| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4223 |
Infusion supplies w/o pump |
8,848 |
2,478 |
$444K |
| B4035 |
Enteral feed supp pump per d |
4,612 |
1,155 |
$181K |
| A4221 |
Supp non-insulin inf cath/wk |
4,025 |
1,837 |
$65K |
| A4222 |
Infusion supplies with pump |
820 |
302 |
$64K |
| B4152 |
Ef calorie dense>/=1.5kcal |
637 |
372 |
$45K |
| A4305 |
Drug delivery system >=50 ml |
2,666 |
249 |
$43K |
| 99601 |
|
516 |
211 |
$42K |
| B4161 |
Ef ped hydrolyzed/amino acid |
866 |
182 |
$42K |
| B4185 |
Pn soln nos 10 grams lipids |
749 |
166 |
$41K |
| S9500 |
Hit antibiotic q24h diem |
772 |
89 |
$35K |
| B4224 |
Parenteral administration ki |
1,301 |
114 |
$20K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
80 |
50 |
$12K |
| S9342 |
Hit enteral pump diem |
390 |
27 |
$9K |
| G0299 |
Hhs/hospice of rn ea 15 min |
60 |
37 |
$4K |
| B4220 |
Parenteral supply kit premix |
799 |
75 |
$4K |
| B4150 |
Ef complet w/intact nutrient |
26 |
12 |
$1K |
| A4216 |
Sterile water/saline, 10 ml |
29 |
15 |
$188.25 |
| A4217 |
Sterile water/saline, 500 ml |
19 |
12 |
$50.69 |