| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
39,903 |
1,899 |
$735K |
| 99601 |
|
6,334 |
2,245 |
$633K |
| S9500 |
Hit antibiotic q24h diem |
11,284 |
1,025 |
$504K |
| B4161 |
Ef ped hydrolyzed/amino acid |
489 |
430 |
$333K |
| S9340 |
Hit enteral per diem |
28,436 |
1,262 |
$278K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,294 |
1,024 |
$145K |
| S9502 |
Hit antibiotic q8h diem |
2,526 |
251 |
$143K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,615 |
887 |
$81K |
| S9343 |
Hit enteral bolus nurs |
5,999 |
381 |
$73K |
| A4223 |
Infusion supplies w/o pump |
1,648 |
312 |
$42K |
| S9365 |
Hit tpn 1 liter diem |
265 |
12 |
$39K |
| S9366 |
Hit tpn 2 liter diem |
155 |
12 |
$29K |
| B4088 |
Gastro/jejuno tube, low-pro |
207 |
196 |
$24K |
| B4150 |
Ef complet w/intact nutrient |
264 |
164 |
$21K |
| B4185 |
Pn soln nos 10 grams lipids |
115 |
39 |
$18K |
| S9501 |
Hit antibiotic q12h diem |
330 |
30 |
$18K |
| B4035 |
Enteral feed supp pump per d |
3,017 |
235 |
$13K |
| B4153 |
Ef hydrolyzed/amino acids |
26 |
12 |
$10K |
| S9379 |
Hit noc per diem |
200 |
26 |
$6K |
| B4034 |
Enter feed supkit syr by day |
510 |
92 |
$3K |
| 99602 |
Nursing care in home rn |
29 |
25 |
$3K |
| B4155 |
Ef incomplete/modular |
13 |
12 |
$775.91 |
| A4927 |
Non-sterile gloves |
24 |
12 |
$161.52 |
| A4216 |
Sterile water/saline, 10 ml |
491 |
167 |
$128.52 |
| A4245 |
Alcohol wipes per box |
20 |
12 |
$49.10 |
| A6457 |
Tubular dressing |
33 |
13 |
$20.02 |