| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
16,888 |
15,523 |
$7.87M |
| J1569 |
Gammagard liquid injection |
722 |
474 |
$3.18M |
| 99601 |
|
37,718 |
14,994 |
$3.05M |
| S9500 |
Hit antibiotic q24h diem |
10,505 |
4,046 |
$2.88M |
| J1561 |
Gamunex-c/gammaked |
289 |
211 |
$1.76M |
| 99602 |
Nursing care in home rn |
13,603 |
7,743 |
$1.32M |
| S9502 |
Hit antibiotic q8h diem |
3,595 |
1,441 |
$1.13M |
| S9501 |
Hit antibiotic q12h diem |
3,765 |
1,365 |
$966K |
| J1335 |
Ertapenem injection |
1,540 |
825 |
$828K |
| B4161 |
Ef ped hydrolyzed/amino acid |
1,304 |
1,170 |
$771K |
| B4153 |
Ef hydrolyzed/amino acids |
1,398 |
1,270 |
$767K |
| S9343 |
Hit enteral bolus nurs |
2,269 |
2,155 |
$679K |
| B4152 |
Ef calorie dense>/=1.5kcal |
5,610 |
5,065 |
$600K |
| B4035 |
Enteral feed supp pump per d |
5,818 |
5,445 |
$460K |
| B4150 |
Ef complet w/intact nutrient |
4,013 |
3,704 |
$424K |
| B4185 |
Pn soln nos 10 grams lipids |
3,655 |
1,054 |
$410K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,586 |
1,461 |
$350K |
| J0696 |
Ceftriaxone sodium injection |
2,506 |
1,032 |
$331K |
| S9374 |
Hit hydra 1 liter diem |
1,666 |
696 |
$324K |
| J0878 |
Daptomycin injection |
429 |
161 |
$305K |
| S9338 |
Hit immunotherapy diem |
5,669 |
3,138 |
$305K |
| B4154 |
Ef spec metabolic noninherit |
1,381 |
1,247 |
$293K |
| S9348 |
Hit sympathomim diem |
989 |
233 |
$291K |
| S9366 |
Hit tpn 2 liter diem |
433 |
133 |
$288K |
| B4088 |
Gastro/jejuno tube, low-pro |
2,278 |
2,234 |
$262K |
| J1642 |
Inj heparin sodium per 10 u |
9,282 |
4,800 |
$195K |
| A4216 |
Sterile water/saline, 10 ml |
15,763 |
7,786 |
$193K |
| B5000 |
Parenteral sol renal-amirosy |
380 |
107 |
$168K |
| B4149 |
Ef blenderized foods |
633 |
582 |
$167K |
| J1559 |
Hizentra injection |
70 |
24 |
$147K |
| J3370 |
Vancomycin hcl injection |
1,499 |
581 |
$138K |
| S9379 |
Hit noc per diem |
1,020 |
473 |
$120K |
| B4034 |
Enter feed supkit syr by day |
2,655 |
2,450 |
$87K |
| S9367 |
Hit tpn 3 liter diem |
77 |
24 |
$61K |
| J2260 |
Inj milrinone lactate / 5 mg |
808 |
211 |
$61K |
| A4305 |
Drug delivery system >=50 ml |
564 |
227 |
$61K |
| S9341 |
Hit enteral grav diem |
158 |
125 |
$43K |
| B9002 |
Enter nutr inf pump any type |
1,481 |
1,478 |
$38K |
| J7050 |
Normal saline solution infus |
7,287 |
3,719 |
$34K |
| B4155 |
Ef incomplete/modular |
887 |
816 |
$34K |
| J3490 |
Drugs unclassified injection |
874 |
412 |
$27K |
| J2543 |
Piperacillin/tazobactam |
130 |
55 |
$18K |
| J7030 |
Normal saline solution infus |
1,950 |
934 |
$17K |
| J0690 |
Cefazolin sodium injection |
114 |
44 |
$8K |
| J2185 |
Meropenem |
22 |
12 |
$6K |
| B4036 |
Enteral feed sup kit grav by |
100 |
94 |
$5K |
| J0692 |
Cefepime hcl for injection |
33 |
13 |
$4K |
| A4221 |
Supp non-insulin inf cath/wk |
286 |
164 |
$3K |
| J0171 |
Adrenalin epinephrine inject |
323 |
311 |
$3K |
| S5498 |
Hit simple cath care |
13 |
12 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
581 |
489 |
$2K |
| J2930 |
Methylprednisolone injection |
22 |
14 |
$2K |
| B4082 |
Enteral ng tubing w/o stylet |
12 |
12 |
$516.54 |
| B4087 |
Gastro/jejuno tube, std |
34 |
32 |
$387.49 |
| E0776 |
Iv pole |
13 |
13 |
$217.73 |
| 99080 |
|
194 |
76 |
$0.00 |