| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
20,747 |
19,191 |
$7.73M |
| B9998 |
Enteral supp not otherwise c |
10,991 |
9,111 |
$6.09M |
| S9340 |
Hit enteral per diem |
35,840 |
7,040 |
$4.11M |
| S9379 |
Hit noc per diem |
2,886 |
1,103 |
$1.79M |
| 99601 |
|
7,096 |
3,409 |
$984K |
| S9338 |
Hit immunotherapy diem |
2,115 |
1,534 |
$673K |
| S9364 |
Hit tpn total diem |
488 |
109 |
$461K |
| S9341 |
Hit enteral grav diem |
954 |
897 |
$361K |
| 99602 |
Nursing care in home rn |
1,770 |
1,092 |
$252K |
| J3490 |
Drugs unclassified injection |
246 |
82 |
$144K |
| S5498 |
Hit simple cath care |
1,651 |
331 |
$142K |
| B4088 |
Gastro/jejuno tube, low-pro |
781 |
754 |
$100K |
| S9343 |
Hit enteral bolus nurs |
146 |
138 |
$52K |
| S9562 |
Ht inj palivizumab/ab diem |
1,014 |
996 |
$23K |
| B4081 |
Enteral ng tubing w/ stylet |
569 |
533 |
$22K |
| A5120 |
Skin barrier, wipe or swab |
810 |
780 |
$20K |
| A6402 |
Sterile gauze <= 16 sq in |
2,492 |
2,349 |
$18K |
| G0299 |
Hhs/hospice of rn ea 15 min |
100 |
51 |
$11K |
| A6257 |
Transparent film <= 16 sq in |
693 |
632 |
$10K |
| A4452 |
Waterproof tape |
2,833 |
2,675 |
$9K |
| A6234 |
Hydrocolld drg <=16 w/o bdr |
714 |
680 |
$9K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
198 |
147 |
$6K |
| A4250 |
Urine reagent strips/tablets |
597 |
553 |
$5K |
| A4213 |
20+ cc syringe only |
2,490 |
2,362 |
$3K |
| S5497 |
Hit cath care noc |
37 |
14 |
$2K |
| B4161 |
Ef ped hydrolyzed/amino acid |
105 |
90 |
$2K |
| E1399 |
Durable medical equipment mi |
125 |
120 |
$1K |
| A4216 |
Sterile water/saline, 10 ml |
475 |
208 |
$920.37 |
| A4217 |
Sterile water/saline, 500 ml |
68 |
38 |
$131.49 |
| A4371 |
Skin barrier powder per oz |
14 |
14 |
$64.01 |
| A4450 |
Non-waterproof tape |
36 |
36 |
$40.31 |
| A4215 |
Sterile needle |
593 |
562 |
$20.72 |