| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4222 |
Infusion supplies with pump |
15,389 |
5,515 |
$7.63M |
| A4221 |
Supp non-insulin inf cath/wk |
6,248 |
3,303 |
$217K |
| B4035 |
Enteral feed supp pump per d |
517 |
452 |
$104K |
| E0791 |
Parenteral infusion pump sta |
280 |
277 |
$75K |
| J7030 |
Normal saline solution infus |
4,486 |
1,537 |
$50K |
| B4185 |
Pn soln nos 10 grams lipids |
229 |
52 |
$32K |
| B4224 |
Parenteral administration ki |
211 |
52 |
$32K |
| 99601 |
|
504 |
220 |
$31K |
| E0781 |
External ambulatory infus pu |
117 |
107 |
$21K |
| M0245 |
Bamlan and etesev infusion |
64 |
62 |
$16K |
| E0776 |
Iv pole |
1,053 |
1,015 |
$14K |
| E0779 |
Amb infusion pump mechanical |
662 |
647 |
$11K |
| B4220 |
Parenteral supply kit premix |
214 |
52 |
$10K |
| B9002 |
Enter nutr inf pump any type |
88 |
82 |
$8K |
| M0243 |
Casirivi and imdevi inj |
23 |
23 |
$6K |
| J1200 |
Diphenhydramine hcl injectio |
495 |
201 |
$6K |
| J2405 |
Ondansetron hcl injection |
631 |
194 |
$5K |
| M0247 |
Sotrovimab infusion |
17 |
17 |
$4K |
| J7120 |
Ringers lactate infusion |
320 |
86 |
$3K |
| J1642 |
Inj heparin sodium per 10 u |
274 |
133 |
$3K |
| B4152 |
Ef calorie dense>/=1.5kcal |
15 |
12 |
$3K |
| 97803 |
|
151 |
56 |
$2K |
| 99602 |
Nursing care in home rn |
38 |
24 |
$2K |
| B4036 |
Enteral feed sup kit grav by |
17 |
13 |
$1K |
| J3490 |
Drugs unclassified injection |
57 |
24 |
$1K |
| S0028 |
Injection, famotidine, 20 mg |
253 |
79 |
$1K |