| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B5200 |
Parenteral sol hepatic fream |
2,849 |
650 |
$1.08M |
| B4189 |
Parenteral sol amino acid & |
1,495 |
175 |
$367K |
| B4185 |
Pn soln nos 10 grams lipids |
2,355 |
578 |
$365K |
| A4222 |
Infusion supplies with pump |
500 |
180 |
$149K |
| B4224 |
Parenteral administration ki |
1,394 |
310 |
$132K |
| B4035 |
Enteral feed supp pump per d |
1,436 |
834 |
$109K |
| A4211 |
Supp for self-adm injections |
1,288 |
363 |
$79K |
| B4161 |
Ef ped hydrolyzed/amino acid |
146 |
115 |
$73K |
| S9372 |
Ht inj anticoag diem |
1,346 |
153 |
$57K |
| B4150 |
Ef complet w/intact nutrient |
1,515 |
1,257 |
$52K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,005 |
882 |
$51K |
| B4220 |
Parenteral supply kit premix |
1,375 |
310 |
$43K |
| B4034 |
Enter feed supkit syr by day |
1,565 |
1,362 |
$43K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
197 |
167 |
$39K |
| 99601 |
|
283 |
137 |
$14K |
| B9004 |
Parenteral infus pump portab |
43 |
39 |
$8K |
| S9342 |
Hit enteral pump diem |
28 |
26 |
$3K |
| G0299 |
Hhs/hospice of rn ea 15 min |
30 |
12 |
$864.00 |
| J1644 |
Inj heparin sodium per 1000u |
50 |
27 |
$751.26 |
| A4305 |
Drug delivery system >=50 ml |
28 |
12 |
$417.55 |
| B4154 |
Ef spec metabolic noninherit |
12 |
12 |
$335.25 |
| B4088 |
Gastro/jejuno tube, low-pro |
14 |
13 |
$222.21 |
| A4927 |
Non-sterile gloves |
112 |
53 |
$151.52 |
| A4455 |
Adhesive remover per ounce |
53 |
25 |
$24.06 |
| A4245 |
Alcohol wipes per box |
40 |
26 |
$23.63 |
| A4206 |
1 cc sterile syringe&needle |
25 |
12 |
$15.40 |
| A4221 |
Supp non-insulin inf cath/wk |
400 |
170 |
$0.00 |
| A4223 |
Infusion supplies w/o pump |
54 |
28 |
$0.00 |