| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9500 |
Hit antibiotic q24h diem |
15,359 |
4,140 |
$3.70M |
| S9366 |
Hit tpn 2 liter diem |
7,227 |
1,265 |
$3.07M |
| S9342 |
Hit enteral pump diem |
8,620 |
5,787 |
$3.04M |
| S9502 |
Hit antibiotic q8h diem |
7,171 |
2,209 |
$2.05M |
| S9501 |
Hit antibiotic q12h diem |
5,820 |
1,605 |
$1.53M |
| 99601 |
|
18,618 |
6,208 |
$1.48M |
| B4185 |
Pn soln nos 10 grams lipids |
10,192 |
1,959 |
$1.15M |
| B4161 |
Ef ped hydrolyzed/amino acid |
2,472 |
1,637 |
$1.08M |
| S9348 |
Hit sympathomim diem |
3,672 |
729 |
$759K |
| S9375 |
Hit hydra 2 liter diem |
3,177 |
941 |
$617K |
| J0878 |
Daptomycin injection |
8,482 |
615 |
$610K |
| S9343 |
Hit enteral bolus nurs |
1,740 |
1,364 |
$599K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
2,312 |
1,505 |
$576K |
| B4152 |
Ef calorie dense>/=1.5kcal |
5,042 |
3,330 |
$399K |
| S9374 |
Hit hydra 1 liter diem |
2,633 |
773 |
$382K |
| B4035 |
Enteral feed supp pump per d |
5,027 |
2,742 |
$329K |
| B4153 |
Ef hydrolyzed/amino acids |
1,068 |
789 |
$320K |
| A4223 |
Infusion supplies w/o pump |
3,303 |
1,006 |
$277K |
| J1335 |
Ertapenem injection |
1,176 |
321 |
$239K |
| S9367 |
Hit tpn 3 liter diem |
338 |
86 |
$199K |
| J2260 |
Inj milrinone lactate / 5 mg |
2,782 |
469 |
$161K |
| B4150 |
Ef complet w/intact nutrient |
2,064 |
1,409 |
$139K |
| J3370 |
Vancomycin hcl injection |
3,133 |
629 |
$122K |
| J3490 |
Drugs unclassified injection |
875 |
193 |
$108K |
| S9379 |
Hit noc per diem |
622 |
249 |
$88K |
| S5501 |
Hit complex cath care |
229 |
144 |
$60K |
| B4034 |
Enter feed supkit syr by day |
1,264 |
742 |
$42K |
| J0696 |
Ceftriaxone sodium injection |
2,519 |
617 |
$38K |
| S9503 |
Hit antibiotic q6h diem |
200 |
38 |
$37K |
| 99602 |
Nursing care in home rn |
369 |
252 |
$34K |
| J2997 |
Alteplase recombinant |
139 |
106 |
$33K |
| B4149 |
Ef blenderized foods |
194 |
108 |
$31K |
| B4154 |
Ef spec metabolic noninherit |
264 |
159 |
$29K |
| S9330 |
Hit cont chem diem |
326 |
142 |
$27K |
| B4088 |
Gastro/jejuno tube, low-pro |
780 |
695 |
$24K |
| B4155 |
Ef incomplete/modular |
755 |
613 |
$19K |
| J0690 |
Cefazolin sodium injection |
610 |
142 |
$18K |
| A4222 |
Infusion supplies with pump |
551 |
114 |
$15K |
| J0692 |
Cefepime hcl for injection |
268 |
83 |
$15K |
| A4221 |
Supp non-insulin inf cath/wk |
896 |
267 |
$9K |
| J2185 |
Meropenem |
87 |
25 |
$6K |
| J2543 |
Piperacillin/tazobactam |
95 |
27 |
$5K |
| J1250 |
Inj dobutamine hcl/250 mg |
136 |
26 |
$5K |
| S5517 |
Hit declotting kit |
98 |
82 |
$3K |
| B4103 |
Ef ped fluid and electrolyte |
23 |
13 |
$2K |
| J9190 |
Fluorouracil injection |
107 |
66 |
$1K |
| S9542 |
Ht inj noc per diem |
21 |
12 |
$1K |