| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4161 |
Ef ped hydrolyzed/amino acid |
950 |
745 |
$876K |
| S9342 |
Hit enteral pump diem |
1,644 |
1,288 |
$799K |
| B4152 |
Ef calorie dense>/=1.5kcal |
5,179 |
3,708 |
$790K |
| B4035 |
Enteral feed supp pump per d |
5,249 |
3,384 |
$638K |
| B4150 |
Ef complet w/intact nutrient |
4,279 |
3,035 |
$575K |
| B4153 |
Ef hydrolyzed/amino acids |
669 |
495 |
$515K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,147 |
955 |
$231K |
| 99601 |
|
3,929 |
1,666 |
$230K |
| S9379 |
Hit noc per diem |
2,024 |
525 |
$229K |
| B4149 |
Ef blenderized foods |
416 |
257 |
$213K |
| S9500 |
Hit antibiotic q24h diem |
1,353 |
200 |
$171K |
| A4216 |
Sterile water/saline, 10 ml |
2,501 |
1,128 |
$166K |
| B4034 |
Enter feed supkit syr by day |
3,312 |
2,204 |
$160K |
| S9374 |
Hit hydra 1 liter diem |
1,345 |
237 |
$148K |
| B4185 |
Pn soln nos 10 grams lipids |
990 |
168 |
$132K |
| B9002 |
Enter nutr inf pump any type |
2,350 |
1,782 |
$127K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,512 |
1,275 |
$111K |
| B4036 |
Enteral feed sup kit grav by |
1,227 |
793 |
$83K |
| 99602 |
Nursing care in home rn |
1,082 |
632 |
$79K |
| A4221 |
Supp non-insulin inf cath/wk |
1,001 |
388 |
$51K |
| B9998 |
Enteral supp not otherwise c |
1,108 |
764 |
$50K |
| S9343 |
Hit enteral bolus nurs |
124 |
120 |
$49K |
| B4154 |
Ef spec metabolic noninherit |
87 |
62 |
$19K |
| A4222 |
Infusion supplies with pump |
183 |
49 |
$15K |
| B4155 |
Ef incomplete/modular |
187 |
151 |
$11K |
| J7030 |
Normal saline solution infus |
718 |
200 |
$9K |
| A4223 |
Infusion supplies w/o pump |
189 |
55 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
22 |
12 |
$20.33 |