| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4189 |
Parenteral sol amino acid & |
1,466 |
301 |
$1.26M |
| B4185 |
Pn soln nos 10 grams lipids |
8,961 |
1,654 |
$1.10M |
| B4224 |
Parenteral administration ki |
13,765 |
1,783 |
$881K |
| B4035 |
Enteral feed supp pump per d |
2,338 |
1,378 |
$342K |
| T1030 |
Rn home care per diem |
11,340 |
1,515 |
$327K |
| B4220 |
Parenteral supply kit premix |
10,034 |
1,782 |
$284K |
| B4161 |
Ef ped hydrolyzed/amino acid |
533 |
455 |
$249K |
| S9494 |
Hit antibiotic total diem |
3,369 |
384 |
$227K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
685 |
568 |
$93K |
| S9329 |
Hit chemo per diem |
1,560 |
309 |
$78K |
| B4152 |
Ef calorie dense>/=1.5kcal |
216 |
186 |
$38K |
| B4034 |
Enter feed supkit syr by day |
355 |
226 |
$30K |
| B4158 |
Ef ped complete intact nut |
128 |
116 |
$20K |
| B9004 |
Parenteral infus pump portab |
98 |
91 |
$19K |
| B4154 |
Ef spec metabolic noninherit |
41 |
40 |
$18K |
| B9002 |
Enter nutr inf pump any type |
189 |
183 |
$12K |
| B4155 |
Ef incomplete/modular |
72 |
65 |
$11K |
| B4149 |
Ef blenderized foods |
124 |
109 |
$6K |
| B4150 |
Ef complet w/intact nutrient |
25 |
25 |
$4K |
| S9338 |
Hit immunotherapy diem |
67 |
43 |
$4K |
| B4088 |
Gastro/jejuno tube, low-pro |
149 |
138 |
$3K |
| J1642 |
Inj heparin sodium per 10 u |
248 |
122 |
$366.06 |
| A4222 |
Infusion supplies with pump |
324 |
135 |
$260.00 |
| B4082 |
Enteral ng tubing w/o stylet |
16 |
12 |
$216.45 |
| A4221 |
Supp non-insulin inf cath/wk |
205 |
86 |
$1.48 |
| 99601 |
|
699 |
297 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
356 |
168 |
$0.00 |
| 99602 |
Nursing care in home rn |
46 |
27 |
$0.00 |