| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9500 |
Hit antibiotic q24h diem |
13,704 |
3,370 |
$2.09M |
| A4223 |
Infusion supplies w/o pump |
17,067 |
4,629 |
$2.01M |
| 99601 |
|
17,675 |
7,023 |
$1.39M |
| B4035 |
Enteral feed supp pump per d |
5,864 |
4,993 |
$647K |
| S9342 |
Hit enteral pump diem |
9,162 |
1,636 |
$534K |
| S9366 |
Hit tpn 2 liter diem |
1,233 |
151 |
$451K |
| G0299 |
Hhs/hospice of rn ea 15 min |
2,782 |
1,034 |
$328K |
| S9501 |
Hit antibiotic q12h diem |
1,500 |
460 |
$324K |
| S9343 |
Hit enteral bolus nurs |
9,735 |
1,270 |
$324K |
| 99602 |
Nursing care in home rn |
2,829 |
1,890 |
$285K |
| A4305 |
Drug delivery system >=50 ml |
1,776 |
871 |
$282K |
| S9379 |
Hit noc per diem |
3,510 |
2,107 |
$268K |
| S9502 |
Hit antibiotic q8h diem |
1,388 |
297 |
$243K |
| S9494 |
Hit antibiotic total diem |
1,828 |
775 |
$215K |
| B9999 |
Parenteral supp not othrws c |
6,669 |
1,305 |
$208K |
| B4150 |
Ef complet w/intact nutrient |
1,880 |
1,650 |
$203K |
| S9374 |
Hit hydra 1 liter diem |
1,235 |
429 |
$198K |
| B9998 |
Enteral supp not otherwise c |
2,864 |
2,506 |
$177K |
| B4034 |
Enter feed supkit syr by day |
3,130 |
2,155 |
$171K |
| B4185 |
Pn soln nos 10 grams lipids |
531 |
148 |
$156K |
| B4152 |
Ef calorie dense>/=1.5kcal |
866 |
746 |
$108K |
| S9338 |
Hit immunotherapy diem |
1,031 |
557 |
$85K |
| B4088 |
Gastro/jejuno tube, low-pro |
571 |
564 |
$71K |
| S1015 |
Iv tubing extension set |
2,173 |
575 |
$50K |
| B4154 |
Ef spec metabolic noninherit |
292 |
266 |
$44K |
| B9002 |
Enter nutr inf pump any type |
1,014 |
1,005 |
$35K |
| A4222 |
Infusion supplies with pump |
379 |
153 |
$35K |
| S9340 |
Hit enteral per diem |
108 |
92 |
$32K |
| J1642 |
Inj heparin sodium per 10 u |
62 |
33 |
$7K |
| A4221 |
Supp non-insulin inf cath/wk |
250 |
127 |
$4K |
| S9359 |
Hit anti-tnf per diem |
59 |
57 |
$4K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
18 |
12 |
$2K |
| 0004A |
|
43 |
43 |
$2K |
| 0064A |
|
19 |
19 |
$760.00 |
| E0776 |
Iv pole |
191 |
191 |
$511.76 |
| A4245 |
Alcohol wipes per box |
39 |
35 |
$47.77 |