| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9351 |
Hit cont antiemetic diem |
170,380 |
18,049 |
$74.09M |
| J1726 |
Makena, 10 mg |
31,233 |
12,731 |
$32.75M |
| S9560 |
Ht inj hormone diem |
127,449 |
34,591 |
$15.97M |
| 99601 |
|
66,759 |
18,006 |
$7.57M |
| S9211 |
Home mgmt gest hypertension |
111,860 |
8,568 |
$6.57M |
| S9214 |
Hm gest dm per diem |
21,622 |
2,104 |
$3.94M |
| J1729 |
Inj hydroxyprogst capoat nos |
8,656 |
3,050 |
$3.92M |
| S9379 |
Hit noc per diem |
15,643 |
1,907 |
$3.52M |
| S9353 |
Hit cont insulin diem |
7,130 |
627 |
$2.05M |
| S9213 |
Hm preeclamp per diem |
14,335 |
1,494 |
$1.96M |
| S9376 |
Hit hydra 3 liter diem |
17,692 |
4,713 |
$1.87M |
| J2405 |
Ondansetron hcl injection |
13,870 |
3,901 |
$1.65M |
| S9373 |
Hit hydra total diem |
4,232 |
2,202 |
$978K |
| 96372 |
|
6,836 |
1,931 |
$954K |
| S9123 |
Nursing care in home rn |
7,030 |
4,182 |
$784K |
| 99506 |
|
5,222 |
1,576 |
$597K |
| S9212 |
Hm postpar hyper per diem |
1,348 |
288 |
$321K |
| S9542 |
Ht inj noc per diem |
1,858 |
530 |
$318K |
| S9140 |
Diabetic management program, |
474 |
468 |
$216K |
| 96369 |
|
480 |
80 |
$182K |
| H1000 |
Prenatal care atrisk assessm |
1,216 |
1,215 |
$87K |
| T1030 |
Rn home care per diem |
786 |
101 |
$48K |
| H1005 |
Prenatalcare enhanced srv pk |
112 |
112 |
$46K |
| T1002 |
Rn services up to 15 minutes |
305 |
95 |
$34K |
| G0299 |
Hhs/hospice of rn ea 15 min |
169 |
12 |
$14K |
| 99600 |
|
36 |
12 |
$6K |
| J2765 |
Metoclopramide hcl injection |
57 |
27 |
$1K |
| S9460 |
Diabetic management program, |
13 |
13 |
$90.00 |