| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
33,674 |
2,928 |
$4.45M |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
4,827 |
635 |
$278K |
| 0821 |
|
980 |
84 |
$127K |
| A4657 |
Syringe, with or without needle, each |
8,006 |
550 |
$53K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,021 |
326 |
$53K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
5,543 |
586 |
$46K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
158 |
57 |
$25K |
| 83970 |
|
315 |
299 |
$3K |
| J0636 |
Injection, calcitriol, 0.1 mcg |
788 |
80 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
130 |
116 |
$1K |
| 87340 |
|
309 |
291 |
$959.34 |
| 82728 |
|
313 |
297 |
$868.50 |
| 84466 |
|
314 |
297 |
$829.07 |
| 82108 |
|
63 |
62 |
$776.60 |
| 85045 |
|
326 |
310 |
$701.83 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
312 |
296 |
$570.74 |
| 83540 |
|
313 |
297 |
$513.09 |
| 90732 |
|
13 |
13 |
$492.93 |
| 84520 |
|
402 |
299 |
$484.59 |
| 85018 |
|
403 |
261 |
$442.78 |
| 84075 |
|
313 |
297 |
$424.40 |
| 84155 |
|
314 |
298 |
$358.89 |
| 86704 |
|
46 |
45 |
$197.90 |
| 86706 |
|
46 |
45 |
$196.24 |
| 90688 |
|
37 |
37 |
$92.14 |
| G0008 |
Administration of influenza virus vaccine |
59 |
58 |
$14.18 |
| 84100 |
|
12 |
12 |
$0.69 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
19 |
19 |
$0.00 |