| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
19,037 |
2,625 |
$1.50M |
| S9340 |
Hit enteral per diem |
18,903 |
1,611 |
$1.34M |
| B4161 |
Ef ped hydrolyzed/amino acid |
4,899 |
1,724 |
$1.29M |
| B4035 |
Enteral feed supp pump per d |
16,113 |
3,697 |
$728K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
4,871 |
2,668 |
$570K |
| S9343 |
Hit enteral bolus nurs |
4,546 |
1,089 |
$393K |
| B4150 |
Ef complet w/intact nutrient |
4,683 |
1,772 |
$311K |
| B4152 |
Ef calorie dense>/=1.5kcal |
5,490 |
2,134 |
$300K |
| B4149 |
Ef blenderized foods |
931 |
646 |
$233K |
| 99601 |
|
1,797 |
1,000 |
$158K |
| A4223 |
Infusion supplies w/o pump |
4,179 |
783 |
$140K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,175 |
972 |
$112K |
| B4155 |
Ef incomplete/modular |
4,105 |
1,419 |
$109K |
| B4154 |
Ef spec metabolic noninherit |
580 |
388 |
$87K |
| B9998 |
Enteral supp not otherwise c |
516 |
402 |
$59K |
| A4221 |
Supp non-insulin inf cath/wk |
2,953 |
1,386 |
$47K |
| A4222 |
Infusion supplies with pump |
308 |
138 |
$37K |
| S9500 |
Hit antibiotic q24h diem |
244 |
54 |
$35K |
| B4153 |
Ef hydrolyzed/amino acids |
52 |
24 |
$20K |
| G0299 |
Hhs/hospice of rn ea 15 min |
337 |
189 |
$19K |
| S9341 |
Hit enteral grav diem |
74 |
12 |
$12K |
| B4034 |
Enter feed supkit syr by day |
133 |
107 |
$10K |
| S9359 |
Hit anti-tnf per diem |
105 |
92 |
$7K |
| A4305 |
Drug delivery system >=50 ml |
399 |
28 |
$5K |
| 99602 |
Nursing care in home rn |
43 |
38 |
$4K |
| B9002 |
Enter nutr inf pump any type |
26 |
25 |
$1K |
| A4452 |
Waterproof tape |
79 |
75 |
$512.96 |
| A6402 |
Sterile gauze <= 16 sq in |
88 |
84 |
$493.44 |