| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
78,985 |
13,734 |
$6.45M |
| S9500 |
Hit antibiotic q24h diem |
28,825 |
4,500 |
$3.59M |
| J0878 |
Daptomycin injection |
7,403 |
779 |
$3.16M |
| B4161 |
Ef ped hydrolyzed/amino acid |
11,950 |
4,900 |
$3.12M |
| B4035 |
Enteral feed supp pump per d |
12,728 |
9,738 |
$2.08M |
| 99601 |
|
25,075 |
7,323 |
$2.05M |
| A4223 |
Infusion supplies w/o pump |
8,244 |
3,399 |
$1.66M |
| B4153 |
Ef hydrolyzed/amino acids |
6,315 |
3,225 |
$1.59M |
| B4185 |
Pn soln nos 10 grams lipids |
9,383 |
1,965 |
$1.44M |
| S9502 |
Hit antibiotic q8h diem |
7,814 |
1,445 |
$1.29M |
| S9501 |
Hit antibiotic q12h diem |
7,678 |
1,437 |
$1.18M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
9,233 |
5,346 |
$1.04M |
| S9366 |
Hit tpn 2 liter diem |
2,837 |
405 |
$954K |
| S9374 |
Hit hydra 1 liter diem |
6,952 |
1,286 |
$911K |
| J0696 |
Ceftriaxone sodium injection |
5,738 |
1,170 |
$908K |
| J3370 |
Vancomycin hcl injection |
4,751 |
1,177 |
$782K |
| B4149 |
Ef blenderized foods |
5,945 |
2,483 |
$761K |
| S9379 |
Hit noc per diem |
6,087 |
2,130 |
$679K |
| B4152 |
Ef calorie dense>/=1.5kcal |
9,105 |
4,580 |
$579K |
| S9343 |
Hit enteral bolus nurs |
12,306 |
2,469 |
$511K |
| B4105 |
Enzyme cartridge enteral nut |
143 |
111 |
$482K |
| B4034 |
Enter feed supkit syr by day |
5,826 |
4,406 |
$458K |
| B4154 |
Ef spec metabolic noninherit |
2,858 |
1,487 |
$421K |
| A4222 |
Infusion supplies with pump |
4,063 |
1,393 |
$345K |
| B4150 |
Ef complet w/intact nutrient |
4,991 |
2,611 |
$306K |
| S9494 |
Hit antibiotic total diem |
1,209 |
352 |
$240K |
| B4036 |
Enteral feed sup kit grav by |
1,816 |
1,406 |
$224K |
| S9341 |
Hit enteral grav diem |
3,090 |
960 |
$221K |
| J3380 |
Inj vedolizumab iv 1 mg |
28 |
26 |
$180K |
| B4155 |
Ef incomplete/modular |
4,127 |
2,374 |
$177K |
| B4224 |
Parenteral administration ki |
2,409 |
680 |
$161K |
| J2260 |
Inj milrinone lactate / 5 mg |
2,028 |
236 |
$156K |
| A4221 |
Supp non-insulin inf cath/wk |
8,229 |
3,560 |
$144K |
| B4088 |
Gastro/jejuno tube, low-pro |
3,933 |
3,367 |
$143K |
| S9542 |
Ht inj noc per diem |
2,273 |
411 |
$138K |
| S9351 |
Hit cont antiemetic diem |
376 |
67 |
$66K |
| B9998 |
Enteral supp not otherwise c |
429 |
342 |
$62K |
| 99602 |
Nursing care in home rn |
822 |
571 |
$61K |
| S9345 |
Hit anti-hemophil diem |
1,803 |
607 |
$60K |
| A4305 |
Drug delivery system >=50 ml |
901 |
194 |
$56K |
| S9348 |
Hit sympathomim diem |
217 |
41 |
$53K |
| B4220 |
Parenteral supply kit premix |
2,461 |
666 |
$49K |
| S9338 |
Hit immunotherapy diem |
337 |
175 |
$45K |
| B9002 |
Enter nutr inf pump any type |
844 |
559 |
$17K |
| J0692 |
Cefepime hcl for injection |
91 |
25 |
$17K |
| J0690 |
Cefazolin sodium injection |
241 |
53 |
$9K |
| J2405 |
Ondansetron hcl injection |
958 |
140 |
$9K |
| S9375 |
Hit hydra 2 liter diem |
55 |
12 |
$8K |
| A4213 |
20+ cc syringe only |
770 |
560 |
$7K |
| J2543 |
Piperacillin/tazobactam |
29 |
12 |
$4K |
| A4215 |
Sterile needle |
316 |
190 |
$4K |
| A6402 |
Sterile gauze <= 16 sq in |
619 |
463 |
$3K |
| E0776 |
Iv pole |
334 |
241 |
$3K |
| A4452 |
Waterproof tape |
411 |
312 |
$2K |
| B4158 |
Ef ped complete intact nut |
17 |
13 |
$2K |
| E0781 |
External ambulatory infus pu |
15 |
12 |
$1K |
| S9359 |
Hit anti-tnf per diem |
14 |
14 |
$825.15 |
| A4216 |
Sterile water/saline, 10 ml |
61 |
40 |
$792.78 |
| A4322 |
Irrigation syringe |
125 |
93 |
$690.55 |
| J1642 |
Inj heparin sodium per 10 u |
53 |
37 |
$455.78 |
| J7030 |
Normal saline solution infus |
28 |
17 |
$232.99 |
| A4450 |
Non-waterproof tape |
82 |
62 |
$154.27 |
| A4217 |
Sterile water/saline, 500 ml |
28 |
17 |
$36.10 |