| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4152 |
Ef calorie dense>/=1.5kcal |
5,464 |
4,286 |
$1.07M |
| B4150 |
Ef complet w/intact nutrient |
6,039 |
4,920 |
$763K |
| B4035 |
Enteral feed supp pump per d |
4,365 |
3,168 |
$591K |
| B4153 |
Ef hydrolyzed/amino acids |
747 |
548 |
$549K |
| S9342 |
Hit enteral pump diem |
8,731 |
1,013 |
$481K |
| J1559 |
Hizentra injection |
149 |
73 |
$235K |
| B4149 |
Ef blenderized foods |
584 |
364 |
$180K |
| B4154 |
Ef spec metabolic noninherit |
609 |
459 |
$99K |
| 99601 |
|
842 |
372 |
$89K |
| B4036 |
Enteral feed sup kit grav by |
815 |
554 |
$87K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,308 |
862 |
$67K |
| B9002 |
Enter nutr inf pump any type |
863 |
666 |
$63K |
| S9338 |
Hit immunotherapy diem |
544 |
184 |
$36K |
| B4034 |
Enter feed supkit syr by day |
832 |
584 |
$36K |
| B4185 |
Pn soln nos 10 grams lipids |
186 |
48 |
$34K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
295 |
179 |
$30K |
| A4221 |
Supp non-insulin inf cath/wk |
1,152 |
570 |
$15K |
| S9500 |
Hit antibiotic q24h diem |
46 |
12 |
$12K |
| B4155 |
Ef incomplete/modular |
115 |
94 |
$9K |
| B9998 |
Enteral supp not otherwise c |
124 |
77 |
$7K |
| A4216 |
Sterile water/saline, 10 ml |
20 |
12 |
$34.17 |
| K0552 |
Sup/ext non-ins inf pump syr |
17 |
12 |
$26.10 |
| S9494 |
Hit antibiotic total diem |
32 |
12 |
$0.00 |