| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4105 |
Enzyme cartridge enteral nut |
1,127 |
619 |
$2.83M |
| S9500 |
Hit antibiotic q24h diem |
17,360 |
2,510 |
$2.50M |
| 99601 |
|
10,140 |
3,864 |
$979K |
| S9502 |
Hit antibiotic q8h diem |
5,489 |
752 |
$837K |
| S9342 |
Hit enteral pump diem |
16,367 |
1,177 |
$793K |
| A4223 |
Infusion supplies w/o pump |
13,005 |
3,577 |
$634K |
| B4185 |
Pn soln nos 10 grams lipids |
5,431 |
1,094 |
$603K |
| S9501 |
Hit antibiotic q12h diem |
2,688 |
391 |
$374K |
| B4152 |
Ef calorie dense>/=1.5kcal |
6,130 |
2,089 |
$307K |
| S9379 |
Hit noc per diem |
1,777 |
627 |
$292K |
| B4035 |
Enteral feed supp pump per d |
7,525 |
1,489 |
$274K |
| S9367 |
Hit tpn 3 liter diem |
1,292 |
86 |
$232K |
| S9366 |
Hit tpn 2 liter diem |
1,172 |
88 |
$221K |
| J3490 |
Drugs unclassified injection |
700 |
84 |
$185K |
| 99602 |
Nursing care in home rn |
2,092 |
934 |
$182K |
| J1335 |
Ertapenem injection |
325 |
132 |
$178K |
| B4224 |
Parenteral administration ki |
11,365 |
652 |
$164K |
| J3380 |
Inj vedolizumab iv 1 mg |
25 |
24 |
$145K |
| S9338 |
Hit immunotherapy diem |
1,626 |
772 |
$131K |
| G0299 |
Hhs/hospice of rn ea 15 min |
1,776 |
703 |
$90K |
| J3370 |
Vancomycin hcl injection |
768 |
197 |
$76K |
| B4153 |
Ef hydrolyzed/amino acids |
1,170 |
94 |
$62K |
| B4161 |
Ef ped hydrolyzed/amino acid |
303 |
106 |
$58K |
| A4222 |
Infusion supplies with pump |
359 |
159 |
$52K |
| J0696 |
Ceftriaxone sodium injection |
531 |
173 |
$51K |
| B4220 |
Parenteral supply kit premix |
7,078 |
603 |
$49K |
| A4221 |
Supp non-insulin inf cath/wk |
2,316 |
1,221 |
$45K |
| B4150 |
Ef complet w/intact nutrient |
810 |
289 |
$43K |
| B4034 |
Enter feed supkit syr by day |
3,510 |
526 |
$43K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
408 |
246 |
$38K |
| S9343 |
Hit enteral bolus nurs |
284 |
51 |
$36K |
| B4088 |
Gastro/jejuno tube, low-pro |
195 |
129 |
$25K |
| S9374 |
Hit hydra 1 liter diem |
202 |
42 |
$16K |
| S9359 |
Hit anti-tnf per diem |
203 |
166 |
$12K |
| A4216 |
Sterile water/saline, 10 ml |
310 |
122 |
$11K |
| A4305 |
Drug delivery system >=50 ml |
672 |
63 |
$9K |
| B4155 |
Ef incomplete/modular |
93 |
12 |
$3K |
| J7030 |
Normal saline solution infus |
186 |
95 |
$2K |
| E0776 |
Iv pole |
16 |
13 |
$908.52 |
| J1642 |
Inj heparin sodium per 10 u |
35 |
15 |
$304.50 |
| A4217 |
Sterile water/saline, 500 ml |
19 |
12 |
$45.95 |