| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
11,754 |
745 |
$156K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
1,144 |
468 |
$106K |
| 80053 |
Comprehensive metabolic panel |
827 |
633 |
$41K |
| 83970 |
|
823 |
633 |
$20K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,871 |
367 |
$16K |
| J2501 |
Injection, paricalcitol, 1 mcg |
2,426 |
204 |
$13K |
| 87340 |
|
836 |
632 |
$8K |
| A4657 |
Syringe, with or without needle, each |
2,444 |
524 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
835 |
631 |
$4K |
| 84520 |
|
1,078 |
655 |
$4K |
| 82728 |
|
247 |
195 |
$2K |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
4,641 |
392 |
$2K |
| 84466 |
|
247 |
195 |
$2K |
| 85018 |
|
309 |
207 |
$504.00 |
| 82108 |
|
60 |
49 |
$420.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
10,778 |
425 |
$329.10 |
| 90756 |
|
31 |
30 |
$184.24 |
| G0008 |
Administration of influenza virus vaccine |
31 |
30 |
$159.00 |