| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99601 |
|
24,879 |
8,112 |
$1.61M |
| B4161 |
Ef ped hydrolyzed/amino acid |
1,730 |
1,057 |
$709K |
| S9366 |
Hit tpn 2 liter diem |
4,964 |
247 |
$668K |
| B4035 |
Enteral feed supp pump per d |
6,394 |
2,833 |
$593K |
| S9500 |
Hit antibiotic q24h diem |
11,687 |
988 |
$469K |
| S9342 |
Hit enteral pump diem |
16,373 |
1,747 |
$416K |
| A4222 |
Infusion supplies with pump |
3,615 |
1,317 |
$315K |
| B4185 |
Pn soln nos 10 grams lipids |
2,334 |
547 |
$310K |
| A4223 |
Infusion supplies w/o pump |
3,501 |
1,111 |
$306K |
| B4153 |
Ef hydrolyzed/amino acids |
844 |
559 |
$248K |
| B4224 |
Parenteral administration ki |
1,351 |
470 |
$182K |
| B4154 |
Ef spec metabolic noninherit |
778 |
448 |
$181K |
| 99602 |
Nursing care in home rn |
2,444 |
1,513 |
$162K |
| S9502 |
Hit antibiotic q8h diem |
2,645 |
211 |
$139K |
| S9340 |
Hit enteral per diem |
566 |
471 |
$111K |
| S9379 |
Hit noc per diem |
2,320 |
432 |
$105K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
757 |
470 |
$96K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,496 |
981 |
$92K |
| B4150 |
Ef complet w/intact nutrient |
1,318 |
792 |
$80K |
| S9343 |
Hit enteral bolus nurs |
4,370 |
463 |
$66K |
| B4149 |
Ef blenderized foods |
314 |
176 |
$64K |
| B4220 |
Parenteral supply kit premix |
1,276 |
443 |
$59K |
| B4034 |
Enter feed supkit syr by day |
1,904 |
575 |
$52K |
| S9338 |
Hit immunotherapy diem |
1,374 |
512 |
$51K |
| B4155 |
Ef incomplete/modular |
518 |
354 |
$41K |
| B4189 |
Parenteral sol amino acid & |
77 |
13 |
$36K |
| B4088 |
Gastro/jejuno tube, low-pro |
371 |
330 |
$11K |
| A4221 |
Supp non-insulin inf cath/wk |
1,159 |
502 |
$11K |
| S9374 |
Hit hydra 1 liter diem |
122 |
12 |
$6K |
| B9002 |
Enter nutr inf pump any type |
64 |
53 |
$4K |
| A4245 |
Alcohol wipes per box |
743 |
417 |
$1K |
| A4216 |
Sterile water/saline, 10 ml |
52 |
42 |
$247.86 |
| A6457 |
Tubular dressing |
94 |
40 |
$235.56 |
| A4213 |
20+ cc syringe only |
25 |
12 |
$88.44 |