| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4223 |
Infusion supplies w/o pump |
3,249 |
1,097 |
$4.06M |
| B4035 |
Enteral feed supp pump per d |
1,371 |
1,185 |
$473K |
| B4034 |
Enter feed supkit syr by day |
983 |
882 |
$345K |
| A4221 |
Supp non-insulin inf cath/wk |
2,424 |
1,100 |
$318K |
| S9500 |
Hit antibiotic q24h diem |
538 |
107 |
$158K |
| B4152 |
Ef calorie dense>/=1.5kcal |
571 |
467 |
$156K |
| S9366 |
Hit tpn 2 liter diem |
88 |
13 |
$143K |
| A4216 |
Sterile water/saline, 10 ml |
1,440 |
626 |
$78K |
| B4150 |
Ef complet w/intact nutrient |
275 |
249 |
$46K |
| S9340 |
Hit enteral per diem |
50 |
38 |
$32K |
| B9002 |
Enter nutr inf pump any type |
87 |
86 |
$23K |
| E0776 |
Iv pole |
102 |
102 |
$12K |
| J1642 |
Inj heparin sodium per 10 u |
211 |
113 |
$6K |
| J7030 |
Normal saline solution infus |
27 |
12 |
$177.21 |