| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4161 |
Ef ped hydrolyzed/amino acid |
10,185 |
8,555 |
$6.38M |
| B4035 |
Enteral feed supp pump per d |
19,315 |
14,811 |
$2.52M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
11,763 |
10,163 |
$1.92M |
| B4149 |
Ef blenderized foods |
5,282 |
4,285 |
$1.77M |
| B4153 |
Ef hydrolyzed/amino acids |
3,129 |
2,327 |
$1.59M |
| S9342 |
Hit enteral pump diem |
4,787 |
4,533 |
$1.37M |
| 99601 |
|
16,360 |
5,838 |
$1.33M |
| S9500 |
Hit antibiotic q24h diem |
25,526 |
2,531 |
$853K |
| B4152 |
Ef calorie dense>/=1.5kcal |
8,227 |
5,519 |
$634K |
| B4150 |
Ef complet w/intact nutrient |
6,942 |
5,078 |
$569K |
| S9501 |
Hit antibiotic q12h diem |
13,606 |
1,281 |
$457K |
| B4034 |
Enter feed supkit syr by day |
8,126 |
5,563 |
$427K |
| A4223 |
Infusion supplies w/o pump |
13,028 |
1,128 |
$417K |
| S9502 |
Hit antibiotic q8h diem |
11,164 |
1,096 |
$413K |
| B9002 |
Enter nutr inf pump any type |
11,606 |
10,971 |
$345K |
| B4162 |
Ef ped specmetabolic inherit |
306 |
240 |
$327K |
| B4154 |
Ef spec metabolic noninherit |
1,982 |
1,310 |
$325K |
| B4185 |
Pn soln nos 10 grams lipids |
2,052 |
532 |
$315K |
| B4155 |
Ef incomplete/modular |
3,201 |
2,612 |
$307K |
| B4088 |
Gastro/jejuno tube, low-pro |
5,314 |
4,881 |
$224K |
| S9343 |
Hit enteral bolus nurs |
701 |
673 |
$200K |
| 99602 |
Nursing care in home rn |
2,030 |
1,391 |
$196K |
| E0781 |
External ambulatory infus pu |
8,608 |
570 |
$169K |
| S9374 |
Hit hydra 1 liter diem |
5,324 |
276 |
$144K |
| A4221 |
Supp non-insulin inf cath/wk |
4,312 |
1,638 |
$118K |
| S9366 |
Hit tpn 2 liter diem |
870 |
36 |
$90K |
| A4305 |
Drug delivery system >=50 ml |
310 |
128 |
$80K |
| B4036 |
Enteral feed sup kit grav by |
782 |
546 |
$66K |
| S9338 |
Hit immunotherapy diem |
2,224 |
1,005 |
$64K |
| S9365 |
Hit tpn 1 liter diem |
135 |
27 |
$48K |
| E0776 |
Iv pole |
626 |
504 |
$43K |
| B4103 |
Ef ped fluid and electrolyte |
513 |
442 |
$41K |
| B4158 |
Ef ped complete intact nut |
229 |
196 |
$37K |
| S9379 |
Hit noc per diem |
133 |
92 |
$7K |
| B9998 |
Enteral supp not otherwise c |
77 |
62 |
$2K |
| A4222 |
Infusion supplies with pump |
41 |
12 |
$171.48 |
| B4104 |
Additive for enteral formula |
279 |
243 |
$42.64 |