| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99601 |
|
68,574 |
15,897 |
$7.63M |
| S9500 |
Hit antibiotic q24h diem |
37,109 |
10,715 |
$7.15M |
| A4223 |
Infusion supplies w/o pump |
43,717 |
14,053 |
$3.52M |
| S9501 |
Hit antibiotic q12h diem |
11,399 |
3,377 |
$2.34M |
| B9999 |
Parenteral supp not othrws c |
20,122 |
8,219 |
$2.03M |
| S9502 |
Hit antibiotic q8h diem |
11,379 |
2,874 |
$2.00M |
| S9366 |
Hit tpn 2 liter diem |
3,552 |
632 |
$1.63M |
| A4305 |
Drug delivery system >=50 ml |
18,846 |
5,602 |
$1.00M |
| S9374 |
Hit hydra 1 liter diem |
5,333 |
2,396 |
$930K |
| J3490 |
Drugs unclassified injection |
12,547 |
6,375 |
$854K |
| J1642 |
Inj heparin sodium per 10 u |
11,323 |
5,833 |
$746K |
| S9379 |
Hit noc per diem |
6,328 |
4,013 |
$689K |
| G0299 |
Hhs/hospice of rn ea 15 min |
8,232 |
2,160 |
$688K |
| S9542 |
Ht inj noc per diem |
4,054 |
3,000 |
$613K |
| 99602 |
Nursing care in home rn |
4,626 |
2,899 |
$571K |
| S9342 |
Hit enteral pump diem |
3,896 |
1,145 |
$516K |
| E0776 |
Iv pole |
9,263 |
6,049 |
$480K |
| J0696 |
Ceftriaxone sodium injection |
1,396 |
717 |
$329K |
| J1745 |
Infliximab not biosimil 10mg |
139 |
131 |
$311K |
| S9343 |
Hit enteral bolus nurs |
3,637 |
931 |
$287K |
| J1335 |
Ertapenem injection |
678 |
421 |
$272K |
| A4222 |
Infusion supplies with pump |
659 |
328 |
$233K |
| A4245 |
Alcohol wipes per box |
18,424 |
11,047 |
$222K |
| J0135 |
Adalimumab injection |
142 |
106 |
$217K |
| J7050 |
Normal saline solution infus |
4,908 |
2,635 |
$198K |
| J9355 |
Inj trastuzumab excl biosimi |
52 |
38 |
$197K |
| E0781 |
External ambulatory infus pu |
5,570 |
2,725 |
$178K |
| S9503 |
Hit antibiotic q6h diem |
1,346 |
223 |
$170K |
| J3370 |
Vancomycin hcl injection |
844 |
275 |
$158K |
| J1442 |
Inj filgrastim excl biosimil |
126 |
102 |
$144K |
| B4034 |
Enter feed supkit syr by day |
1,384 |
1,213 |
$105K |
| B4035 |
Enteral feed supp pump per d |
702 |
580 |
$74K |
| S9338 |
Hit immunotherapy diem |
861 |
508 |
$70K |
| A4216 |
Sterile water/saline, 10 ml |
4,378 |
1,607 |
$68K |
| S5498 |
Hit simple cath care |
1,885 |
218 |
$58K |
| A4927 |
Non-sterile gloves |
14,561 |
8,523 |
$58K |
| B9002 |
Enter nutr inf pump any type |
296 |
267 |
$44K |
| J0129 |
Abatacept injection |
27 |
24 |
$43K |
| J1100 |
Dexamethasone sodium phos |
1,982 |
1,613 |
$39K |
| S1015 |
Iv tubing extension set |
13,994 |
8,156 |
$35K |
| T1001 |
Nursing assessment/evaluatn |
1,169 |
308 |
$33K |
| J1200 |
Diphenhydramine hcl injectio |
1,836 |
1,490 |
$28K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
456 |
107 |
$28K |
| B4150 |
Ef complet w/intact nutrient |
182 |
161 |
$24K |
| S3601 |
Stat lab home/nf |
270 |
129 |
$23K |
| J7030 |
Normal saline solution infus |
939 |
429 |
$23K |
| A6457 |
Tubular dressing |
4,269 |
2,174 |
$19K |
| J7040 |
Normal saline solution infus |
291 |
141 |
$19K |
| J2405 |
Ondansetron hcl injection |
960 |
771 |
$19K |
| S5501 |
Hit complex cath care |
653 |
83 |
$17K |
| A4209 |
5+ cc sterile syringe&needle |
2,213 |
1,384 |
$15K |
| J3590 |
Unclassified biologics |
15 |
13 |
$10K |
| J7324 |
Orthovisc inj per dose |
27 |
26 |
$8K |
| J7321 |
Hyalgan supartz visco-3 dose |
12 |
12 |
$8K |
| S0028 |
Injection, famotidine, 20 mg |
563 |
467 |
$7K |
| A4657 |
Syringe w/wo needle |
617 |
487 |
$7K |
| B4154 |
Ef spec metabolic noninherit |
25 |
24 |
$6K |
| B9998 |
Enteral supp not otherwise c |
218 |
173 |
$6K |
| B4185 |
Pn soln nos 10 grams lipids |
25 |
12 |
$5K |
| J2469 |
Palonosetron hcl |
63 |
54 |
$5K |
| 90750 |
|
43 |
35 |
$4K |
| J3489 |
Zoledronic acid 1mg |
55 |
52 |
$3K |
| B4152 |
Ef calorie dense>/=1.5kcal |
15 |
13 |
$3K |
| J1040 |
Methylprednisolone 80 mg inj |
267 |
265 |
$3K |
| Q5106 |
Inj retacrit non-esrd use |
16 |
12 |
$3K |
| T5999 |
Supply, nos |
186 |
65 |
$3K |
| J9045 |
Carboplatin injection |
78 |
41 |
$3K |
| A4450 |
Non-waterproof tape |
119 |
87 |
$2K |
| A4208 |
3 cc sterile syringe&needle |
349 |
279 |
$1K |
| A4212 |
Non coring needle or stylet |
127 |
77 |
$1K |
| A4602 |
Replace lithium battery 1.5v |
273 |
169 |
$1K |
| A6447 |
Conform band s w >=5"/yd |
218 |
129 |
$542.38 |
| A4217 |
Sterile water/saline, 500 ml |
30 |
13 |
$333.68 |
| A6258 |
Transparent film >16<=48 in |
179 |
127 |
$299.51 |
| A4215 |
Sterile needle |
227 |
148 |
$218.99 |
| A4247 |
Betadine/iodine swabs/wipes |
209 |
173 |
$85.03 |