| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0068 |
Adm iv infusion drug in home |
4,108 |
2,344 |
$6.67M |
| S9500 |
Hit antibiotic q24h diem |
5,910 |
3,033 |
$1.98M |
| 99601 |
|
11,817 |
3,405 |
$1.11M |
| A4223 |
Infusion supplies w/o pump |
18,403 |
7,612 |
$781K |
| S9374 |
Hit hydra 1 liter diem |
2,369 |
1,664 |
$762K |
| G0070 |
Adm of chemo drug in home |
599 |
206 |
$755K |
| S9366 |
Hit tpn 2 liter diem |
533 |
167 |
$467K |
| S9502 |
Hit antibiotic q8h diem |
871 |
447 |
$348K |
| S9343 |
Hit enteral bolus nurs |
2,012 |
987 |
$313K |
| S9501 |
Hit antibiotic q12h diem |
935 |
472 |
$298K |
| S9342 |
Hit enteral pump diem |
777 |
700 |
$280K |
| S9379 |
Hit noc per diem |
530 |
294 |
$172K |
| A4216 |
Sterile water/saline, 10 ml |
1,714 |
1,200 |
$151K |
| G0088 |
Adm iv drug 1st home visit |
657 |
627 |
$132K |
| E0776 |
Iv pole |
1,942 |
1,850 |
$119K |
| S5501 |
Hit complex cath care |
656 |
621 |
$110K |
| J1642 |
Inj heparin sodium per 10 u |
1,620 |
1,147 |
$81K |
| B4035 |
Enteral feed supp pump per d |
1,147 |
1,023 |
$76K |
| 99602 |
Nursing care in home rn |
423 |
223 |
$69K |
| B4185 |
Pn soln nos 10 grams lipids |
807 |
257 |
$56K |
| S1015 |
Iv tubing extension set |
10,990 |
5,791 |
$56K |
| A4212 |
Non coring needle or stylet |
2,176 |
1,191 |
$52K |
| E0781 |
External ambulatory infus pu |
275 |
223 |
$48K |
| S5502 |
Hit interim cath care |
117 |
104 |
$47K |
| A4322 |
Irrigation syringe |
627 |
514 |
$39K |
| S9338 |
Hit immunotherapy diem |
193 |
128 |
$19K |
| A4657 |
Syringe w/wo needle |
1,964 |
1,153 |
$15K |
| B4034 |
Enter feed supkit syr by day |
554 |
506 |
$14K |
| A6457 |
Tubular dressing |
8,383 |
4,743 |
$12K |
| B4224 |
Parenteral administration ki |
414 |
145 |
$12K |
| B9002 |
Enter nutr inf pump any type |
516 |
514 |
$12K |
| A6404 |
Sterile gauze > 48 sq in |
869 |
453 |
$11K |
| A6222 |
Gauze <=16 in no w/sal w/o b |
2,449 |
1,486 |
$10K |
| B4150 |
Ef complet w/intact nutrient |
169 |
147 |
$9K |
| A4245 |
Alcohol wipes per box |
12,513 |
7,567 |
$8K |
| A4221 |
Supp non-insulin inf cath/wk |
17 |
12 |
$7K |
| B9998 |
Enteral supp not otherwise c |
121 |
112 |
$7K |
| B4154 |
Ef spec metabolic noninherit |
12 |
12 |
$5K |
| A4209 |
5+ cc sterile syringe&needle |
1,620 |
669 |
$5K |
| B4220 |
Parenteral supply kit premix |
414 |
145 |
$4K |
| B4152 |
Ef calorie dense>/=1.5kcal |
105 |
92 |
$4K |
| A4649 |
Surgical supplies |
128 |
86 |
$3K |
| B9004 |
Parenteral infus pump portab |
32 |
31 |
$2K |
| S9542 |
Ht inj noc per diem |
32 |
27 |
$1K |
| A4208 |
3 cc sterile syringe&needle |
83 |
63 |
$152.69 |
| A6257 |
Transparent film <= 16 sq in |
52 |
28 |
$139.31 |
| A4215 |
Sterile needle |
24 |
13 |
$7.92 |