| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4222 |
Infusion supplies with pump |
7,615 |
2,883 |
$527K |
| B4224 |
Parenteral administration ki |
6,367 |
1,972 |
$278K |
| A4221 |
Supp non-insulin inf cath/wk |
8,714 |
4,096 |
$170K |
| B4220 |
Parenteral supply kit premix |
6,186 |
1,919 |
$84K |
| A4305 |
Drug delivery system >=50 ml |
1,319 |
502 |
$23K |
| B9004 |
Parenteral infus pump portab |
14 |
12 |
$3K |
| 99601 |
|
558 |
325 |
$2K |
| 99602 |
Nursing care in home rn |
314 |
182 |
$910.00 |
| A4216 |
Sterile water/saline, 10 ml |
2,080 |
937 |
$559.43 |
| S9338 |
Hit immunotherapy diem |
24 |
12 |
$93.22 |
| A4223 |
Infusion supplies w/o pump |
271 |
132 |
$0.00 |
| B4185 |
Pn soln nos 10 grams lipids |
97 |
26 |
$0.00 |