| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9363 |
Hit anti-spasmotic diem |
18,933 |
11,436 |
$14.16M |
| S9328 |
Hit pain imp pump diem |
16,159 |
6,804 |
$6.54M |
| B4197 |
Parenteral sol 74-100 gm pro |
36,089 |
3,307 |
$5.75M |
| B4193 |
Parenteral sol 52-73 gm prot |
26,359 |
2,630 |
$3.45M |
| J0475 |
Baclofen 10 mg injection |
11,932 |
9,342 |
$2.51M |
| B4189 |
Parenteral sol amino acid & |
18,879 |
1,879 |
$2.39M |
| S9325 |
Hit pain mgmt per diem |
1,022 |
854 |
$1.15M |
| B4224 |
Parenteral administration ki |
88,273 |
8,016 |
$1.12M |
| B4199 |
Parenteral sol > 100gm prote |
3,991 |
357 |
$755K |
| 99601 |
|
9,271 |
8,033 |
$521K |
| 99602 |
Nursing care in home rn |
8,760 |
7,550 |
$516K |
| S9379 |
Hit noc per diem |
3,367 |
286 |
$312K |
| B4185 |
Pn soln nos 10 grams lipids |
4,075 |
1,072 |
$236K |
| B4220 |
Parenteral supply kit premix |
60,094 |
5,692 |
$218K |
| S9368 |
Hit tpn over 3l diem |
448 |
86 |
$141K |
| J7999 |
Compounded drug, noc |
8,566 |
4,412 |
$131K |
| J1170 |
Hydromorphone injection |
1,694 |
1,474 |
$89K |
| J2274 |
Inj morphine pf epid ithc |
800 |
672 |
$72K |
| A4220 |
Infusion pump refill kit |
9,248 |
6,784 |
$67K |
| J3490 |
Drugs unclassified injection |
3,146 |
1,899 |
$43K |
| A9270 |
Non-covered item or service |
14,504 |
2,371 |
$30K |
| 95990 |
|
2,425 |
1,867 |
$20K |
| B4157 |
Ef special metabolic inherit |
17 |
13 |
$4K |
| J2270 |
Morphine sulfate injection |
221 |
193 |
$3K |
| S9365 |
Hit tpn 1 liter diem |
382 |
38 |
$600.00 |
| B9999 |
Parenteral supp not othrws c |
135 |
24 |
$51.33 |