| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
15,812 |
1,346 |
$1.37M |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
5,213 |
778 |
$140K |
| J1756 |
Injection, iron sucrose, 1 mg |
582 |
132 |
$24K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
959 |
173 |
$22K |
| 82728 |
|
330 |
317 |
$3K |
| 82108 |
|
45 |
45 |
$2K |
| 86706 |
|
46 |
46 |
$743.87 |
| 84100 |
|
636 |
329 |
$187.61 |
| 84466 |
|
330 |
317 |
$151.33 |
| 84520 |
|
371 |
287 |
$124.11 |
| 83540 |
|
330 |
317 |
$115.26 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
319 |
304 |
$101.35 |
| 83735 |
|
342 |
328 |
$79.95 |
| 90688 |
|
13 |
13 |
$48.45 |
| 83970 |
|
94 |
94 |
$47.35 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
94 |
94 |
$47.35 |
| 86580 |
|
51 |
49 |
$42.26 |
| 87340 |
|
47 |
47 |
$9.47 |
| G0008 |
Administration of influenza virus vaccine |
26 |
26 |
$0.00 |