| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
37,945 |
4,480 |
$1.97M |
| B4161 |
Ef ped hydrolyzed/amino acid |
1,545 |
1,424 |
$923K |
| B4153 |
Ef hydrolyzed/amino acids |
1,560 |
1,413 |
$833K |
| J1561 |
Gamunex-c/gammaked |
98 |
76 |
$703K |
| J1569 |
Gammagard liquid injection |
164 |
111 |
$612K |
| B4152 |
Ef calorie dense>/=1.5kcal |
3,121 |
2,834 |
$369K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,941 |
1,786 |
$369K |
| B4149 |
Ef blenderized foods |
1,195 |
1,097 |
$339K |
| B4035 |
Enteral feed supp pump per d |
4,039 |
3,685 |
$336K |
| B4150 |
Ef complet w/intact nutrient |
2,668 |
2,438 |
$311K |
| 99602 |
Nursing care in home rn |
1,681 |
967 |
$288K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,705 |
1,677 |
$239K |
| S9343 |
Hit enteral bolus nurs |
2,738 |
550 |
$184K |
| 99601 |
|
1,939 |
1,114 |
$168K |
| B4154 |
Ef spec metabolic noninherit |
674 |
607 |
$129K |
| S9338 |
Hit immunotherapy diem |
1,422 |
917 |
$92K |
| B4034 |
Enter feed supkit syr by day |
2,037 |
1,914 |
$83K |
| B4155 |
Ef incomplete/modular |
598 |
559 |
$27K |
| B4036 |
Enteral feed sup kit grav by |
192 |
177 |
$11K |
| B9002 |
Enter nutr inf pump any type |
434 |
423 |
$7K |
| A4216 |
Sterile water/saline, 10 ml |
252 |
187 |
$607.15 |
| B4087 |
Gastro/jejuno tube, std |
50 |
50 |
$297.00 |
| J7030 |
Normal saline solution infus |
78 |
49 |
$241.27 |
| J7050 |
Normal saline solution infus |
16 |
12 |
$30.13 |