| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9342 |
Hit enteral pump diem |
793 |
750 |
$709K |
| S9340 |
Hit enteral per diem |
1,685 |
1,580 |
$603K |
| S9500 |
Hit antibiotic q24h diem |
1,264 |
584 |
$568K |
| A4223 |
Infusion supplies w/o pump |
1,691 |
511 |
$361K |
| B4150 |
Ef complet w/intact nutrient |
1,761 |
1,424 |
$242K |
| B4152 |
Ef calorie dense>/=1.5kcal |
861 |
715 |
$111K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
477 |
412 |
$102K |
| B4035 |
Enteral feed supp pump per d |
1,322 |
1,223 |
$96K |
| 99601 |
|
942 |
367 |
$95K |
| B9002 |
Enter nutr inf pump any type |
457 |
455 |
$34K |
| B4154 |
Ef spec metabolic noninherit |
114 |
100 |
$30K |
| J1642 |
Inj heparin sodium per 10 u |
678 |
297 |
$18K |
| S9502 |
Hit antibiotic q8h diem |
41 |
12 |
$16K |
| B4088 |
Gastro/jejuno tube, low-pro |
92 |
89 |
$10K |
| S9343 |
Hit enteral bolus nurs |
24 |
24 |
$9K |
| B4034 |
Enter feed supkit syr by day |
169 |
163 |
$8K |
| B9998 |
Enteral supp not otherwise c |
130 |
120 |
$6K |
| 96365 |
|
72 |
25 |
$4K |
| A4216 |
Sterile water/saline, 10 ml |
55 |
24 |
$858.95 |
| A4927 |
Non-sterile gloves |
189 |
173 |
$158.57 |