| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
17,391 |
1,469 |
$2.51M |
| A4657 |
Syringe, with or without needle, each |
10,489 |
963 |
$588K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
4,262 |
1,160 |
$288K |
| 80051 |
|
1,479 |
1,285 |
$130K |
| J1644 |
Injection, heparin sodium, per 1000 units |
12,984 |
989 |
$16K |
| 85018 |
|
7,239 |
1,706 |
$16K |
| J2501 |
Injection, paricalcitol, 1 mcg |
7,338 |
578 |
$12K |
| 82728 |
|
1,904 |
1,663 |
$10K |
| 83970 |
|
663 |
574 |
$7K |
| J1756 |
Injection, iron sucrose, 1 mg |
828 |
155 |
$5K |
| 84520 |
|
3,908 |
1,697 |
$5K |
| 83550 |
|
1,873 |
1,634 |
$4K |
| 83540 |
|
1,874 |
1,634 |
$4K |
| 82310 |
|
2,217 |
1,681 |
$3K |
| 82040 |
|
1,929 |
1,667 |
$3K |
| 85046 |
|
1,456 |
1,270 |
$3K |
| 84100 |
|
2,113 |
1,676 |
$3K |
| 82565 |
|
1,973 |
1,680 |
$3K |
| 84075 |
|
1,925 |
1,679 |
$3K |
| 84450 |
|
1,467 |
1,279 |
$2K |
| 84460 |
|
1,841 |
1,609 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
308 |
262 |
$2K |
| 86803 |
|
308 |
274 |
$1K |
| 85049 |
|
598 |
522 |
$912.00 |
| 87340 |
|
173 |
144 |
$688.90 |
| 84132 |
|
751 |
428 |
$564.87 |
| 86706 |
|
156 |
124 |
$408.07 |
| 85045 |
|
446 |
389 |
$293.94 |
| 84295 |
|
460 |
395 |
$275.26 |
| 82374 |
|
454 |
395 |
$197.96 |
| A9270 |
Non-covered item or service |
34 |
13 |
$14.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$8.05 |
| 90686 |
|
13 |
13 |
$0.00 |