| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
114,393 |
8,029 |
$3.83M |
| S9500 |
Hit antibiotic q24h diem |
46,335 |
4,413 |
$3.11M |
| B4161 |
Ef ped hydrolyzed/amino acid |
6,405 |
3,613 |
$2.26M |
| B4035 |
Enteral feed supp pump per d |
7,823 |
6,202 |
$1.65M |
| S9374 |
Hit hydra 1 liter diem |
14,949 |
1,780 |
$1.10M |
| J0878 |
Daptomycin injection |
6,457 |
480 |
$1.06M |
| S9501 |
Hit antibiotic q12h diem |
16,002 |
1,434 |
$1.04M |
| B4153 |
Ef hydrolyzed/amino acids |
2,819 |
1,460 |
$834K |
| 99601 |
|
10,572 |
4,242 |
$831K |
| S9502 |
Hit antibiotic q8h diem |
10,714 |
1,096 |
$808K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
6,338 |
4,132 |
$795K |
| J1557 |
Gammaplex injection |
165 |
53 |
$782K |
| S9351 |
Hit cont antiemetic diem |
10,278 |
480 |
$776K |
| B4152 |
Ef calorie dense>/=1.5kcal |
6,718 |
4,043 |
$573K |
| S9341 |
Hit enteral grav diem |
18,867 |
1,490 |
$393K |
| E0781 |
External ambulatory infus pu |
27,738 |
1,345 |
$388K |
| S9343 |
Hit enteral bolus nurs |
17,810 |
1,418 |
$334K |
| B4034 |
Enter feed supkit syr by day |
2,946 |
2,379 |
$321K |
| B4185 |
Pn soln nos 10 grams lipids |
2,300 |
529 |
$316K |
| S9338 |
Hit immunotherapy diem |
3,486 |
1,191 |
$312K |
| B4154 |
Ef spec metabolic noninherit |
1,490 |
992 |
$302K |
| S9379 |
Hit noc per diem |
5,111 |
1,190 |
$281K |
| S9348 |
Hit sympathomim diem |
4,046 |
194 |
$254K |
| B4149 |
Ef blenderized foods |
1,079 |
711 |
$241K |
| A4223 |
Infusion supplies w/o pump |
8,021 |
3,222 |
$208K |
| S5501 |
Hit complex cath care |
11,591 |
1,043 |
$169K |
| 99602 |
Nursing care in home rn |
1,477 |
718 |
$158K |
| S9340 |
Hit enteral per diem |
13,516 |
650 |
$148K |
| B4036 |
Enteral feed sup kit grav by |
1,360 |
1,075 |
$137K |
| A4221 |
Supp non-insulin inf cath/wk |
8,160 |
3,250 |
$124K |
| B4150 |
Ef complet w/intact nutrient |
1,586 |
989 |
$123K |
| B9998 |
Enteral supp not otherwise c |
1,039 |
903 |
$122K |
| J0696 |
Ceftriaxone sodium injection |
778 |
161 |
$122K |
| A4222 |
Infusion supplies with pump |
2,009 |
587 |
$110K |
| J2260 |
Inj milrinone lactate / 5 mg |
2,587 |
274 |
$87K |
| J3370 |
Vancomycin hcl injection |
1,056 |
207 |
$81K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,366 |
1,139 |
$76K |
| S9366 |
Hit tpn 2 liter diem |
259 |
24 |
$55K |
| J2550 |
Promethazine hcl injection |
777 |
206 |
$48K |
| B4155 |
Ef incomplete/modular |
614 |
412 |
$43K |
| J1559 |
Hizentra injection |
72 |
12 |
$38K |
| B9002 |
Enter nutr inf pump any type |
219 |
194 |
$22K |
| S9330 |
Hit cont chem diem |
75 |
36 |
$9K |
| J2405 |
Ondansetron hcl injection |
433 |
88 |
$9K |
| J1335 |
Ertapenem injection |
74 |
13 |
$8K |
| J0692 |
Cefepime hcl for injection |
64 |
15 |
$5K |
| B4224 |
Parenteral administration ki |
53 |
12 |
$4K |
| B4220 |
Parenteral supply kit premix |
106 |
27 |
$3K |
| E0776 |
Iv pole |
28 |
27 |
$798.92 |
| S9359 |
Hit anti-tnf per diem |
16 |
13 |
$652.65 |