| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0135 |
Adalimumab injection |
831 |
762 |
$4.04M |
| S9542 |
Ht inj noc per diem |
5,213 |
4,642 |
$2.24M |
| S9500 |
Hit antibiotic q24h diem |
10,532 |
2,529 |
$2.08M |
| S9502 |
Hit antibiotic q8h diem |
5,563 |
1,566 |
$1.52M |
| J3490 |
Drugs unclassified injection |
2,085 |
1,931 |
$1.51M |
| S9501 |
Hit antibiotic q12h diem |
3,885 |
1,059 |
$985K |
| S9342 |
Hit enteral pump diem |
5,447 |
1,749 |
$890K |
| S9343 |
Hit enteral bolus nurs |
8,551 |
1,719 |
$824K |
| S9366 |
Hit tpn 2 liter diem |
922 |
234 |
$713K |
| A4223 |
Infusion supplies w/o pump |
5,974 |
1,878 |
$522K |
| B4035 |
Enteral feed supp pump per d |
2,034 |
1,886 |
$308K |
| 99601 |
|
2,627 |
1,365 |
$274K |
| J3590 |
Unclassified biologics |
90 |
84 |
$266K |
| S9379 |
Hit noc per diem |
948 |
368 |
$194K |
| J1438 |
Etanercept injection |
147 |
134 |
$185K |
| 96365 |
|
1,440 |
899 |
$163K |
| B9998 |
Enteral supp not otherwise c |
2,293 |
1,906 |
$123K |
| G0299 |
Hhs/hospice of rn ea 15 min |
1,123 |
493 |
$90K |
| 99602 |
Nursing care in home rn |
371 |
222 |
$48K |
| S9374 |
Hit hydra 1 liter diem |
250 |
64 |
$43K |
| B4034 |
Enter feed supkit syr by day |
445 |
372 |
$38K |
| A4222 |
Infusion supplies with pump |
329 |
168 |
$35K |
| S9340 |
Hit enteral per diem |
88 |
71 |
$23K |
| B4088 |
Gastro/jejuno tube, low-pro |
103 |
101 |
$12K |
| J1642 |
Inj heparin sodium per 10 u |
144 |
79 |
$8K |
| G0154 |
Hhcp-svs of rn,ea 15 min |
50 |
18 |
$5K |
| A4221 |
Supp non-insulin inf cath/wk |
321 |
168 |
$3K |
| B9002 |
Enter nutr inf pump any type |
13 |
13 |
$286.67 |