| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
10,020 |
473 |
$290K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
1,609 |
321 |
$21K |
| 84520 |
|
1,647 |
413 |
$7K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
438 |
77 |
$1K |
| A4657 |
Syringe, with or without needle, each |
444 |
77 |
$841.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
803 |
397 |
$741.09 |
| J1644 |
Injection, heparin sodium, per 1000 units |
7,634 |
216 |
$642.24 |
| 82565 |
|
913 |
410 |
$595.93 |
| 83615 |
|
704 |
401 |
$536.94 |
| 84075 |
|
812 |
407 |
$518.05 |
| 82310 |
|
797 |
393 |
$511.64 |
| 82247 |
|
809 |
407 |
$507.62 |
| 83540 |
|
622 |
339 |
$506.04 |
| 82728 |
|
285 |
157 |
$496.39 |
| 84132 |
|
826 |
396 |
$492.83 |
| 84295 |
|
805 |
396 |
$476.21 |
| 82435 |
|
806 |
396 |
$455.12 |
| 82465 |
|
704 |
401 |
$386.83 |
| 84155 |
|
813 |
407 |
$370.97 |
| 82947 |
|
759 |
380 |
$316.09 |
| 86317 |
|
120 |
59 |
$199.98 |
| 85018 |
|
401 |
230 |
$107.55 |
| 87350 |
|
54 |
27 |
$71.46 |
| J2501 |
Injection, paricalcitol, 1 mcg |
318 |
24 |
$9.48 |