| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4223 |
Infusion supplies w/o pump |
11,232 |
2,886 |
$877K |
| B4035 |
Enteral feed supp pump per d |
3,033 |
2,766 |
$345K |
| S9500 |
Hit antibiotic q24h diem |
3,691 |
716 |
$252K |
| 99601 |
|
2,790 |
1,124 |
$204K |
| B9998 |
Enteral supp not otherwise c |
2,338 |
1,940 |
$118K |
| G0299 |
Hhs/hospice of rn ea 15 min |
1,011 |
402 |
$82K |
| A4305 |
Drug delivery system >=50 ml |
382 |
218 |
$52K |
| B4088 |
Gastro/jejuno tube, low-pro |
199 |
192 |
$22K |
| B4034 |
Enter feed supkit syr by day |
453 |
408 |
$20K |
| S1015 |
Iv tubing extension set |
804 |
222 |
$19K |
| B4150 |
Ef complet w/intact nutrient |
172 |
145 |
$13K |
| B9999 |
Parenteral supp not othrws c |
285 |
79 |
$8K |
| S9501 |
Hit antibiotic q12h diem |
109 |
12 |
$5K |
| S9342 |
Hit enteral pump diem |
180 |
24 |
$4K |
| J1642 |
Inj heparin sodium per 10 u |
25 |
13 |
$3K |
| A4248 |
Chlorhexidine antisept |
100 |
38 |
$266.39 |