| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
2,870 |
1,690 |
$1.76M |
| B4035 |
Enteral feed supp pump per d |
16,055 |
8,016 |
$1.60M |
| A4223 |
Infusion supplies w/o pump |
11,945 |
4,560 |
$1.48M |
| B4185 |
Pn soln nos 10 grams lipids |
6,377 |
1,226 |
$860K |
| B4224 |
Parenteral administration ki |
5,992 |
929 |
$734K |
| B4220 |
Parenteral supply kit premix |
5,539 |
940 |
$472K |
| B4161 |
Ef ped hydrolyzed/amino acid |
801 |
485 |
$313K |
| B4149 |
Ef blenderized foods |
1,168 |
849 |
$302K |
| A4221 |
Supp non-insulin inf cath/wk |
7,767 |
3,709 |
$240K |
| B4034 |
Enter feed supkit syr by day |
4,465 |
2,243 |
$202K |
| A4222 |
Infusion supplies with pump |
1,953 |
775 |
$176K |
| B4088 |
Gastro/jejuno tube, low-pro |
1,368 |
1,243 |
$132K |
| 99601 |
|
1,735 |
1,273 |
$126K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
946 |
631 |
$121K |
| S9500 |
Hit antibiotic q24h diem |
363 |
155 |
$115K |
| B4152 |
Ef calorie dense>/=1.5kcal |
904 |
674 |
$74K |
| S9338 |
Hit immunotherapy diem |
472 |
305 |
$57K |
| 99602 |
Nursing care in home rn |
731 |
575 |
$44K |
| S9343 |
Hit enteral bolus nurs |
190 |
112 |
$14K |
| B9002 |
Enter nutr inf pump any type |
176 |
166 |
$14K |
| B4155 |
Ef incomplete/modular |
183 |
134 |
$10K |
| S9359 |
Hit anti-tnf per diem |
45 |
39 |
$3K |
| A4216 |
Sterile water/saline, 10 ml |
50 |
48 |
$0.00 |