| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9366 |
Hit tpn 2 liter diem |
21,979 |
927 |
$2.74M |
| S9365 |
Hit tpn 1 liter diem |
12,270 |
567 |
$1.54M |
| S9500 |
Hit antibiotic q24h diem |
18,980 |
1,918 |
$839K |
| S9342 |
Hit enteral pump diem |
42,571 |
2,167 |
$811K |
| 99601 |
|
5,889 |
1,904 |
$630K |
| B4105 |
Enzyme cartridge enteral nut |
65 |
58 |
$559K |
| S9501 |
Hit antibiotic q12h diem |
7,787 |
720 |
$398K |
| B4185 |
Pn soln nos 10 grams lipids |
1,435 |
364 |
$395K |
| S9502 |
Hit antibiotic q8h diem |
6,091 |
669 |
$346K |
| A4223 |
Infusion supplies w/o pump |
11,465 |
1,446 |
$338K |
| B4161 |
Ef ped hydrolyzed/amino acid |
711 |
530 |
$331K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,958 |
1,191 |
$139K |
| B4153 |
Ef hydrolyzed/amino acids |
217 |
144 |
$74K |
| B4035 |
Enteral feed supp pump per d |
8,282 |
943 |
$71K |
| E0781 |
External ambulatory infus pu |
5,408 |
330 |
$67K |
| S9343 |
Hit enteral bolus nurs |
5,805 |
334 |
$60K |
| B4034 |
Enter feed supkit syr by day |
9,889 |
1,048 |
$46K |
| B4088 |
Gastro/jejuno tube, low-pro |
457 |
357 |
$46K |
| A4222 |
Infusion supplies with pump |
861 |
111 |
$28K |
| S9379 |
Hit noc per diem |
282 |
65 |
$25K |
| B4150 |
Ef complet w/intact nutrient |
200 |
113 |
$11K |
| B4155 |
Ef incomplete/modular |
106 |
80 |
$9K |
| B4154 |
Ef spec metabolic noninherit |
65 |
37 |
$5K |
| B9002 |
Enter nutr inf pump any type |
148 |
93 |
$1K |
| E0776 |
Iv pole |
36 |
25 |
$366.47 |
| A4221 |
Supp non-insulin inf cath/wk |
124 |
41 |
$214.91 |