| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
7,196 |
3,407 |
$843K |
| B4161 |
Ef ped hydrolyzed/amino acid |
15,195 |
1,267 |
$534K |
| B4149 |
Ef blenderized foods |
471 |
191 |
$59K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,937 |
438 |
$59K |
| S9494 |
Hit antibiotic total diem |
199 |
64 |
$40K |
| B4088 |
Gastro/jejuno tube, low-pro |
469 |
341 |
$39K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
4,025 |
185 |
$24K |
| T1030 |
Rn home care per diem |
108 |
36 |
$21K |
| B4034 |
Enter feed supkit syr by day |
467 |
193 |
$18K |
| S9500 |
Hit antibiotic q24h diem |
94 |
12 |
$10K |
| S9342 |
Hit enteral pump diem |
465 |
29 |
$9K |
| B9002 |
Enter nutr inf pump any type |
153 |
111 |
$6K |
| B4103 |
Ef ped fluid and electrolyte |
146 |
66 |
$3K |
| 99601 |
|
30 |
18 |
$3K |