| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
34,899 |
2,076 |
$3.53M |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
3,932 |
1,252 |
$401K |
| 82040 |
|
1,385 |
865 |
$346K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
3,205 |
390 |
$316K |
| 84100 |
|
2,513 |
934 |
$312K |
| 83540 |
|
1,312 |
844 |
$142K |
| 82565 |
|
1,312 |
845 |
$141K |
| 82374 |
|
1,312 |
845 |
$140K |
| 84155 |
|
1,312 |
844 |
$140K |
| 84075 |
|
1,313 |
844 |
$140K |
| 83550 |
|
1,311 |
844 |
$140K |
| 84132 |
|
1,311 |
844 |
$140K |
| 87340 |
|
1,297 |
838 |
$140K |
| 84520 |
|
859 |
590 |
$111K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,011 |
256 |
$108K |
| 82435 |
|
836 |
578 |
$107K |
| 83970 |
|
814 |
572 |
$104K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
712 |
497 |
$92K |
| 85014 |
|
468 |
335 |
$50K |
| A4657 |
Syringe, with or without needle, each |
75 |
57 |
$13K |
| 84295 |
|
39 |
25 |
$9K |
| G0008 |
Administration of influenza virus vaccine |
47 |
33 |
$5K |
| 90686 |
|
30 |
20 |
$3K |