| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
12,925 |
11,295 |
$7.82M |
| B4161 |
Ef ped hydrolyzed/amino acid |
3,318 |
2,791 |
$1.67M |
| 99601 |
|
9,385 |
3,041 |
$1.39M |
| S9343 |
Hit enteral bolus nurs |
2,088 |
1,747 |
$1.18M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
4,649 |
4,103 |
$975K |
| S9500 |
Hit antibiotic q24h diem |
2,654 |
697 |
$842K |
| B4149 |
Ef blenderized foods |
1,815 |
1,623 |
$514K |
| S5161 |
Emer rspns sys serv permonth |
11,297 |
11,291 |
$312K |
| B4035 |
Enteral feed supp pump per d |
1,577 |
1,542 |
$262K |
| S5501 |
Hit complex cath care |
1,881 |
1,201 |
$213K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,074 |
932 |
$202K |
| S9379 |
Hit noc per diem |
910 |
363 |
$187K |
| S9502 |
Hit antibiotic q8h diem |
492 |
117 |
$166K |
| S9330 |
Hit cont chem diem |
806 |
305 |
$112K |
| B4150 |
Ef complet w/intact nutrient |
452 |
431 |
$96K |
| B4088 |
Gastro/jejuno tube, low-pro |
503 |
503 |
$86K |
| J2930 |
Methylprednisolone injection |
877 |
786 |
$75K |
| B4153 |
Ef hydrolyzed/amino acids |
100 |
88 |
$69K |
| S9490 |
Hit corticosteroid/diem |
572 |
494 |
$68K |
| S9501 |
Hit antibiotic q12h diem |
188 |
51 |
$65K |
| S9374 |
Hit hydra 1 liter diem |
224 |
56 |
$43K |
| J9190 |
Fluorouracil injection |
621 |
311 |
$17K |
| B4158 |
Ef ped complete intact nut |
108 |
92 |
$13K |
| B4154 |
Ef spec metabolic noninherit |
50 |
38 |
$11K |
| J3370 |
Vancomycin hcl injection |
60 |
24 |
$10K |
| S5502 |
Hit interim cath care |
80 |
75 |
$8K |
| B4155 |
Ef incomplete/modular |
202 |
186 |
$7K |
| B4185 |
Pn soln nos 10 grams lipids |
42 |
12 |
$3K |
| A4221 |
Supp non-insulin inf cath/wk |
100 |
78 |
$2K |
| S5160 |
Emer response sys instal&tst |
42 |
42 |
$1K |
| 0031A |
|
27 |
27 |
$502.95 |
| A4216 |
Sterile water/saline, 10 ml |
28 |
24 |
$392.89 |