| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4222 |
Infusion supplies with pump |
21,681 |
8,011 |
$7.63M |
| B4035 |
Enteral feed supp pump per d |
12,459 |
8,125 |
$2.11M |
| 99601 |
|
9,484 |
3,875 |
$1.20M |
| A4223 |
Infusion supplies w/o pump |
4,321 |
1,564 |
$1.08M |
| B4185 |
Pn soln nos 10 grams lipids |
5,571 |
1,228 |
$1.00M |
| B4152 |
Ef calorie dense>/=1.5kcal |
5,398 |
4,606 |
$928K |
| B4153 |
Ef hydrolyzed/amino acids |
1,646 |
1,476 |
$872K |
| B4224 |
Parenteral administration ki |
5,906 |
1,310 |
$706K |
| B4197 |
Parenteral sol 74-100 gm pro |
474 |
126 |
$638K |
| B4150 |
Ef complet w/intact nutrient |
4,358 |
3,774 |
$614K |
| B4087 |
Gastro/jejuno tube, std |
4,406 |
3,719 |
$598K |
| B4161 |
Ef ped hydrolyzed/amino acid |
1,020 |
844 |
$532K |
| E0781 |
External ambulatory infus pu |
2,194 |
2,136 |
$514K |
| B4149 |
Ef blenderized foods |
1,535 |
1,071 |
$477K |
| A4221 |
Supp non-insulin inf cath/wk |
19,937 |
8,830 |
$462K |
| B4034 |
Enter feed supkit syr by day |
4,815 |
3,270 |
$411K |
| J1745 |
Infliximab not biosimil 10mg |
193 |
184 |
$401K |
| B4154 |
Ef spec metabolic noninherit |
1,228 |
1,079 |
$317K |
| 99602 |
Nursing care in home rn |
4,743 |
2,608 |
$301K |
| B4036 |
Enteral feed sup kit grav by |
2,705 |
1,856 |
$290K |
| B9002 |
Enter nutr inf pump any type |
2,553 |
2,465 |
$242K |
| B4220 |
Parenteral supply kit premix |
5,812 |
1,303 |
$225K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
923 |
772 |
$102K |
| B4088 |
Gastro/jejuno tube, low-pro |
658 |
619 |
$67K |
| J3475 |
Inj magnesium sulfate |
2,489 |
612 |
$67K |
| E0776 |
Iv pole |
424 |
417 |
$46K |
| J0696 |
Ceftriaxone sodium injection |
1,705 |
493 |
$34K |
| B4155 |
Ef incomplete/modular |
1,261 |
1,127 |
$30K |
| J3370 |
Vancomycin hcl injection |
482 |
95 |
$27K |
| B4100 |
Food thickener oral |
112 |
101 |
$14K |
| J7030 |
Normal saline solution infus |
782 |
212 |
$11K |
| J1200 |
Diphenhydramine hcl injectio |
422 |
157 |
$10K |
| B9004 |
Parenteral infus pump portab |
27 |
25 |
$10K |
| J0690 |
Cefazolin sodium injection |
182 |
51 |
$8K |
| J3490 |
Drugs unclassified injection |
35 |
12 |
$783.22 |
| B4082 |
Enteral ng tubing w/o stylet |
12 |
12 |
$575.53 |