| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9500 |
Hit antibiotic q24h diem |
12,222 |
3,607 |
$3.40M |
| S9502 |
Hit antibiotic q8h diem |
6,491 |
1,843 |
$2.11M |
| 99601 |
|
24,505 |
7,176 |
$2.11M |
| S9501 |
Hit antibiotic q12h diem |
4,814 |
1,378 |
$1.46M |
| B4185 |
Pn soln nos 10 grams lipids |
3,376 |
841 |
$1.02M |
| B4197 |
Parenteral sol 74-100 gm pro |
606 |
151 |
$974K |
| B4224 |
Parenteral administration ki |
3,667 |
912 |
$701K |
| S9494 |
Hit antibiotic total diem |
2,664 |
830 |
$685K |
| B9004 |
Parenteral infus pump portab |
5,239 |
997 |
$430K |
| A4305 |
Drug delivery system >=50 ml |
3,425 |
1,287 |
$360K |
| A4223 |
Infusion supplies w/o pump |
675 |
250 |
$325K |
| B4220 |
Parenteral supply kit premix |
3,677 |
912 |
$226K |
| S9374 |
Hit hydra 1 liter diem |
564 |
183 |
$143K |
| A4222 |
Infusion supplies with pump |
3,332 |
292 |
$97K |
| J3370 |
Vancomycin hcl injection |
1,488 |
562 |
$80K |
| G0299 |
Hhs/hospice of rn ea 15 min |
1,104 |
377 |
$52K |
| J7030 |
Normal saline solution infus |
1,578 |
621 |
$28K |
| J1335 |
Ertapenem injection |
109 |
52 |
$20K |
| J0878 |
Daptomycin injection |
158 |
40 |
$18K |
| J0696 |
Ceftriaxone sodium injection |
610 |
289 |
$15K |
| J0690 |
Cefazolin sodium injection |
221 |
97 |
$12K |
| J2997 |
Alteplase recombinant |
51 |
40 |
$12K |
| J0692 |
Cefepime hcl for injection |
162 |
78 |
$10K |
| A4221 |
Supp non-insulin inf cath/wk |
221 |
106 |
$6K |
| J2185 |
Meropenem |
27 |
14 |
$3K |
| B4216 |
Parenteral nutrition additiv |
44 |
16 |
$2K |
| J2543 |
Piperacillin/tazobactam |
27 |
12 |
$2K |
| J7050 |
Normal saline solution infus |
279 |
112 |
$882.45 |
| S5517 |
Hit declotting kit |
14 |
14 |
$272.73 |