| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9500 |
Hit antibiotic q24h diem |
6,748 |
1,637 |
$1.25M |
| S9342 |
Hit enteral pump diem |
4,222 |
2,822 |
$1.12M |
| B4161 |
Ef ped hydrolyzed/amino acid |
1,892 |
1,301 |
$892K |
| 99601 |
|
7,528 |
2,979 |
$645K |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
65 |
41 |
$297K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,712 |
1,191 |
$252K |
| S9502 |
Hit antibiotic q8h diem |
1,175 |
299 |
$221K |
| B4035 |
Enteral feed supp pump per d |
2,979 |
1,889 |
$220K |
| B4152 |
Ef calorie dense>/=1.5kcal |
2,195 |
1,574 |
$154K |
| S9343 |
Hit enteral bolus nurs |
337 |
286 |
$91K |
| S9374 |
Hit hydra 1 liter diem |
567 |
148 |
$61K |
| S9501 |
Hit antibiotic q12h diem |
173 |
55 |
$35K |
| 99602 |
Nursing care in home rn |
336 |
236 |
$29K |
| B4088 |
Gastro/jejuno tube, low-pro |
448 |
398 |
$25K |
| S9379 |
Hit noc per diem |
493 |
361 |
$23K |
| B4034 |
Enter feed supkit syr by day |
487 |
366 |
$23K |
| B4185 |
Pn soln nos 10 grams lipids |
87 |
25 |
$15K |
| B4150 |
Ef complet w/intact nutrient |
197 |
126 |
$12K |
| B4155 |
Ef incomplete/modular |
186 |
141 |
$8K |
| S9503 |
Hit antibiotic q6h diem |
42 |
12 |
$8K |
| J3370 |
Vancomycin hcl injection |
151 |
24 |
$5K |
| B4154 |
Ef spec metabolic noninherit |
63 |
39 |
$4K |
| A4223 |
Infusion supplies w/o pump |
169 |
50 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
55 |
15 |
$744.80 |
| S9359 |
Hit anti-tnf per diem |
15 |
14 |
$642.20 |