| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4222 |
Infusion supplies with pump |
18,483 |
3,023 |
$746K |
| B4035 |
Enteral feed supp pump per d |
4,493 |
1,097 |
$169K |
| B4152 |
Ef calorie dense>/=1.5kcal |
3,723 |
758 |
$78K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,613 |
319 |
$52K |
| A4221 |
Supp non-insulin inf cath/wk |
6,447 |
2,001 |
$51K |
| B4034 |
Enter feed supkit syr by day |
3,022 |
388 |
$22K |
| B4150 |
Ef complet w/intact nutrient |
597 |
148 |
$18K |
| B4161 |
Ef ped hydrolyzed/amino acid |
218 |
37 |
$16K |
| B9002 |
Enter nutr inf pump any type |
519 |
305 |
$12K |
| J7030 |
Normal saline solution infus |
1,846 |
435 |
$3K |
| B4154 |
Ef spec metabolic noninherit |
122 |
24 |
$2K |
| S9500 |
Hit antibiotic q24h diem |
219 |
39 |
$215.60 |
| A4223 |
Infusion supplies w/o pump |
50 |
17 |
$70.00 |
| 99601 |
|
2,369 |
1,087 |
$0.00 |
| 99602 |
Nursing care in home rn |
315 |
172 |
$0.00 |