| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
37,367 |
28,263 |
$8.06M |
| S9366 |
Hit tpn 2 liter diem |
5,278 |
1,333 |
$3.45M |
| B4161 |
Ef ped hydrolyzed/amino acid |
5,571 |
4,894 |
$2.48M |
| S9340 |
Hit enteral per diem |
14,265 |
11,250 |
$2.23M |
| S9500 |
Hit antibiotic q24h diem |
12,092 |
4,132 |
$2.17M |
| 99601 |
|
17,656 |
9,169 |
$2.16M |
| B9998 |
Enteral supp not otherwise c |
7,575 |
6,875 |
$2.06M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
7,303 |
6,502 |
$1.66M |
| S9502 |
Hit antibiotic q8h diem |
4,518 |
1,711 |
$1.18M |
| S9501 |
Hit antibiotic q12h diem |
4,502 |
1,549 |
$966K |
| S9374 |
Hit hydra 1 liter diem |
5,964 |
1,973 |
$878K |
| B4149 |
Ef blenderized foods |
1,830 |
1,654 |
$875K |
| B4153 |
Ef hydrolyzed/amino acids |
1,393 |
1,204 |
$827K |
| S9330 |
Hit cont chem diem |
5,478 |
3,089 |
$806K |
| B4088 |
Gastro/jejuno tube, low-pro |
14,652 |
13,741 |
$791K |
| B4152 |
Ef calorie dense>/=1.5kcal |
4,680 |
4,043 |
$683K |
| S9343 |
Hit enteral bolus nurs |
6,363 |
4,853 |
$669K |
| S9338 |
Hit immunotherapy diem |
6,160 |
2,663 |
$640K |
| S9347 |
Hit longterm infusion diem |
5,615 |
2,376 |
$608K |
| B4035 |
Enteral feed supp pump per d |
4,978 |
4,054 |
$546K |
| S9364 |
Hit tpn total diem |
863 |
219 |
$540K |
| S9363 |
Hit anti-spasmotic diem |
686 |
518 |
$526K |
| S9373 |
Hit hydra total diem |
2,778 |
926 |
$516K |
| 99602 |
Nursing care in home rn |
4,162 |
2,677 |
$448K |
| B4150 |
Ef complet w/intact nutrient |
3,488 |
3,001 |
$429K |
| S5501 |
Hit complex cath care |
1,490 |
1,125 |
$225K |
| S9341 |
Hit enteral grav diem |
1,757 |
1,251 |
$208K |
| B4154 |
Ef spec metabolic noninherit |
685 |
627 |
$203K |
| S9367 |
Hit tpn 3 liter diem |
198 |
51 |
$132K |
| S9379 |
Hit noc per diem |
558 |
269 |
$109K |
| B4158 |
Ef ped complete intact nut |
738 |
613 |
$98K |
| S9359 |
Hit anti-tnf per diem |
1,936 |
1,834 |
$90K |
| B4034 |
Enter feed supkit syr by day |
1,597 |
1,332 |
$86K |
| A4222 |
Infusion supplies with pump |
1,462 |
667 |
$72K |
| S9348 |
Hit sympathomim diem |
350 |
86 |
$66K |
| B4155 |
Ef incomplete/modular |
1,390 |
1,226 |
$62K |
| B4157 |
Ef special metabolic inherit |
348 |
303 |
$57K |
| S5502 |
Hit interim cath care |
783 |
722 |
$56K |
| S9329 |
Hit chemo per diem |
365 |
192 |
$56K |
| B4103 |
Ef ped fluid and electrolyte |
423 |
393 |
$45K |
| A4221 |
Supp non-insulin inf cath/wk |
3,434 |
1,556 |
$45K |
| B4162 |
Ef ped specmetabolic inherit |
218 |
189 |
$32K |
| S9490 |
Hit corticosteroid/diem |
356 |
244 |
$22K |
| S9375 |
Hit hydra 2 liter diem |
112 |
39 |
$18K |
| S9370 |
Ht inj antiemetic diem |
184 |
62 |
$9K |
| S9503 |
Hit antibiotic q6h diem |
60 |
12 |
$8K |
| S5498 |
Hit simple cath care |
16 |
14 |
$1K |
| B9002 |
Enter nutr inf pump any type |
106 |
106 |
$1K |
| S5517 |
Hit declotting kit |
92 |
80 |
$412.22 |
| B4087 |
Gastro/jejuno tube, std |
14 |
12 |
$279.44 |
| E0776 |
Iv pole |
24 |
24 |
$46.58 |