| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9500 |
Hit antibiotic q24h diem |
8,984 |
1,663 |
$1.26M |
| S9342 |
Hit enteral pump diem |
2,482 |
1,081 |
$1.25M |
| 99601 |
|
8,996 |
4,318 |
$772K |
| B4035 |
Enteral feed supp pump per d |
23,930 |
4,550 |
$724K |
| B4161 |
Ef ped hydrolyzed/amino acid |
1,404 |
1,221 |
$687K |
| B4185 |
Pn soln nos 10 grams lipids |
5,747 |
1,057 |
$638K |
| 99602 |
Nursing care in home rn |
2,882 |
1,558 |
$356K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,391 |
1,288 |
$350K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,943 |
2,564 |
$316K |
| B4150 |
Ef complet w/intact nutrient |
1,958 |
1,761 |
$189K |
| B9002 |
Enter nutr inf pump any type |
2,185 |
2,032 |
$180K |
| S5502 |
Hit interim cath care |
1,928 |
1,263 |
$165K |
| J3490 |
Drugs unclassified injection |
461 |
221 |
$125K |
| S9366 |
Hit tpn 2 liter diem |
259 |
52 |
$102K |
| S9374 |
Hit hydra 1 liter diem |
1,906 |
272 |
$96K |
| J0696 |
Ceftriaxone sodium injection |
316 |
140 |
$92K |
| B4034 |
Enter feed supkit syr by day |
6,874 |
1,351 |
$88K |
| B4149 |
Ef blenderized foods |
186 |
175 |
$76K |
| S9338 |
Hit immunotherapy diem |
1,262 |
652 |
$68K |
| B4153 |
Ef hydrolyzed/amino acids |
188 |
165 |
$67K |
| S9502 |
Hit antibiotic q8h diem |
226 |
52 |
$42K |
| S9379 |
Hit noc per diem |
321 |
146 |
$39K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,547 |
1,463 |
$37K |
| B4155 |
Ef incomplete/modular |
467 |
416 |
$21K |
| S9501 |
Hit antibiotic q12h diem |
41 |
12 |
$10K |
| S9542 |
Ht inj noc per diem |
76 |
53 |
$2K |