| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9340 |
Hit enteral per diem |
1,474 |
1,356 |
$578K |
| B4035 |
Enteral feed supp pump per d |
2,005 |
1,783 |
$230K |
| A4223 |
Infusion supplies w/o pump |
1,865 |
467 |
$189K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
742 |
567 |
$154K |
| B4150 |
Ef complet w/intact nutrient |
380 |
319 |
$50K |
| B4088 |
Gastro/jejuno tube, low-pro |
490 |
469 |
$43K |
| J1642 |
Inj heparin sodium per 10 u |
1,186 |
322 |
$33K |
| B9002 |
Enter nutr inf pump any type |
455 |
453 |
$29K |
| S9500 |
Hit antibiotic q24h diem |
200 |
52 |
$27K |
| B9998 |
Enteral supp not otherwise c |
413 |
381 |
$19K |
| B4152 |
Ef calorie dense>/=1.5kcal |
107 |
96 |
$10K |
| A4216 |
Sterile water/saline, 10 ml |
582 |
280 |
$8K |
| B4034 |
Enter feed supkit syr by day |
99 |
89 |
$6K |
| A4221 |
Supp non-insulin inf cath/wk |
198 |
106 |
$6K |
| 99601 |
|
33 |
12 |
$3K |
| S9123 |
Nursing care in home rn |
22 |
12 |
$2K |
| A4245 |
Alcohol wipes per box |
42 |
26 |
$2K |
| A4927 |
Non-sterile gloves |
265 |
207 |
$327.98 |
| A4209 |
5+ cc sterile syringe&needle |
97 |
37 |
$120.86 |