| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
9,594 |
769 |
$93K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
385 |
117 |
$369.45 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
3,042 |
281 |
$0.00 |
| 82040 |
|
847 |
787 |
$0.00 |
| 84132 |
|
1,261 |
792 |
$0.00 |
| 84075 |
|
846 |
788 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
932 |
79 |
$0.00 |
| 85027 |
|
188 |
187 |
$0.00 |
| 85018 |
|
205 |
172 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
45 |
44 |
$0.00 |
| 83550 |
|
68 |
60 |
$0.00 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
30 |
29 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
18 |
$0.00 |
| 90674 |
|
15 |
15 |
$0.00 |
| 82565 |
|
855 |
787 |
$0.00 |
| 84520 |
|
1,501 |
791 |
$0.00 |
| 82310 |
|
932 |
785 |
$0.00 |
| 84460 |
|
849 |
788 |
$0.00 |
| 84100 |
|
994 |
791 |
$0.00 |
| 82374 |
|
844 |
787 |
$0.00 |
| 82947 |
|
39 |
27 |
$0.00 |
| 83970 |
|
24 |
24 |
$0.00 |
| 83540 |
|
68 |
60 |
$0.00 |