| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9500 |
Hit antibiotic q24h diem |
8,674 |
1,761 |
$594K |
| B4035 |
Enteral feed supp pump per d |
4,066 |
3,254 |
$573K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
2,454 |
2,282 |
$346K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,461 |
2,279 |
$317K |
| B4161 |
Ef ped hydrolyzed/amino acid |
489 |
457 |
$213K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,256 |
1,229 |
$116K |
| B4034 |
Enter feed supkit syr by day |
1,741 |
1,530 |
$66K |
| S9501 |
Hit antibiotic q12h diem |
585 |
154 |
$56K |
| S9502 |
Hit antibiotic q8h diem |
571 |
127 |
$44K |
| B4150 |
Ef complet w/intact nutrient |
254 |
238 |
$32K |
| B9002 |
Enter nutr inf pump any type |
440 |
438 |
$21K |
| J1335 |
Ertapenem injection |
36 |
13 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
187 |
26 |
$2K |