| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1726 |
Makena, 10 mg |
8,243 |
3,877 |
$9.90M |
| 99601 |
|
16,475 |
5,775 |
$1.76M |
| S9500 |
Hit antibiotic q24h diem |
7,345 |
988 |
$1.06M |
| S9342 |
Hit enteral pump diem |
12,266 |
1,243 |
$980K |
| A4223 |
Infusion supplies w/o pump |
12,779 |
4,976 |
$783K |
| S9351 |
Hit cont antiemetic diem |
1,082 |
212 |
$769K |
| B4153 |
Ef hydrolyzed/amino acids |
1,712 |
885 |
$592K |
| S9340 |
Hit enteral per diem |
669 |
484 |
$441K |
| B4035 |
Enteral feed supp pump per d |
7,009 |
2,880 |
$399K |
| B4152 |
Ef calorie dense>/=1.5kcal |
4,154 |
2,147 |
$291K |
| A4222 |
Infusion supplies with pump |
3,983 |
1,350 |
$272K |
| S9343 |
Hit enteral bolus nurs |
4,240 |
302 |
$179K |
| S9542 |
Ht inj noc per diem |
4,675 |
2,478 |
$174K |
| B4185 |
Pn soln nos 10 grams lipids |
1,632 |
281 |
$156K |
| B4150 |
Ef complet w/intact nutrient |
2,728 |
1,176 |
$144K |
| B4034 |
Enter feed supkit syr by day |
3,376 |
1,486 |
$136K |
| S9379 |
Hit noc per diem |
1,042 |
292 |
$126K |
| S9560 |
Ht inj hormone diem |
2,340 |
1,176 |
$106K |
| S9374 |
Hit hydra 1 liter diem |
723 |
151 |
$99K |
| G0299 |
Hhs/hospice of rn ea 15 min |
2,037 |
772 |
$88K |
| B4154 |
Ef spec metabolic noninherit |
796 |
431 |
$73K |
| S9502 |
Hit antibiotic q8h diem |
518 |
66 |
$66K |
| S9590 |
Ht irrigation diem |
193 |
72 |
$63K |
| B4161 |
Ef ped hydrolyzed/amino acid |
125 |
66 |
$54K |
| A4221 |
Supp non-insulin inf cath/wk |
1,634 |
884 |
$32K |
| S9345 |
Hit anti-hemophil diem |
442 |
283 |
$27K |
| J3370 |
Vancomycin hcl injection |
266 |
51 |
$21K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
267 |
113 |
$19K |
| J2405 |
Ondansetron hcl injection |
626 |
209 |
$19K |
| S9359 |
Hit anti-tnf per diem |
213 |
175 |
$18K |
| S9501 |
Hit antibiotic q12h diem |
80 |
12 |
$14K |
| 99602 |
Nursing care in home rn |
152 |
94 |
$13K |
| J0696 |
Ceftriaxone sodium injection |
176 |
40 |
$13K |
| A4305 |
Drug delivery system >=50 ml |
389 |
91 |
$12K |
| J0878 |
Daptomycin injection |
33 |
13 |
$9K |
| J1580 |
Garamycin gentamicin inj |
836 |
514 |
$7K |
| A4216 |
Sterile water/saline, 10 ml |
705 |
315 |
$6K |
| J1642 |
Inj heparin sodium per 10 u |
243 |
120 |
$4K |
| E0781 |
External ambulatory infus pu |
449 |
24 |
$4K |
| A4213 |
20+ cc syringe only |
190 |
120 |
$3K |
| J7030 |
Normal saline solution infus |
402 |
196 |
$3K |
| A4217 |
Sterile water/saline, 500 ml |
157 |
63 |
$1K |
| B4155 |
Ef incomplete/modular |
30 |
25 |
$416.96 |
| J7050 |
Normal saline solution infus |
56 |
25 |
$333.23 |