| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4161 |
Ef ped hydrolyzed/amino acid |
3,547 |
3,345 |
$1.39M |
| S9342 |
Hit enteral pump diem |
2,890 |
2,561 |
$1.32M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
2,947 |
2,810 |
$418K |
| S9500 |
Hit antibiotic q24h diem |
1,842 |
404 |
$280K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,816 |
1,661 |
$207K |
| B4149 |
Ef blenderized foods |
626 |
563 |
$195K |
| B4150 |
Ef complet w/intact nutrient |
1,737 |
1,597 |
$184K |
| S9343 |
Hit enteral bolus nurs |
429 |
407 |
$131K |
| B4153 |
Ef hydrolyzed/amino acids |
288 |
260 |
$117K |
| S9373 |
Hit hydra total diem |
1,266 |
185 |
$89K |
| B4088 |
Gastro/jejuno tube, low-pro |
810 |
766 |
$71K |
| B4154 |
Ef spec metabolic noninherit |
390 |
356 |
$66K |
| S9502 |
Hit antibiotic q8h diem |
452 |
66 |
$54K |
| B4035 |
Enteral feed supp pump per d |
844 |
766 |
$25K |
| B4155 |
Ef incomplete/modular |
303 |
268 |
$20K |
| B4034 |
Enter feed supkit syr by day |
471 |
440 |
$10K |
| B9002 |
Enter nutr inf pump any type |
177 |
177 |
$5K |
| B4158 |
Ef ped complete intact nut |
13 |
13 |
$3K |
| 99601 |
|
32 |
16 |
$3K |
| S5501 |
Hit complex cath care |
90 |
12 |
$2K |
| S5502 |
Hit interim cath care |
14 |
12 |
$195.30 |