| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9500 |
Hit antibiotic q24h diem |
9,304 |
3,962 |
$2.66M |
| B4197 |
Parenteral sol 74-100 gm pro |
1,782 |
500 |
$1.74M |
| S9342 |
Hit enteral pump diem |
9,447 |
4,396 |
$1.58M |
| S9502 |
Hit antibiotic q8h diem |
3,414 |
1,542 |
$1.22M |
| B4185 |
Pn soln nos 10 grams lipids |
6,016 |
1,538 |
$894K |
| S9501 |
Hit antibiotic q12h diem |
2,183 |
984 |
$724K |
| S9374 |
Hit hydra 1 liter diem |
4,325 |
1,411 |
$559K |
| S9343 |
Hit enteral bolus nurs |
3,820 |
1,636 |
$456K |
| B4152 |
Ef calorie dense>/=1.5kcal |
5,529 |
3,814 |
$387K |
| 99601 |
|
3,740 |
1,705 |
$262K |
| S5501 |
Hit complex cath care |
4,336 |
1,000 |
$237K |
| S9366 |
Hit tpn 2 liter diem |
833 |
243 |
$211K |
| B4150 |
Ef complet w/intact nutrient |
2,716 |
1,828 |
$152K |
| B4035 |
Enteral feed supp pump per d |
5,204 |
2,386 |
$111K |
| S9504 |
Hit antibiotic q4h diem |
115 |
52 |
$51K |
| B4199 |
Parenteral sol > 100gm prote |
42 |
12 |
$47K |
| B4154 |
Ef spec metabolic noninherit |
419 |
228 |
$39K |
| S9375 |
Hit hydra 2 liter diem |
219 |
65 |
$37K |
| 99602 |
Nursing care in home rn |
593 |
394 |
$34K |
| B4034 |
Enter feed supkit syr by day |
1,754 |
998 |
$32K |
| B9002 |
Enter nutr inf pump any type |
1,682 |
1,519 |
$29K |
| S9359 |
Hit anti-tnf per diem |
338 |
315 |
$26K |
| S9503 |
Hit antibiotic q6h diem |
60 |
25 |
$22K |
| J7030 |
Normal saline solution infus |
3,002 |
974 |
$20K |
| B4155 |
Ef incomplete/modular |
1,136 |
722 |
$17K |
| B4224 |
Parenteral administration ki |
653 |
180 |
$15K |
| J1335 |
Ertapenem injection |
97 |
25 |
$12K |
| A4222 |
Infusion supplies with pump |
451 |
229 |
$10K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
139 |
88 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
472 |
108 |
$7K |
| B4220 |
Parenteral supply kit premix |
600 |
168 |
$5K |
| S5502 |
Hit interim cath care |
339 |
334 |
$5K |
| A4221 |
Supp non-insulin inf cath/wk |
420 |
231 |
$2K |
| B9004 |
Parenteral infus pump portab |
18 |
14 |
$2K |
| B4088 |
Gastro/jejuno tube, low-pro |
12 |
12 |
$2K |
| J7050 |
Normal saline solution infus |
278 |
132 |
$930.36 |
| J0690 |
Cefazolin sodium injection |
40 |
12 |
$905.65 |
| J9190 |
Fluorouracil injection |
108 |
36 |
$764.30 |
| E0776 |
Iv pole |
209 |
192 |
$483.16 |
| A9901 |
Delivery/set up/dispensing |
93 |
84 |
$313.50 |
| S5517 |
Hit declotting kit |
14 |
12 |
$184.14 |