| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9379 |
Hit noc per diem |
32,445 |
2,882 |
$1.30M |
| S9342 |
Hit enteral pump diem |
14,669 |
4,903 |
$1.18M |
| B4161 |
Ef ped hydrolyzed/amino acid |
5,535 |
2,526 |
$1.07M |
| B4185 |
Pn soln nos 10 grams lipids |
6,615 |
1,291 |
$848K |
| S9500 |
Hit antibiotic q24h diem |
13,747 |
2,068 |
$821K |
| B4035 |
Enteral feed supp pump per d |
7,798 |
5,065 |
$443K |
| B4105 |
Enzyme cartridge enteral nut |
166 |
91 |
$410K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
5,445 |
2,215 |
$360K |
| B4149 |
Ef blenderized foods |
3,364 |
1,047 |
$266K |
| B4189 |
Parenteral sol amino acid & |
899 |
52 |
$241K |
| B4152 |
Ef calorie dense>/=1.5kcal |
13,978 |
4,352 |
$215K |
| A4223 |
Infusion supplies w/o pump |
3,295 |
1,205 |
$194K |
| S9343 |
Hit enteral bolus nurs |
4,860 |
1,859 |
$186K |
| S9501 |
Hit antibiotic q12h diem |
2,535 |
403 |
$159K |
| 99601 |
|
1,991 |
1,054 |
$132K |
| B4197 |
Parenteral sol 74-100 gm pro |
433 |
27 |
$128K |
| B4158 |
Ef ped complete intact nut |
1,097 |
785 |
$114K |
| J3370 |
Vancomycin hcl injection |
1,558 |
329 |
$101K |
| S9338 |
Hit immunotherapy diem |
1,183 |
476 |
$86K |
| S9502 |
Hit antibiotic q8h diem |
1,179 |
142 |
$79K |
| S9340 |
Hit enteral per diem |
373 |
289 |
$68K |
| B4154 |
Ef spec metabolic noninherit |
1,022 |
431 |
$66K |
| B4162 |
Ef ped specmetabolic inherit |
243 |
128 |
$65K |
| B4153 |
Ef hydrolyzed/amino acids |
671 |
261 |
$57K |
| B4224 |
Parenteral administration ki |
1,108 |
250 |
$57K |
| B4150 |
Ef complet w/intact nutrient |
4,477 |
1,594 |
$54K |
| B4034 |
Enter feed supkit syr by day |
3,213 |
2,283 |
$52K |
| B4155 |
Ef incomplete/modular |
1,073 |
686 |
$35K |
| A4221 |
Supp non-insulin inf cath/wk |
4,961 |
1,903 |
$35K |
| 99602 |
Nursing care in home rn |
261 |
184 |
$19K |
| B4220 |
Parenteral supply kit premix |
869 |
210 |
$17K |
| B4088 |
Gastro/jejuno tube, low-pro |
710 |
648 |
$16K |
| S9374 |
Hit hydra 1 liter diem |
246 |
55 |
$12K |
| A4222 |
Infusion supplies with pump |
198 |
84 |
$11K |
| B9002 |
Enter nutr inf pump any type |
411 |
327 |
$8K |
| J0895 |
Deferoxamine mesylate inj |
128 |
24 |
$8K |
| J0690 |
Cefazolin sodium injection |
36 |
12 |
$1K |
| S5501 |
Hit complex cath care |
69 |
13 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
53 |
13 |
$1K |
| E0776 |
Iv pole |
39 |
29 |
$546.30 |