| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4161 |
Ef ped hydrolyzed/amino acid |
2,417 |
2,026 |
$1.51M |
| B4035 |
Enteral feed supp pump per d |
6,461 |
4,882 |
$679K |
| 99601 |
|
6,819 |
2,317 |
$567K |
| B4149 |
Ef blenderized foods |
1,901 |
1,338 |
$484K |
| S9342 |
Hit enteral pump diem |
1,571 |
1,499 |
$455K |
| B4153 |
Ef hydrolyzed/amino acids |
883 |
678 |
$447K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
2,903 |
2,461 |
$438K |
| S9500 |
Hit antibiotic q24h diem |
12,471 |
1,019 |
$332K |
| B4152 |
Ef calorie dense>/=1.5kcal |
3,926 |
2,804 |
$287K |
| B4150 |
Ef complet w/intact nutrient |
3,330 |
2,582 |
$260K |
| S9502 |
Hit antibiotic q8h diem |
4,665 |
382 |
$136K |
| B4034 |
Enter feed supkit syr by day |
2,641 |
1,980 |
$135K |
| B9002 |
Enter nutr inf pump any type |
3,453 |
3,163 |
$95K |
| B4185 |
Pn soln nos 10 grams lipids |
681 |
142 |
$80K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,632 |
1,395 |
$58K |
| S9501 |
Hit antibiotic q12h diem |
2,197 |
157 |
$51K |
| B4155 |
Ef incomplete/modular |
454 |
380 |
$44K |
| E0781 |
External ambulatory infus pu |
2,240 |
137 |
$42K |
| S9374 |
Hit hydra 1 liter diem |
828 |
51 |
$22K |
| B4154 |
Ef spec metabolic noninherit |
129 |
100 |
$22K |
| A4223 |
Infusion supplies w/o pump |
658 |
53 |
$21K |
| S9343 |
Hit enteral bolus nurs |
51 |
50 |
$14K |
| B4103 |
Ef ped fluid and electrolyte |
62 |
41 |
$7K |
| 99602 |
Nursing care in home rn |
132 |
80 |
$6K |
| B4036 |
Enteral feed sup kit grav by |
59 |
51 |
$3K |
| A4221 |
Supp non-insulin inf cath/wk |
23 |
13 |
$3K |
| E0776 |
Iv pole |
20 |
13 |
$1K |