| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4223 |
Infusion supplies w/o pump |
16,244 |
4,669 |
$402K |
| S9500 |
Hit antibiotic q24h diem |
508 |
310 |
$218K |
| S9343 |
Hit enteral bolus nurs |
843 |
688 |
$191K |
| 99601 |
|
1,751 |
778 |
$184K |
| E0781 |
External ambulatory infus pu |
2,373 |
1,676 |
$133K |
| G0299 |
Hhs/hospice of rn ea 15 min |
854 |
329 |
$89K |
| A5200 |
Percutaneous catheter anchor |
2,068 |
1,571 |
$64K |
| A4322 |
Irrigation syringe |
933 |
749 |
$44K |
| S9379 |
Hit noc per diem |
355 |
234 |
$36K |
| A4927 |
Non-sterile gloves |
5,235 |
3,966 |
$18K |
| A6247 |
Hydrogel drg > 48 sq in w/b |
446 |
384 |
$18K |
| S1015 |
Iv tubing extension set |
3,994 |
3,066 |
$17K |
| S5501 |
Hit complex cath care |
220 |
141 |
$10K |
| A6402 |
Sterile gauze <= 16 sq in |
2,397 |
1,783 |
$9K |
| E0776 |
Iv pole |
115 |
108 |
$8K |
| A4245 |
Alcohol wipes per box |
5,464 |
4,171 |
$8K |
| A6447 |
Conform band s w >=5"/yd |
1,435 |
1,035 |
$6K |
| A4657 |
Syringe w/wo needle |
942 |
558 |
$5K |
| A6266 |
Impreg gauze no h20/sal/yard |
699 |
571 |
$2K |
| B4035 |
Enteral feed supp pump per d |
14 |
13 |
$2K |
| A6457 |
Tubular dressing |
968 |
696 |
$974.06 |
| A4209 |
5+ cc sterile syringe&needle |
89 |
63 |
$261.38 |
| 81015 |
|
21 |
15 |
$44.62 |
| G0154 |
Hhcp-svs of rn,ea 15 min |
116 |
92 |
$0.00 |
| 0551 |
|
173 |
86 |
$0.00 |