| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
47,322 |
2,086 |
$1.89M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
2,976 |
870 |
$13K |
| A4657 |
Syringe, with or without needle, each |
22,388 |
1,296 |
$11K |
| J1756 |
Injection, iron sucrose, 1 mg |
6,424 |
741 |
$222.00 |
| 83970 |
|
1,625 |
704 |
$57.68 |
| 84460 |
|
1,043 |
566 |
$42.83 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,293 |
1,564 |
$26.79 |
| 84520 |
|
6,912 |
1,727 |
$24.54 |
| 83550 |
|
3,019 |
1,354 |
$24.12 |
| 82040 |
|
1,841 |
753 |
$20.73 |
| 84100 |
|
2,421 |
864 |
$19.83 |
| 83540 |
|
3,403 |
1,544 |
$19.65 |
| 87340 |
|
910 |
435 |
$14.27 |
| 82310 |
|
2,385 |
720 |
$10.72 |
| 82565 |
|
1,121 |
544 |
$10.66 |
| 85018 |
|
8,067 |
1,253 |
$9.84 |
| 82728 |
|
1,305 |
569 |
$9.52 |
| 84155 |
|
2,035 |
867 |
$7.56 |
| 80051 |
|
848 |
419 |
$4.79 |
| 83735 |
|
1,242 |
546 |
$4.68 |
| 84466 |
|
137 |
67 |
$0.00 |
| 82108 |
|
281 |
124 |
$0.00 |
| 90682 |
|
35 |
15 |
$0.00 |
| 0012A |
|
30 |
17 |
$0.00 |
| 84075 |
|
1,040 |
452 |
$0.00 |
| 86706 |
|
331 |
131 |
$0.00 |
| 82746 |
|
97 |
39 |
$0.00 |
| 80069 |
|
375 |
172 |
$0.00 |
| 0011A |
|
81 |
18 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
263 |
117 |
$0.00 |
| 90686 |
|
123 |
47 |
$0.00 |
| 86704 |
|
24 |
15 |
$0.00 |
| 90688 |
|
49 |
31 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
30 |
18 |
$0.00 |
| 90732 |
|
30 |
18 |
$0.00 |
| 0064A |
|
21 |
14 |
$0.00 |