| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
109,594 |
5,228 |
$5.23M |
| S9340 |
Hit enteral per diem |
100,376 |
4,734 |
$1.21M |
| B4160 |
Ef ped caloric dense>/=0.7kc |
3,653 |
2,944 |
$898K |
| B4161 |
Ef ped hydrolyzed/amino acid |
2,018 |
1,143 |
$622K |
| E0781 |
External ambulatory infus pu |
15,317 |
969 |
$535K |
| S9343 |
Hit enteral bolus nurs |
40,778 |
1,909 |
$503K |
| 99601 |
|
3,437 |
1,062 |
$441K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,007 |
1,464 |
$365K |
| S9366 |
Hit tpn 2 liter diem |
4,453 |
194 |
$330K |
| B4035 |
Enteral feed supp pump per d |
3,397 |
1,697 |
$302K |
| B4150 |
Ef complet w/intact nutrient |
1,609 |
1,155 |
$278K |
| B4149 |
Ef blenderized foods |
467 |
398 |
$252K |
| B4155 |
Ef incomplete/modular |
1,082 |
921 |
$225K |
| S9500 |
Hit antibiotic q24h diem |
3,653 |
291 |
$223K |
| B4153 |
Ef hydrolyzed/amino acids |
285 |
222 |
$196K |
| S9502 |
Hit antibiotic q8h diem |
1,861 |
140 |
$120K |
| A4223 |
Infusion supplies w/o pump |
2,978 |
404 |
$118K |
| S9374 |
Hit hydra 1 liter diem |
4,120 |
289 |
$117K |
| B4034 |
Enter feed supkit syr by day |
1,840 |
899 |
$91K |
| B4154 |
Ef spec metabolic noninherit |
327 |
259 |
$76K |
| S9365 |
Hit tpn 1 liter diem |
757 |
37 |
$58K |
| S9501 |
Hit antibiotic q12h diem |
685 |
56 |
$48K |
| B9002 |
Enter nutr inf pump any type |
766 |
562 |
$41K |
| A4222 |
Infusion supplies with pump |
1,254 |
170 |
$38K |
| S9348 |
Hit sympathomim diem |
744 |
24 |
$33K |
| S9379 |
Hit noc per diem |
520 |
55 |
$30K |
| B4162 |
Ef ped specmetabolic inherit |
60 |
45 |
$25K |
| B4088 |
Gastro/jejuno tube, low-pro |
403 |
287 |
$23K |
| S9338 |
Hit immunotherapy diem |
342 |
115 |
$15K |
| A4221 |
Supp non-insulin inf cath/wk |
1,103 |
353 |
$8K |
| 99602 |
Nursing care in home rn |
359 |
147 |
$3K |
| A4216 |
Sterile water/saline, 10 ml |
788 |
277 |
$2K |
| S5498 |
Hit simple cath care |
143 |
15 |
$1K |
| E0776 |
Iv pole |
82 |
70 |
$901.56 |
| A4305 |
Drug delivery system >=50 ml |
162 |
16 |
$669.00 |
| B9004 |
Parenteral infus pump portab |
16 |
12 |
$659.60 |
| A6248 |
Hydrogel drsg gel filler |
19 |
12 |
$471.20 |
| A4245 |
Alcohol wipes per box |
276 |
124 |
$443.13 |
| A4927 |
Non-sterile gloves |
102 |
43 |
$297.11 |
| A6257 |
Transparent film <= 16 sq in |
343 |
106 |
$174.52 |
| A4209 |
5+ cc sterile syringe&needle |
429 |
96 |
$44.66 |
| A6457 |
Tubular dressing |
67 |
24 |
$12.74 |