| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feed supp pump per d |
6,368 |
5,555 |
$884K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
3,526 |
3,279 |
$530K |
| B4162 |
Ef ped specmetabolic inherit |
934 |
834 |
$456K |
| B4161 |
Ef ped hydrolyzed/amino acid |
1,084 |
1,001 |
$433K |
| B4152 |
Ef calorie dense>/=1.5kcal |
3,363 |
3,065 |
$371K |
| B4150 |
Ef complet w/intact nutrient |
3,528 |
3,179 |
$346K |
| B4157 |
Ef special metabolic inherit |
280 |
270 |
$271K |
| B4153 |
Ef hydrolyzed/amino acids |
562 |
520 |
$199K |
| B4154 |
Ef spec metabolic noninherit |
906 |
840 |
$166K |
| S9500 |
Hit antibiotic q24h diem |
1,106 |
354 |
$105K |
| B4036 |
Enteral feed sup kit grav by |
1,015 |
886 |
$96K |
| B4224 |
Parenteral administration ki |
1,323 |
278 |
$95K |
| B4087 |
Gastro/jejuno tube, std |
2,667 |
2,480 |
$95K |
| B4088 |
Gastro/jejuno tube, low-pro |
775 |
752 |
$81K |
| G0299 |
Hhs/hospice of rn ea 15 min |
846 |
406 |
$65K |
| B9002 |
Enter nutr inf pump any type |
1,160 |
1,148 |
$60K |
| B4034 |
Enter feed supkit syr by day |
1,594 |
1,441 |
$52K |
| S9502 |
Hit antibiotic q8h diem |
448 |
131 |
$39K |
| B4220 |
Parenteral supply kit premix |
1,328 |
278 |
$30K |
| B4155 |
Ef incomplete/modular |
693 |
629 |
$30K |
| B4185 |
Pn soln nos 10 grams lipids |
239 |
62 |
$19K |
| J1335 |
Ertapenem injection |
40 |
12 |
$14K |
| 99601 |
|
156 |
74 |
$9K |
| S9501 |
Hit antibiotic q12h diem |
51 |
27 |
$7K |
| E0776 |
Iv pole |
2,101 |
2,075 |
$7K |
| S5501 |
Hit complex cath care |
224 |
89 |
$6K |
| J3370 |
Vancomycin hcl injection |
67 |
26 |
$6K |
| S9338 |
Hit immunotherapy diem |
27 |
12 |
$686.56 |
| B9998 |
Enteral supp not otherwise c |
42 |
38 |
$0.00 |