| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4161 |
Ef ped hydrolyzed/amino acid |
5,599 |
3,849 |
$2.23M |
| S9342 |
Hit enteral pump diem |
12,363 |
7,062 |
$2.22M |
| S9500 |
Hit antibiotic q24h diem |
5,420 |
1,576 |
$946K |
| B4035 |
Enteral feed supp pump per d |
27,908 |
4,367 |
$876K |
| S9366 |
Hit tpn 2 liter diem |
1,254 |
280 |
$621K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
4,565 |
2,966 |
$588K |
| 99601 |
|
7,371 |
2,644 |
$549K |
| B4185 |
Pn soln nos 10 grams lipids |
4,655 |
932 |
$392K |
| B9998 |
Enteral supp not otherwise c |
5,084 |
1,087 |
$359K |
| B4149 |
Ef blenderized foods |
1,311 |
686 |
$165K |
| S9343 |
Hit enteral bolus nurs |
855 |
508 |
$162K |
| B4088 |
Gastro/jejuno tube, low-pro |
2,253 |
2,030 |
$127K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,068 |
1,254 |
$118K |
| S9502 |
Hit antibiotic q8h diem |
614 |
178 |
$100K |
| B4150 |
Ef complet w/intact nutrient |
1,261 |
740 |
$75K |
| A4223 |
Infusion supplies w/o pump |
4,244 |
581 |
$51K |
| B4155 |
Ef incomplete/modular |
1,913 |
1,533 |
$33K |
| A4221 |
Supp non-insulin inf cath/wk |
654 |
220 |
$10K |
| S9501 |
Hit antibiotic q12h diem |
95 |
37 |
$10K |
| 99602 |
Nursing care in home rn |
178 |
142 |
$10K |
| S9374 |
Hit hydra 1 liter diem |
43 |
12 |
$5K |
| B4153 |
Ef hydrolyzed/amino acids |
17 |
12 |
$5K |
| B4034 |
Enter feed supkit syr by day |
73 |
63 |
$4K |
| B4103 |
Ef ped fluid and electrolyte |
36 |
12 |
$2K |
| S5501 |
Hit complex cath care |
15 |
12 |
$2K |
| B4154 |
Ef spec metabolic noninherit |
16 |
13 |
$2K |
| S9379 |
Hit noc per diem |
37 |
14 |
$1K |