| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99601 |
|
26,308 |
10,182 |
$2.05M |
| S9366 |
Hit tpn 2 liter diem |
3,521 |
544 |
$1.29M |
| S9374 |
Hit hydra 1 liter diem |
9,370 |
2,290 |
$994K |
| S9330 |
Hit cont chem diem |
4,383 |
1,670 |
$590K |
| S9379 |
Hit noc per diem |
3,570 |
2,323 |
$585K |
| S9338 |
Hit immunotherapy diem |
2,632 |
1,619 |
$371K |
| S9500 |
Hit antibiotic q24h diem |
1,766 |
596 |
$354K |
| A4222 |
Infusion supplies with pump |
6,905 |
1,528 |
$297K |
| S9502 |
Hit antibiotic q8h diem |
920 |
255 |
$195K |
| S9342 |
Hit enteral pump diem |
913 |
788 |
$172K |
| 99602 |
Nursing care in home rn |
1,144 |
720 |
$109K |
| Q5121 |
Inj. avsola, 10 mg |
34 |
31 |
$84K |
| B4185 |
Pn soln nos 10 grams lipids |
1,779 |
245 |
$41K |
| S9542 |
Ht inj noc per diem |
903 |
726 |
$39K |
| S9343 |
Hit enteral bolus nurs |
197 |
127 |
$18K |
| B4161 |
Ef ped hydrolyzed/amino acid |
57 |
56 |
$8K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
125 |
91 |
$5K |
| B4152 |
Ef calorie dense>/=1.5kcal |
150 |
108 |
$5K |
| S9359 |
Hit anti-tnf per diem |
51 |
38 |
$4K |
| A4221 |
Supp non-insulin inf cath/wk |
1,276 |
611 |
$4K |
| B4149 |
Ef blenderized foods |
28 |
25 |
$3K |
| S5497 |
Hit cath care noc |
13 |
12 |
$2K |
| B4224 |
Parenteral administration ki |
46 |
12 |
$2K |
| B4035 |
Enteral feed supp pump per d |
13 |
12 |
$1K |
| B4155 |
Ef incomplete/modular |
43 |
37 |
$662.82 |
| B4220 |
Parenteral supply kit premix |
39 |
12 |
$500.03 |
| B4088 |
Gastro/jejuno tube, low-pro |
38 |
37 |
$307.60 |