| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9500 |
Hit antibiotic q24h diem |
5,849 |
1,714 |
$1.20M |
| S9340 |
Hit enteral per diem |
1,329 |
1,107 |
$486K |
| S9366 |
Hit tpn 2 liter diem |
693 |
136 |
$360K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
826 |
481 |
$324K |
| B4035 |
Enteral feed supp pump per d |
2,426 |
2,303 |
$293K |
| S9494 |
Hit antibiotic total diem |
750 |
297 |
$282K |
| A4223 |
Infusion supplies w/o pump |
5,164 |
1,503 |
$244K |
| S9365 |
Hit tpn 1 liter diem |
478 |
125 |
$238K |
| G0299 |
Hhs/hospice of rn ea 15 min |
1,362 |
966 |
$178K |
| 99601 |
|
1,388 |
822 |
$176K |
| A4222 |
Infusion supplies with pump |
1,234 |
616 |
$140K |
| S9379 |
Hit noc per diem |
910 |
696 |
$135K |
| S9355 |
Hit chelation diem |
1,129 |
922 |
$133K |
| B9999 |
Parenteral supp not othrws c |
2,308 |
603 |
$123K |
| A4305 |
Drug delivery system >=50 ml |
865 |
335 |
$121K |
| S9342 |
Hit enteral pump diem |
760 |
273 |
$112K |
| B9998 |
Enteral supp not otherwise c |
779 |
662 |
$63K |
| S9502 |
Hit antibiotic q8h diem |
275 |
69 |
$47K |
| B4034 |
Enter feed supkit syr by day |
613 |
585 |
$28K |
| B4150 |
Ef complet w/intact nutrient |
529 |
502 |
$26K |
| B4088 |
Gastro/jejuno tube, low-pro |
186 |
183 |
$19K |
| S9343 |
Hit enteral bolus nurs |
70 |
64 |
$19K |
| A4221 |
Supp non-insulin inf cath/wk |
1,141 |
604 |
$13K |
| B4185 |
Pn soln nos 10 grams lipids |
99 |
26 |
$6K |
| B9002 |
Enter nutr inf pump any type |
157 |
155 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
62 |
12 |
$3K |
| B4152 |
Ef calorie dense>/=1.5kcal |
26 |
26 |
$1K |
| S9359 |
Hit anti-tnf per diem |
233 |
223 |
$767.50 |
| E0776 |
Iv pole |
116 |
113 |
$228.78 |
| 99600 |
|
1,542 |
872 |
$0.00 |