| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4222 |
Infusion supplies with pump |
18,727 |
2,991 |
$778K |
| B4152 |
Ef calorie dense>/=1.5kcal |
13,155 |
3,239 |
$396K |
| B4035 |
Enteral feed supp pump per d |
12,848 |
1,648 |
$209K |
| B4161 |
Ef ped hydrolyzed/amino acid |
1,773 |
323 |
$142K |
| B4034 |
Enter feed supkit syr by day |
11,238 |
2,267 |
$138K |
| A4221 |
Supp non-insulin inf cath/wk |
15,473 |
4,027 |
$130K |
| 99601 |
|
3,318 |
1,115 |
$100K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
2,011 |
508 |
$75K |
| S9500 |
Hit antibiotic q24h diem |
820 |
66 |
$35K |
| S9342 |
Hit enteral pump diem |
1,733 |
72 |
$22K |
| S9502 |
Hit antibiotic q8h diem |
1,246 |
50 |
$19K |
| E0781 |
External ambulatory infus pu |
235 |
99 |
$12K |
| B4150 |
Ef complet w/intact nutrient |
542 |
125 |
$10K |
| 99602 |
Nursing care in home rn |
125 |
53 |
$6K |
| J0872 |
Daptomycin (xellia) unrefrig |
249 |
16 |
$6K |
| B4153 |
Ef hydrolyzed/amino acids |
89 |
12 |
$5K |
| J3370 |
Vancomycin hcl injection |
49 |
13 |
$3K |
| S9123 |
Nursing care in home rn |
66 |
35 |
$1K |
| B4088 |
Gastro/jejuno tube, low-pro |
37 |
25 |
$1K |
| B9002 |
Enter nutr inf pump any type |
23 |
15 |
$193.32 |