| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99601 |
|
3,012 |
1,114 |
$251K |
| 99602 |
Nursing care in home rn |
1,052 |
562 |
$144K |
| S9500 |
Hit antibiotic q24h diem |
619 |
280 |
$136K |
| B4150 |
Ef complet w/intact nutrient |
785 |
323 |
$57K |
| S9342 |
Hit enteral pump diem |
273 |
244 |
$56K |
| S9338 |
Hit immunotherapy diem |
728 |
476 |
$55K |
| A4305 |
Drug delivery system >=50 ml |
119 |
61 |
$6K |
| J1642 |
Inj heparin sodium per 10 u |
225 |
79 |
$4K |
| S9501 |
Hit antibiotic q12h diem |
19 |
12 |
$3K |
| A4223 |
Infusion supplies w/o pump |
58 |
26 |
$3K |
| A4927 |
Non-sterile gloves |
1,101 |
556 |
$3K |
| A6248 |
Hydrogel drsg gel filler |
444 |
183 |
$2K |
| T1001 |
Nursing assessment/evaluatn |
49 |
12 |
$2K |
| A4222 |
Infusion supplies with pump |
134 |
46 |
$2K |
| S9343 |
Hit enteral bolus nurs |
16 |
13 |
$1K |
| A4245 |
Alcohol wipes per box |
824 |
449 |
$991.29 |
| A6457 |
Tubular dressing |
443 |
209 |
$565.50 |
| A4216 |
Sterile water/saline, 10 ml |
26 |
13 |
$409.17 |
| A6257 |
Transparent film <= 16 sq in |
210 |
95 |
$307.00 |
| A4649 |
Surgical supplies |
75 |
50 |
$180.32 |
| A6402 |
Sterile gauze <= 16 sq in |
16 |
14 |
$163.56 |
| A4221 |
Supp non-insulin inf cath/wk |
68 |
32 |
$127.35 |
| A5120 |
Skin barrier, wipe or swab |
80 |
37 |
$56.19 |
| A4657 |
Syringe w/wo needle |
203 |
74 |
$44.63 |