| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0821 |
|
23,957 |
1,929 |
$3.33M |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
21,459 |
1,974 |
$2.64M |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
29,975 |
3,449 |
$1.58M |
| Z6004 |
|
7,379 |
616 |
$938K |
| J2501 |
Injection, paricalcitol, 1 mcg |
38,380 |
3,362 |
$475K |
| J1756 |
Injection, iron sucrose, 1 mg |
4,512 |
990 |
$158K |
| 99070 |
|
8,839 |
781 |
$8K |
| A4657 |
Syringe, with or without needle, each |
39 |
20 |
$2K |
| 90688 |
|
56 |
56 |
$1K |
| 90674 |
|
36 |
36 |
$1K |
| 83970 |
|
41 |
41 |
$880.21 |
| 90658 |
|
31 |
31 |
$562.77 |
| 90630 |
|
15 |
15 |
$366.02 |
| 84134 |
|
41 |
41 |
$314.92 |
| 82728 |
|
41 |
41 |
$304.82 |
| 84100 |
|
99 |
57 |
$269.77 |
| 80053 |
Comprehensive metabolic panel |
41 |
41 |
$234.36 |
| 87340 |
|
41 |
41 |
$230.44 |
| 83550 |
|
41 |
41 |
$174.02 |
| 83540 |
|
41 |
41 |
$144.55 |
| 86706 |
|
13 |
13 |
$85.60 |
| 82310 |
|
31 |
31 |
$74.21 |
| 84132 |
|
31 |
31 |
$62.34 |
| G0008 |
Administration of influenza virus vaccine |
22 |
17 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
21 |
16 |
$0.00 |