| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4222 |
Infusion supplies with pump |
2,016 |
588 |
$779K |
| B4189 |
Parenteral sol amino acid & |
716 |
151 |
$587K |
| B4185 |
Pn soln nos 10 grams lipids |
501 |
115 |
$104K |
| B4199 |
Parenteral sol > 100gm prote |
90 |
24 |
$70K |
| G0299 |
Hhs/hospice of rn ea 15 min |
552 |
302 |
$45K |
| S9338 |
Hit immunotherapy diem |
436 |
190 |
$43K |
| S9500 |
Hit antibiotic q24h diem |
32 |
14 |
$14K |
| 99601 |
|
121 |
75 |
$7K |
| S9379 |
Hit noc per diem |
18 |
12 |
$87.50 |
| J3490 |
Drugs unclassified injection |
291 |
41 |
$25.18 |
| G0068 |
Adm iv infusion drug in home |
216 |
101 |
$0.00 |
| E0781 |
External ambulatory infus pu |
186 |
47 |
$0.00 |
| S9470 |
Nutritional counseling, diet |
15 |
14 |
$0.00 |