |
$1.11 |
| 82310 |
|
857 |
814 |
$1.10 |
| 84450 |
|
819 |
811 |
$1.10 |
| 82565 |
|
864 |
814 |
$1.09 |
| 80051 |
|
811 |
803 |
$1.07 |
| 82040 |
|
822 |
814 |
$1.06 |
| 84100 |
|
827 |
813 |
$1.02 |
| 84155 |
|
813 |
805 |
$0.78 |
| 85027 |
|
12 |
12 |
$0.00 |
| 84132 |
|
258 |
122 |
$0.00 |
| 86706 |
|
73 |
69 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
115 |
114 |
$0.00 |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
343 |
48 |
$0.00 |
| 86704 |
|
65 |
61 |
$0.00 |
| 83735 |
|
25 |
25 |
$0.00 |
| 86803 |
|
25 |
24 |
$0.00 |
| 86705 |
|
44 |
41 |
$0.00 |