| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
6,213 |
565 |
$322K |
| 80051 |
|
479 |
394 |
$43.61 |
| 84520 |
|
1,035 |
419 |
$40.62 |
| 82310 |
|
492 |
396 |
$32.06 |
| 82565 |
|
515 |
398 |
$31.85 |
| 82040 |
|
497 |
399 |
$29.80 |
| 84155 |
|
510 |
421 |
$22.25 |
| 85018 |
|
1,356 |
445 |
$17.50 |
| 84460 |
|
171 |
145 |
$4.71 |
| 84075 |
|
177 |
150 |
$4.60 |
| 82728 |
|
183 |
151 |
$0.00 |
| 83550 |
|
432 |
359 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
6,333 |
484 |
$0.00 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
2,285 |
212 |
$0.00 |
| G0307 |
Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) |
508 |
415 |
$0.00 |
| 82607 |
|
48 |
39 |
$0.00 |
| 86706 |
|
68 |
59 |
$0.00 |
| 87340 |
|
46 |
41 |
$0.00 |
| 86803 |
|
16 |
14 |
$0.00 |
| 83735 |
|
177 |
150 |
$0.00 |
| 82746 |
|
51 |
42 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
37 |
29 |
$0.00 |
| 84100 |
|
490 |
395 |
$0.00 |
| 83540 |
|
506 |
421 |
$0.00 |
| 85045 |
|
494 |
409 |
$0.00 |
| 83970 |
|
187 |
152 |
$0.00 |
| 82108 |
|
102 |
83 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
382 |
95 |
$0.00 |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
485 |
253 |
$0.00 |