| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4161 |
Ef ped hydrolyzed/amino acid |
19,180 |
8,304 |
$6.23M |
| B4035 |
Enteral feed supp pump per d |
51,773 |
16,979 |
$4.11M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
24,165 |
11,022 |
$2.45M |
| S9342 |
Hit enteral pump diem |
25,997 |
4,546 |
$1.26M |
| B4153 |
Ef hydrolyzed/amino acids |
4,128 |
1,772 |
$951K |
| B4034 |
Enter feed supkit syr by day |
23,264 |
7,572 |
$916K |
| B4150 |
Ef complet w/intact nutrient |
11,280 |
3,977 |
$517K |
| B4149 |
Ef blenderized foods |
2,948 |
1,275 |
$493K |
| B4152 |
Ef calorie dense>/=1.5kcal |
10,907 |
3,499 |
$465K |
| S9343 |
Hit enteral bolus nurs |
9,128 |
2,650 |
$435K |
| S9500 |
Hit antibiotic q24h diem |
5,793 |
1,062 |
$360K |
| B4158 |
Ef ped complete intact nut |
1,900 |
927 |
$269K |
| S9379 |
Hit noc per diem |
7,351 |
333 |
$266K |
| B4154 |
Ef spec metabolic noninherit |
3,769 |
1,207 |
$248K |
| B4088 |
Gastro/jejuno tube, low-pro |
7,546 |
6,260 |
$200K |
| B4100 |
Food thickener oral |
2,226 |
1,438 |
$144K |
| B4155 |
Ef incomplete/modular |
3,753 |
2,209 |
$142K |
| B9002 |
Enter nutr inf pump any type |
1,916 |
1,591 |
$112K |
| S9340 |
Hit enteral per diem |
594 |
443 |
$102K |
| S9501 |
Hit antibiotic q12h diem |
1,732 |
244 |
$99K |
| 99601 |
|
277 |
105 |
$18K |
| S9502 |
Hit antibiotic q8h diem |
247 |
25 |
$13K |
| J3370 |
Vancomycin hcl injection |
94 |
24 |
$6K |
| B9998 |
Enteral supp not otherwise c |
74 |
43 |
$178.20 |
| A4221 |
Supp non-insulin inf cath/wk |
25 |
13 |
$149.14 |