| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
9,429 |
8,872 |
$1.20M |
| S9340 |
Hit enteral per diem |
2,585 |
1,930 |
$847K |
| B9998 |
Enteral supp not otherwise c |
9,790 |
8,632 |
$628K |
| B4088 |
Gastro/jejuno tube, low-pro |
4,397 |
4,307 |
$481K |
| S9342 |
Hit enteral pump diem |
18,427 |
980 |
$359K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,462 |
1,218 |
$155K |
| B4150 |
Ef complet w/intact nutrient |
1,403 |
1,127 |
$134K |
| B4034 |
Enter feed supkit syr by day |
2,319 |
2,085 |
$122K |
| S9500 |
Hit antibiotic q24h diem |
910 |
200 |
$122K |
| S9343 |
Hit enteral bolus nurs |
6,510 |
474 |
$95K |
| A4222 |
Infusion supplies with pump |
312 |
160 |
$38K |
| B9002 |
Enter nutr inf pump any type |
271 |
265 |
$19K |
| 99601 |
|
175 |
71 |
$18K |
| B4036 |
Enteral feed sup kit grav by |
139 |
137 |
$10K |
| A4223 |
Infusion supplies w/o pump |
51 |
15 |
$3K |
| A4221 |
Supp non-insulin inf cath/wk |
264 |
145 |
$3K |
| J1642 |
Inj heparin sodium per 10 u |
70 |
26 |
$2K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
16 |
12 |
$1K |
| A4322 |
Irrigation syringe |
101 |
87 |
$1K |
| G0299 |
Hhs/hospice of rn ea 15 min |
25 |
12 |
$1K |
| E0776 |
Iv pole |
38 |
36 |
$39.71 |