| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
664,985 |
19,576 |
$7.57M |
| B4161 |
Ef ped hydrolyzed/amino acid |
11,202 |
6,572 |
$4.03M |
| S9340 |
Hit enteral per diem |
363,669 |
11,222 |
$2.22M |
| S9366 |
Hit tpn 2 liter diem |
42,469 |
1,063 |
$1.97M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
15,907 |
10,070 |
$1.71M |
| B4105 |
Enzyme cartridge enteral nut |
433 |
265 |
$1.52M |
| S9343 |
Hit enteral bolus nurs |
169,572 |
5,319 |
$1.00M |
| 99601 |
|
18,935 |
4,461 |
$917K |
| B4149 |
Ef blenderized foods |
4,058 |
2,464 |
$904K |
| B4153 |
Ef hydrolyzed/amino acids |
2,157 |
1,307 |
$859K |
| E0781 |
External ambulatory infus pu |
35,499 |
1,757 |
$783K |
| B4152 |
Ef calorie dense>/=1.5kcal |
10,309 |
5,480 |
$635K |
| B4088 |
Gastro/jejuno tube, low-pro |
9,998 |
6,576 |
$622K |
| S9500 |
Hit antibiotic q24h diem |
33,585 |
1,543 |
$573K |
| B4150 |
Ef complet w/intact nutrient |
6,920 |
4,105 |
$499K |
| S9379 |
Hit noc per diem |
17,845 |
1,246 |
$474K |
| B4155 |
Ef incomplete/modular |
5,756 |
3,557 |
$458K |
| B4162 |
Ef ped specmetabolic inherit |
1,117 |
711 |
$368K |
| B4154 |
Ef spec metabolic noninherit |
3,202 |
1,493 |
$329K |
| S9374 |
Hit hydra 1 liter diem |
17,579 |
1,002 |
$329K |
| 99602 |
Nursing care in home rn |
2,853 |
953 |
$266K |
| S9348 |
Hit sympathomim diem |
4,239 |
195 |
$228K |
| S9501 |
Hit antibiotic q12h diem |
13,625 |
594 |
$226K |
| B4035 |
Enteral feed supp pump per d |
32,551 |
2,964 |
$211K |
| A4223 |
Infusion supplies w/o pump |
8,921 |
919 |
$179K |
| S9365 |
Hit tpn 1 liter diem |
5,867 |
118 |
$162K |
| S9502 |
Hit antibiotic q8h diem |
10,796 |
423 |
$153K |
| B4185 |
Pn soln nos 10 grams lipids |
976 |
238 |
$153K |
| B4034 |
Enter feed supkit syr by day |
34,246 |
2,702 |
$139K |
| S9338 |
Hit immunotherapy diem |
2,041 |
657 |
$44K |
| A4222 |
Infusion supplies with pump |
353 |
74 |
$27K |
| S9367 |
Hit tpn 3 liter diem |
750 |
13 |
$10K |
| B4103 |
Ef ped fluid and electrolyte |
88 |
51 |
$6K |
| B9002 |
Enter nutr inf pump any type |
223 |
127 |
$3K |
| S5497 |
Hit cath care noc |
120 |
12 |
$1K |
| B4036 |
Enteral feed sup kit grav by |
145 |
13 |
$958.42 |