| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
32,826 |
3,092 |
$4.39M |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
9,270 |
1,153 |
$708K |
| 0821 |
|
5,065 |
429 |
$505K |
| J1756 |
Injection, iron sucrose, 1 mg |
2,578 |
885 |
$183K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
9,022 |
915 |
$84K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
978 |
276 |
$70K |
| A4657 |
Syringe, with or without needle, each |
12,333 |
933 |
$35K |
| 99070 |
|
2,490 |
212 |
$18K |
| 83970 |
|
814 |
753 |
$6K |
| 82728 |
|
812 |
753 |
$2K |
| 85045 |
|
825 |
766 |
$2K |
| J0636 |
Injection, calcitriol, 0.1 mcg |
288 |
25 |
$2K |
| 84466 |
|
827 |
767 |
$2K |
| 85018 |
|
1,910 |
715 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
263 |
223 |
$1K |
| 84520 |
|
1,373 |
792 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
787 |
732 |
$1K |
| 83540 |
|
814 |
754 |
$1K |
| 84155 |
|
826 |
766 |
$913.61 |
| 84075 |
|
815 |
755 |
$815.16 |
| 87340 |
|
404 |
362 |
$724.74 |
| 82108 |
|
67 |
59 |
$534.74 |
| 84100 |
|
321 |
229 |
$473.42 |
| 86706 |
|
117 |
106 |
$373.16 |
| 86704 |
|
65 |
57 |
$149.12 |
| 82310 |
|
105 |
86 |
$77.72 |
| 82040 |
|
25 |
24 |
$53.92 |
| 82565 |
|
12 |
12 |
$29.89 |
| G0010 |
Administration of hepatitis b vaccine |
15 |
15 |
$0.00 |