| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4161 |
Ef ped hydrolyzed/amino acid |
2,885 |
2,348 |
$2.00M |
| B4035 |
Enteral feed supp pump per d |
5,177 |
3,678 |
$597K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
3,338 |
2,700 |
$468K |
| 99601 |
|
3,675 |
1,190 |
$331K |
| S9342 |
Hit enteral pump diem |
1,062 |
960 |
$308K |
| B4149 |
Ef blenderized foods |
676 |
449 |
$179K |
| S9500 |
Hit antibiotic q24h diem |
5,271 |
425 |
$130K |
| B4152 |
Ef calorie dense>/=1.5kcal |
1,850 |
1,072 |
$120K |
| B9002 |
Enter nutr inf pump any type |
2,862 |
2,381 |
$83K |
| S9502 |
Hit antibiotic q8h diem |
2,758 |
160 |
$58K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,437 |
1,204 |
$57K |
| B4034 |
Enter feed supkit syr by day |
1,342 |
810 |
$56K |
| B4155 |
Ef incomplete/modular |
370 |
284 |
$32K |
| B4150 |
Ef complet w/intact nutrient |
254 |
153 |
$22K |
| B4153 |
Ef hydrolyzed/amino acids |
19 |
12 |
$6K |