| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
31,675 |
2,657 |
$5.69M |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
247 |
213 |
$27K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
535 |
80 |
$14K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
151 |
50 |
$9K |
| J2501 |
Injection, paricalcitol, 1 mcg |
2,065 |
223 |
$8K |
| A4657 |
Syringe, with or without needle, each |
546 |
65 |
$8K |
| 83970 |
|
13 |
12 |
$9.60 |
| 82728 |
|
13 |
12 |
$3.32 |
| 83550 |
|
27 |
24 |
$1.88 |
| 83540 |
|
27 |
24 |
$1.56 |
| 84520 |
|
35 |
24 |
$1.29 |
| 84460 |
|
26 |
24 |
$1.26 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25 |
24 |
$0.93 |
| 84075 |
|
26 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
12 |
$0.00 |
| 90674 |
|
14 |
12 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,452 |
63 |
$0.00 |