| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
15,100 |
10,726 |
$11.72M |
| B4161 |
Ef ped hydrolyzed/amino acid |
5,343 |
3,911 |
$2.30M |
| S9343 |
Hit enteral bolus nurs |
3,629 |
2,720 |
$2.17M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
11,676 |
8,921 |
$1.64M |
| S9502 |
Hit antibiotic q8h diem |
2,248 |
651 |
$1.43M |
| S9500 |
Hit antibiotic q24h diem |
3,251 |
756 |
$1.02M |
| B4153 |
Ef hydrolyzed/amino acids |
1,938 |
1,493 |
$833K |
| S9330 |
Hit cont chem diem |
2,498 |
974 |
$671K |
| S9338 |
Hit immunotherapy diem |
1,611 |
696 |
$517K |
| S9341 |
Hit enteral grav diem |
768 |
567 |
$506K |
| B4155 |
Ef incomplete/modular |
1,975 |
1,510 |
$506K |
| B4152 |
Ef calorie dense>/=1.5kcal |
4,195 |
3,349 |
$447K |
| B4149 |
Ef blenderized foods |
1,366 |
1,068 |
$426K |
| 99601 |
|
3,728 |
2,962 |
$416K |
| B4088 |
Gastro/jejuno tube, low-pro |
3,027 |
2,922 |
$318K |
| 99602 |
Nursing care in home rn |
2,165 |
1,760 |
$291K |
| B4150 |
Ef complet w/intact nutrient |
2,421 |
1,892 |
$290K |
| S9379 |
Hit noc per diem |
1,829 |
1,451 |
$270K |
| B4035 |
Enteral feed supp pump per d |
1,971 |
1,596 |
$246K |
| B4154 |
Ef spec metabolic noninherit |
910 |
702 |
$178K |
| S9359 |
Hit anti-tnf per diem |
844 |
814 |
$112K |
| S9374 |
Hit hydra 1 liter diem |
737 |
471 |
$102K |
| S9501 |
Hit antibiotic q12h diem |
113 |
36 |
$72K |
| B4102 |
Ef adult fluids and electro |
896 |
708 |
$57K |
| B4103 |
Ef ped fluid and electrolyte |
526 |
422 |
$48K |
| B4034 |
Enter feed supkit syr by day |
593 |
493 |
$41K |
| A4221 |
Supp non-insulin inf cath/wk |
1,360 |
712 |
$15K |
| A4222 |
Infusion supplies with pump |
263 |
117 |
$14K |
| S9542 |
Ht inj noc per diem |
35 |
12 |
$6K |
| B4104 |
Additive for enteral formula |
246 |
206 |
$6K |
| B4158 |
Ef ped complete intact nut |
17 |
13 |
$3K |
| A4223 |
Infusion supplies w/o pump |
34 |
13 |
$2K |
| B9002 |
Enter nutr inf pump any type |
36 |
36 |
$2K |